Care recipient (cr) often says i want to go home

Try: Try to determine what home means to the cr it may simply mean the cr is disoriented and needs reassurance change the conversation use distracting language such as maybe later let’s listen to some music now ask the cr to tell you about the home they remember reminiscing may help change the conversation reassure the cr with a hug or other gesture that the cr is in a safe place and with someone who cares about them

Materials: Music games supplies for arts and crafts

Categories: Cognitive Intellectual, Emotional Psychological, Somewhat Aware, So-So L T Memory, So-So S T Memory

Information: n/a

References: n/a

Keywords: n/a

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

The Care recipient (cr) tries to harm himself herself

Try: # speak calmly with the cr to identify what is making them want to harm themselves # stay calm don’t overreact # gently remove the object the cr is using # if the cr is scratching or digging at him or herself gently remove their hands and rub them or hold them in your hands # write down things that happen just before the cr begins this behavior to determine if there is a trigger if something triggers the behavior work to modify the trigger event # lock up prescription and over-the-counter medicines # lock up silverware particularly knives and forks # try a distracting activity such as taking a walk taking a ride working on a puzzle or game or having a snack when the behavior begins

Materials: # pen and paper

Categories: Cognitive Intellectual, Emotional Psychological

Information: n/a

References: n/a

Keywords: n/a

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

The Care recipient (cr) has difficulty remembering where they are or what day and time it is

Try: # keep the space around the cr calm by eliminating as much noise as possible avoiding clutter and having only one or two persons near the cr at a time # simplify daily routines as much as possible # make choices for the cr as often as possible # use a calendar to remind the cr of the day if possible have the cr change the page each day to reinforce what day it is # remind the cr of the time when routine activities are about to happen it is 5 o’clock and we are going to eat dinner now or it is 8 o’clock and you are going to have your bath

Materials: # plain calendar with large squares preferably one that displays one day at a time and lists the day of the week along with the date # clock with large easy to read numbers

Categories: Cognitive Intellectual, Poor S T Memory

Information: n/a

References: n/a

Keywords: n/a

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

Care recipient (cr) sees or hears things that are not real

Try: # don’t try to convince cr that the delusion is not happening # don’t play along with the delusion # listen calmly and try to comfort cr # provide reassurance with a light touch or hug

Materials: # n/a needed

Categories: Cognitive Intellectual, Communication, Some Supervision, Somewhat Aware

Information: n/a

References: n/a

Keywords: n/a

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

Care recipient (cr) has trouble focusing and staying alert

Try: # check eyeglasses for correct prescription and fit # check function of hearing aid and that cr is wearing it # make certain that the room temperature isn’t too warm # keep the environment calm and free of distractions # make a schedule for daily routines and stick to it

Materials: n/a

Categories: Cognitive Intellectual, Medical Physical

Information: n/a

References: n/a

Keywords: n/a

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

The care recipient’s cr speech is hard to understand doesn’t make sense or cr rambles

Try: # look at cr’s facial expression and eye movement to help determine what the cr may be trying to say # listen for the tone of the speech to determine if the cr is agitated uncomfortable or in pain and in need of help # if the cr is able ask cr to show you what he or she needs or wants # ask yes or no questions that can be answered with a head nod

Materials: n/a

Categories: Cognitive Intellectual, Communication, Medical Physical, Verbal Communication, So-So Verbal Comm

Information: n/a

References: n/a

Keywords: n/a

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

Care recipient (cr) has difficulty dressing

Try: Hang the complete outfit both top and bottom together on the same hanger pare down the choice of accessories to go with the outfits or hang the accessories on the same hanger as the outfit buy underwear and socks in the same colors and styles to make choices simpler if the cr wants to wear the same outfit every day buy several outfits like it

Materials: n/a

Categories: Cognitive Intellectual, Personal, Some Supervision, Maximum Supervision

Information: n/a

References: n/a

Keywords: n/a

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

The Care recipient (cr) gets frustrated when doing tasks

Try: # tell the cr to take his or her time # remind cr that the best he or she can do is alright # tell cr to ask for help when he or she gets frustrated # tell cr to take a break # take break with cr and play cards go for a walk go shopping etc # reming cr to be patient and consider other people’s feelings # put up posters and signs with helpful reminders of appropriate responses to requests and tasks

Materials: # poster board index cards # pen pencils

Categories: Cognitive Intellectual

Information: n/a

References: n/a

Keywords: n/a

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

The Care recipient (cr) often makes decisions without thinking things through or makes decisions on the spur of the moment without planning the activity in advance

Try: # avoid letting the cr make impulse decisions # avoid letting cr do too many activities or the same activity all day # set time to make shopping list with cr # read mail with the cr # discourage cr when he or she talks about taking risks # discuss with cr the consequences of bad decisions injury or illness # help the cr make decisions about purchases # help the cr respond correctly to others # help the cr keep recommended appointments # help the cr budget his or her money # point out health or safety risks as they come up # help the cr understand the importance of taking his or her medications

Materials: # note pad or journal # pencil pens

Categories: Cognitive Intellectual

Information: n/a

References: n/a

Keywords: n/a

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

Care recipient (cr) seems lost in reflection and distracted from the present

Try: Encourage the cr to participate in an activity with the caregiver (cg) redirect the cr to the present frequently by using calendar and planned activities ask the cr about activities he or she did today read current events or the daily newspaper to the cr distract the cr from yesterdays by discussing events of today reward the cr when he or she has participated with present day discussions or activities by allowing him or her to talk about fond memories

Materials: Newspaper books television news calendar

Categories: Cognitive Intellectual, Emotional Psychological

Information: n/a

References: n/a

Keywords: n/a

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