Posts Tagged ‘elderly’

Clearing the Fog of Dementia Drugs

Wednesday, February 16th, 2011

Most of us agree that nursing home reform is a critical need in the United States. Many times, difficult behavior from people with dementia is managed by giving them more psychotropic drugs. As a result of these drugs, sometimes people go into a “fog” including lethargy, seem detached from the world,  stop speaking and other negative side effects.

This is a great article about Clearing the Fog at Nursing Homes – how behavioral interventions (and hands-on caring) changed residents from zombies to engaged adults at one nursing home in Two Harbors, Minn.  http://tinyurl.com/4oxw9kv

As the article states, behavioral interventions can be more costly to implement than prescribing, yet in the long run it can save money – not to mention the increased quality of life for the residents and families.

Even if your loved one with dementia is not in a nursing home, there are behavioral modifications you can use at home that might help them live a better life. Caring, and a loving touch can make a bigger difference than you might think.

How Can I Make My Aging Parents Do What I Want?

Friday, June 5th, 2009

I had two calls just today on a similar topic — How can I make my aging parents to “do what I want.” This question comes up a lot. The adult child sees mom or dad living in, what they consider, less than the best situation and the child thinks that things would be so much better if only they would do “X” (such as move closer to her, move to an assisted living or get caregiving in the home). The only problem is, Mom or Dad doesn’t want to do “X.”

The main thing to remember is this: People (everyone, including your parents) have the right to make their own decisions (even if they look like really bad decisions to you) for as long as they have “capacity.” Basically, “capacity” means that they understand the consequences of their decisions – the ability to receive, evaluate and communicate a decision to others. If they have advanced dementia or are in a coma, they probably don’t have capacity. Physical frailty is not sufficient in determining capacity.

If they have capacity, you can talk to your older loved one to see if they want to cooperate with what you have in mind, but if they don’t want to, nobody can make them. If you feel they aren’t safe and they refuse to get help, you could report them to Adult Protective Services (APS, available nation wide).They will do an assessment and determine if the person is safe or if they need a guardian. Powers of Attorney are documents a person signs, designating someone else to make decisions for them if they are no longer able to (such as for health care or financial decisions).

Ideally, everyone involved would talk and come up with a plan to support the older loved one in getting what they want while remaining safe and happy. If your mom or dad doesn’t want to change, the best you can do it make a “Plan B” – an alternative plan to implement when the “crisis” happens. Usually, an incident like mom falling and breaking a hip forces change. If you have a Plan B, you can sleep easier knowing you won’t be caught by surprise, because you know what your options are.

Answers to all your eldercare questions, and options for “Plan B” can be found in AgingPro’s Eldercare Basics E-Book. http://www.agingpro.com//store/Eldercare_Basics.htm

You can have peace of mind when you know you’ve looked at all your options, and made the best decision you could in the moment.