Coping with everyday life
In coping with everyday life, many factors play a role:
• Does the patient lives alone or lives these directly related to a family?
• Does the patient lives in a big house or small apartment?
• Are the premises of the patient ordered or had it been a cosy chaos in his home?
• Are there any obvious sources of danger, if the patient is at home alone?
• Have the members take time to care or does these need of nurses
• Lives the patient on a busy street or a city
The list could be extended still further, since according to the housing and the environment, other problems arise, which have been previously not recognized at all. If the answer to the last question from above the patient lives in a big city, so the danger is that this confusion on the streets and not running back home is very much greater than if he lives in a place where the neighbors recognize him and bring him back home.
Therefore, in the following general information has been provided for coping with everyday life, which must be complemented by the members of the answers to the questions posed above. Depending on the result so-called answer some additional points to be observed in everyday life with Alzheimer's patients.
The issue of housing is concerned with the everyday environment of the patient. Because the disease can lead to disruptions in the contrast detection. In addition, small written inscriptions can not be readen perfect .Depending on the design of residential premises may also be present hazards, which have been previously not recognized at all. To facilitate the patient's life and moving in their own 4 walls, should be any room for possible violation of sources (eg, sharp edges, open fireplaces, etc.) studied. The rooms should be where the patient moves have a clear structure and chaos should be avoided at all costs. The patient is confusing enough in itself already. If this confusion, the places of furniture, crockery or other household items change frequently, this can get along any more.
It is also recommended to the drawers and cabinets equipped with appropriate labels to ensure there is a certain order and make it easier for the patient to find items in their storage location that can not directly recall. The labels should be placed in bright colors , high contrast and in sufficient size. Depending on the condition of the patient also the doors should be provided with captions..
The lighting of the premises should be bright and create a friendly living environment. Since people with Alzheimer's disease already prone to depression, is a dark and dreary surroundings depressions or to violence. Should the patient show a certain potential for aggression, this may also be because of the color or disorder of his surroundings. It is clear that these are in areas with a light, bright colors has a different behavior than in rooms with unusual colors or chaos, they should be redesigned.
The patient takes them on their premises an inner peace, which he has in his mind any more. It should not be transferred to almost bare rooms. Pictures with former favorite memories and heirlooms or furniture should be kept absolutely will not let the changes become too great. The patient should be as long as possible to feel really at his home and not in a hospital room.
The housing situation should be open later than the date on which it is clear that the patient is in the current state of the apartment is no longer way around this or is emotionally unstable.
Enviroment of the patient
It is important to the patient as often as possible to recall his environment in his memory. It may happen that the patient can no longer remember that the baker is three houses further. As long as the patient can still stay outside his home, this should be purchased with repeats the same places (eg street in front of and behind the house, nearby shops, in which the patient always has been) be abandoned. Once the patient begins to leave the house and walk aimlessly through the streets, they should always be accompanied by another person, even with regard to possible sources of accidents.
The environment, for example, that is, the immediate neighbors, or the said Baker should also be made aware of the disease so that they can check if the relatives if the patient no longer find his way home alone.
Depending on the size of the house or the patient's home, are potential hazards in and around the house to be marked conspicuously. It may also be helpful in the house, the doors be left open so that the patient will cope easily. Alternative is marked with signs on the doors. It is important for example, that this is the kitchen and the bathroom. Also cabinets should be provided with markings which indicate to the patient what is in the cupboards and there has to be. Are stairs or other special events available in the house, so the sick person should also be regularly made aware in order to avoid accidents.
Depending on patient care with an open flame sources such as fireplaces is given. Instruct the patient indicated that he alone will not turn on the fire. If this does not help you try to shut off the fireplace.
As a member, it is helpful to create a list of all the activities of the patient before the disease. Thereafter, the list should be passed a second time and the potential sources of danger or accident hazards identified in these activities. By identifying the threats and sources of accidents can be taken by members of appropriate preventive measures so that the occurrence of accidents is reduced.
Change of nursing staff to avoid
In the daily care, especially in the later stages of the disease should be avoided, to change the contact person or the nurse too often. Depending on the condition of the patients he sees the usual attendant and then is frightened or irritated when other people suddenly take his or her care or touch him. In these situations, the patient may respond aggressively because he does not recognize the new supervisor, and may feel threatened by the intrusion into his life.
But has the situation so happens that the members of the care can no longer cope with alone, so care should be taken at the request of nursing staff, that this does not change too often and that if a change takes place to stay for the patients receiving usual daily routines . Depending on how the patient reacts to the new carer, should the former nurse again appear together with the new nurses at the patient and explain this to change. In this way, it is possible that the patient does not perceive the new nurses as a threat.