Determining how much assistance the Care recipient (cr) needs

Try: If the cr has only minimal physical and mental limitations and they are alert assistance will be minor if the cr has more limitations but can still live independently caregivers will need to check in with them more regularly if the cr is functionally and cognitively impaired he or she will need full-time monitoring by the caregiver cr cr’s can move from one level of aid to the next quickly frequent assesment is needed to ensure that the cr is properly taken care of

Materials: n/a

Categories: Behavior Challenging, Caregiver Needs&Support, Cognitive Intellectual, Communication, Emotional Psychological, Maintenance, Medical Physical, Personal

Information: n/a

References: Adapted from material found in the book caregiving the spiritual journey of love loss and renewal by beth witrogen mcleod

Keywords: n/a

*This information is listed as a Tip and is not explicitly medically licensed

Warning signs that may indicate a severe problem

Try: Look for the following signs that may indicate a more severe problem attitude and behavior changes unpaid bills wearing the same exact clothes each day extreme weight gain or weight loss paranoia dizziness forgetting to go to the doctor or purposefully missing appointments

Materials: n/a

Categories: Behavior Challenging, Communication, Maintenance, Medical Physical

Information: Do not delay if you have a gut feeling that something may be wrong

References: Adapted from material found in the book caregiving the spiritual journey of love loss and renewal by beth witrogen mcleod

Keywords: Warning signs paranoia medical issues weight loss weight gain

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has angry outbursts

Try: Be patient with angry outbursts remember it it’s the illness talking if care giver cg gets frustrated take a timeout

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological, Medical Physical, Cognitive Awareness, Somewhat Aware, Unaware, Long-Term Memory, So-So L T Memory, Poor L T Memory, Short-Term Memory, So-So S T Memory, Poor S T Memory

Information: With the responsible personwho will assume care if regular cg is absent

References: caring for a person with alzheimer’s disease your easy-to-use guide from the national institute on aging by national institute on aging 2011 available at www nia nih gov

Keywords: Anger outbursts cursing foul language upset communication memory loss cognitive impairment challenging behavior

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has trouble understanding instructions and is easily frustrated

Try: Offer simple step-by-step instructions repeat instructions and allow more time for a response try not to interrupt don’t talk about cr as if he isn’t there don’t talk to cr using baby talk or a baby voice

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Cognitive Intellectual, Communication, Emotional Psychological, Medical Physical, Verbal Communication, So-So Verbal Comm, Poor Verbal Comm, Cognitive Awareness, Somewhat Aware, Unaware, Long-Term Memory, So-So L T Memory, Poor L T Memory, Short-Term Memory, So-So S T Memory, Poor S T Memory

Information: With the responsible personwho will assume care if regular cg is absent

References: caring for a person with alzheimer’s disease your easy-to-use guide from the national institute on aging by national institute on aging 2011 available at www nia nih gov

Keywords: Communication communicating instructions frustrated frustration anger outbursts upset memory loss cognitive impairment challenging behavior

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has trouble understanding instructions and is easily frustrated

Try: Try saying let let’s try this way instead of pointing out mistakes please do this instead of don’t do this thanks for helping even if the results aren’t perfect

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Cognitive Intellectual, Communication, Emotional Psychological, Medical Physical, Verbal Communication, So-So Verbal Comm, Poor Verbal Comm, Cognitive Awareness, Somewhat Aware, Unaware, Long-Term Memory, So-So L T Memory, Poor L T Memory, Short-Term Memory, So-So S T Memory, Poor S T Memory

Information: With the responsible personwho will assume care if regular cg is absent

References: caring for a person with alzheimer’s disease your easy-to-use guide from the national institute on aging by national institute on aging 2011 available at www nia nih gov

Keywords: Communication communicating instructions frustrated frustration anger outbursts upset memory loss cognitive impairment challenging behavior

*This information is listed as a Tip and is not explicitly medically licensed

cr care recipient needs help adjusting to being bed-ridden

Try: Develop a plan to accommodate the cr’s needs include the cr in this process and come up with enjoyable activities together that can be done while recuperating make a list of things the cr will need to do each time he or she gets out of bed if permissible this will allow the cr to be more productive while taking a break from being in bed be patient while the cr is learning to cope with being incapacitated and adjusting to the new routine offer help but ensure that the cr does not become dependent upon your help for manageable tasks rather than doing a manageable task yourself encourage the cr to do it on his or her own provide verbal cues as needed to help the cr complete the task congratulate the cr when the task is completed independently provide ongoing coaching when needed and positive reinforcement keep the cr’s home clean keep sheets pajamas and towels clean so that the cr feels refreshed when using these items

Materials: n/a

Categories: Behavior Challenging, Maintenance, Medical Physical, Personal, Social, Needs Some Assistance, Needs Much Assistance, Immobile, Some Supervision, Maximum Supervision, Fully Aware, Somewhat Aware

Information: Cr cr’s that were previously self-sufficient and become bed-ridden may be annoyed by the fact that he or she can no longer move about unassisted the above recommendations may help out in this situation

References: n/a

Keywords: Activities bed ridden immobile recuperation

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) sometimes has aggressive spurts of behavior that frighten the care giver cg

Try: Do not confront cr when she becomes aggressive withdraw and make sure you have access to an exit as needed

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological, Medical Physical, Cognitive Awareness, Somewhat Aware, Unaware, Long-Term Memory, So-So L T Memory, Poor L T Memory, Short-Term Memory, So-So S T Memory, Poor S T Memory

Information: As a precaution should he or she become lost keep extra photos on hand

References: home safety for people with alzheimer alzheimer’s disease by u s department of health and human services 2010 available at

Keywords: Mad aggressive aggression acts out

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) tries to get out of his bed

Try: Use net enclosures made of fabric or net which completely enclose an area over the bed and prevent cr from being able to exit the bed in any direction

Materials: Fabric or net

Categories: Sage, Topic, Behavior Challenging, Medical Physical, Independence, Some Supervision, Maximum Supervision

Information: n/a

References: a guide for modifying bed systems and using accessories to reduce the risk of entrapment by u s food and drug administration 2006 available at www fda gov

Keywords: Bed bound bed home safety

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) tries to get out of bed

Try: Use bed alarms to warn of cr’s attempts to exit from bed

Materials: Bed alarm

Categories: Sage, Topic, Behavior Challenging, Cognitive Intellectual, Emotional Psychological, Medical Physical, Independence, Some Supervision, Maximum Supervision

Information: n/a

References: a guide for modifying bed systems and using accessories to reduce the risk of entrapment by u s food and drug administration 2006 available at www fda gov

Keywords: Bed bound bed

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) gets out of bed a lot at night

Try: Remove portable space heaters and fans at night make sure that objects cannot be placed in the blades of portable fans

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Cognitive Intellectual, Emotional Psychological, Medical Physical, Independence, No Supervision, Some Supervision, Maximum Supervision, Vision, So-So Vision, Poor Vision, Cognitive Awareness, Fully Aware, Somewhat Aware, Unaware, Long-Term Memory, Good L T Memory, So-So L T Memory, Poor L T Memory, Short-Term Memory, Good S T Memory, So-So S T Memory

Information: n/a

References: home safety for people with alzheimer alzheimer’s disease by u s department of health and human services 2010 available at

Keywords: Night can’t see well home safety fans space heaters

*This information is listed as a Tip and is not explicitly medically licensed