Elderly Early Dementia Coping Strategies
From LoveToKnow Seniors
An increasing number of support services have evolved to help with elderly early dementia coping strategies. These services support both the person suffering from the condition, along with the caregiver.
Dementia Defined
The primary cause of dementia is the death of brain cells. The death of the brain cells is a natural, progressive occurrence, not caused by any particular acute medical episode. Alzheimber's disease is the most commonly recognized cause of dementia, but there are several less well known causes such as Huntingdon’s Disease, Multiple Sclerosis, and Fronto-Temporal dementia, to name a few.
Diagnosis
Dementia in the elderly is a condition that can be extremely difficult to diagnose in the early stages. Sometimes due to subtle changes in behavior or mood, it can take a significant period of time, and a trained eye, to establish if this behavior is likely to be permanent.
Often physicians are not comfortable diagnosing dementia until there has been six-month duration of both behavioral and psychological symptoms. Due to the complexities of early diagnosis, offering support and coping strategies to relatives and caregivers is often delayed.
Acceptance of the Condition
For the individual suffering from the disease, acceptance of the condition is often a difficult process, with denial being one of the biggest issues to cope with. In many cases, the sufferer may not even be aware of the subtle changes in their actions or behavior, and if they are, attempts to conceal these can be a further problem. Patients are encouraged to be open about the condition.
In cases of early stage dementia, individuals can isolate themselves because of fear that relatives and those in close contact will detect their altered behavior. Due to a tainted mental capacity, those people suffering from the disease often struggle to comprehend new and complex information. They deal with it by rejection of others, and refusing to accept their new circumstances. Offering constant reassurance and allowing the sufferer to talk about their fears and anxieties is extremely helpful.
The dementia patient will also undoubtedly experience a reduction in short-term memory function. Therefore, it is often necessary to repeat information or directions for tasks.
Difficulty for the Caregiver
To watch a relative or loved one go through the anguish of early onset dementia can be a painful experience. Not only that, dealing with the individual's behavioral changes such as forgetfulness, aggression and other heightened emotions, can have practical repercussions, as both sufferers and caregivers are often reluctant to accept these changes and decline an offer of help.
For those suffering with the condition, there is also an element of danger. It is common for people to leave the gas oven on, or forget to close the front door, thus making themselves vulnerable to physical harm. For the caregiver, the constant anguish that such things could occur can be a living nightmare. This leads to the requirement of increased home visits to ensure the elder's safety is maintained.
Help for the Patient and Caregiver
For many sufferers and caregivers, the sheer lack of knowledge they have about the condition and its associated problems are the biggest hurdles. Elderly early dementia coping strategies can be accessed via local mental health services. These specialized agencies are most qualified to offer the most direct and appropriate care options. Most importantly, don’t access help only after you reach the "breaking point". At the first hint of a problem, reach out to your local services, initially approaching the general practitioner. Referrals to hospital specialists can sometimes be lengthy, therefore the sooner help is requested, the quicker it will be available.
An increase in phsyical medical support is not always necessary. However, psychological support and practical help is often welcomed. Mental health agencies are also able to offer information and advice about accessing much needed domestic services, such as the provision of meals for a relative that remains in their own home. The maintenance of personal dignity and privacy plays an important part in assisting individuals to cope with their condition.
Helpful Medication
For many early dementia sufferers, medication is available to aid some of the distressing feelings they experience. The use of anti-depressant and tranquilizing drugs is common, and many individuals benefit from this supportive therapy. Carergivers need to ensure that drugs are taken consistently for the best results.
Coping with Challenging Emotions
As a caregiver, it is crucial that you consider yourself first. If you are stressed and exhausted supporting your friend or relative, then you will be of less use to them. Depression is a widespread condition among caregivers. Search for help and advice from local or national support groups. These groups create an invaluable information source and are able to offer practical advice.
Being able to talk about feelings of frustration, anger and helplessness as a caregiver is important too. It may be necessary to receive counseling to act as a further coping strategy. Supporting a relative or friend with an incurable condition can also generate feelings of grief, similar to that of bereavement. Being able to work through the emotions is extremely useful.
Early Elderly Dementia Coping Strategies: Take Care of You
Make plenty of "me time." When caring for someone else in dire health, often you sacrifice the regular things in life. Reward yourself for all your hard work and dedication. Most importantly, remember when supporting someone in the early stages of the disease process, that the journey is likely to be a very long and challenging one..
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Comments
You're right, Jackie - every individual is different. It sounds like you are a caring, diligent individual, and those are admirable qualities bound to be of help. Recommendations work well automatically for some, and in stages for others.
I would suggest you find a dementia caregivers support group in your area to help you learn from others directly. Visit a senior center and ask if they have resources for such a group.
You can also talk with your city/county/state Council on Aging for information about how best to approach this situation with other family members.
Keep a record of your aunt's behaviors as you see them. Once you have a month or two recorded, talk to one or two family members about your concerns with your aunt, and what solutions all of you can work on together. Some people just may not see things the way you do. If indeed your aunt is having problems, perhaps they need to have the information presented in a more cut and dried manner.
Finally, remember that unfortunately, your aunt may continue to not realize the help she needs. But the support you receive from the group and select family members will hopefully unify all of you to deal with each day as it comes.
Also - we did an interview with the National Family Caregivers Association, a wonderful group that has community forums and other resources you find helpful. Please check that out as well. Best of luck to you.
-- Contributed by: TK2Everybody talks about getting the dementia sufferer to talk to their doctor, get assessed etc but my relative has told me that the 'blip' she suffered (A very distressing episode in a hotel in New Zealand followed by being diagnosed with dementia) was just something temporary. She was fine now and she didn't want to talk about it any more. She would tell me if she ever needed help. What do you do when you don't know who their doctor is, when they've threatened to end it all if they ever become 'like that' and when you are not going to get any cooperation at all from the sufferer? If I told Social Services and they contacted my aunt she would never forgive me, never trust me again and the likelihood is it would break up the family and she would be all on her own and getting worse. You people make it sound so simple. Do you all have compliant family members because I've got one very difficult one here?
-- Contributed by: jackie
This page has been accessed 1,435 times. This page was last modified 13:49, 6 February 2009.
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