Try: Check whether cr is too hot or too cold upon awakening internal thermostat may change with dementia provide adequate lighting during evening hours shadows glares or poor lighting may contribute to agitation and hallucinations have cr spend less time in bed try getting cr up earlier or keeping cr up later until tired

Materials: n/a

Categories: Sage, Topic, Emotional Psychological, Medical Physical

Information: n/a

References: mental health mental illness healthy aging a nh guide for older adults and caregivers by nami nh 2001 available at www nami org

Keywords: Sleep naps napping rest exercise

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

Try: Make sure cr is getting adequate exercise try to take one or two vigorous walks a day make sure cr is not hungry at night try a light snack before bedtime or during the night avoid bathing or heavy activities late in the afternoon or evening unless a warm bath relaxes cr allow cr to sleep in an armchair recliner or on the couch if cr refuses to go to bed give a backrub or massage legs at bedtime or during night wakefulness

Materials: n/a

Categories: Sage, Topic, Emotional Psychological, Medical Physical

Information: n/a

References: mental health mental illness healthy aging a nh guide for older adults and caregivers by nami nh 2001 available at www nami org

Keywords: Sleep naps napping rest exercise

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

Try: Has the cr set forth her p

Materials: n/a

Categories: Emotional Psychological, Medical Physical

Information: n/a

References: For end-of-life care that include remaining at home is qualified dependable support available to ensure 24 hour care for the cr will the cr’s home accommodate a hospital bed wheelchair and bedside commode are transportation services available to meet potential needs and emergencies for the cr is professional medical help accessible for routine and emergency care as a caregiver are you able to lift turn and move the cr are you emotionally prepared to care the cr’s deteriorating condition and death information references helpguide org

Keywords: Late stage end of life

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

Try: Eat more healthy fats raw nuts olive oil fish oils flax seeds or avocados nutrients colorful fruits and vegetables, fresh frozen or canned prepared without butter fiber cereals breads and pasta made from whole grains or legumes omega 3 and protein fish and shellfish poultry calcium and protein egg whites egg substitutes skim or 1 milk low-fat or nonfat cheeses or yogurt eat less trans fats from partially hydrogenated or deep-fried foods; saturated fats from whole-fat dairy or red meat packaged foods of any kind especially those high in sodium white or egg breads granola-type cereals refined pastas or rice fast food egg yolks whole or 2 percent milk whole milk products like cheese or yogurt

Materials: n/a

Categories: Emotional Psychological, Medical Physical, Personal

Information: n/a

References: Helpguide org

Keywords: Diet food healthy eating

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

Try: Only have the cr take a sleeping pill when she can sleep for 7-8 hours the cr will feel drowsy if they cannot sleep enough carefully read the package insert for the medication any taking the medication should pay careful attention to the potential side effects never drink alcohol near the time when taking a sleeping pill alcohol can have bad interactions with medication never allow the cr to drive a car or operate machinery after taking a sleeping pill sleeping medication often impairs driving ability follow directions for the medication closely starting with a very small dose and increasing gradually according to the doctor’s schedule follow the doctor’s orders

Materials: n/a

Categories: Emotional Psychological, Medical Physical, Personal

Information: n/a

References: Helpguide org

Keywords: Sleep sleeping problems

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

Try: Have the cr prepare early the end-of-life care experience is eased considerably when conversations regarding placement treatment and end-of-life wishes are held as early as possible have the cr consider options well before they are needed seek financial and legal advice while the cr can still participate legal documents can set forth the cr’s wishes for future health care so everyone is clear about wishes focus on the cr’s values if the cr did not prepare documents in advance try to focus on what the cr would have preferred think of conversations and events that illustrate the cr’s views towards care avoid family conflicts stress and grief resulting from the cr’s failing health can often create conflict between family members try to seek outside help if family disagrees over important decisions communicate with family members family input is critical when the cr is unable to make decisions if possible choose a primary decision maker who will manage

Materials: n/a

Categories: Emotional Psychological, Legal, Maintenance, Medical Physical, Spiritual

Information: And coordinate family involvement and support information

References: Helpguide org

Keywords: End of life late stage legal preperation

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

Try: To control cooking for the cr when you prepare and cook meals at home you have better control over the nutritional content of the cr’s foods the following are tips for healthy food preparation materials try create a collection of recipes stock up on heart-healthy cookbooks and recipes for cooking ideas look cookbooks or the internet for ideas get in input from the cr many cr’s will like certain types of healthy food start with the cr’s suggestions use healthier cooking methods just as important as healthy ingredients is how you cook those foods into healthy meals bake or broil instead of deep fry cook in advance if needed when you’re cooking healthful meals make extra food for another meal this can save time and money it also allows for more healthy meals

Materials: n/a

Categories: Emotional Psychological, Medical Physical, Personal

Information: n/a

References: Helpguide org

Keywords: Cooking food healthy meals

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

Try: Serve meals at the same time each day make the eating area quiet turn off the tv cd player or radio offer just one food at a time instead of filling the plate or table with too many things use colorful plates so cr can see the food control between-meal snacks lock the refrigerator door and food cabinets if necessary put masking tape near the top and or bottom of the doors make sure cr cr’s dentures are tight fitting loose dentures or dentures with bumps or cracks may cause choking or pain making it hard to eat take poorly fitting dentures out until cr can get dentures that fit let the doctor know if cr loses a lot of weight for example if he she loses 10 pounds in a month remember that these are just tips try different things and see what works best for cr

Materials: Cabinet locks masking tape

Categories: Sage, Topic, Emotional Psychological, Medical Physical, Independence, Some Supervision, Smelling, So-So Smelling, Poor Smelling, Taste, So-So Taste, Poor Taste, Cognitive Awareness, Fully Aware, Somewhat Aware, 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: May have to be repeated more than once to different staff members tell er staff that cr has cognitive problems explain how best to talk with cr if cr must stay overnight in the hospital try to have a friend or family member stay with him her

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: Weight loss forgets to eat upset at mealtime not eating dentures dental care

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

Try: Give cr finger foods to eat such as cheese small sandwiches small pieces of chicken fresh fruits or vegetables sandwiches made with pita bread are easier to handle give cr high-calorie healthy foods to eat or drink such as protein milk shakes try buying high-protein drinks and powders at grocery stores drugstores or discount stores also try mixing healthy foods in a blender and let cr drink his her meal use diet supplements if cr is not getting enough calories talk with the doctor or nurse about what kinds of supplements are best try to use healthy fats in cooking such as olive oil also use extra cooking oil butter and mayonnaise to cook and prepare food if cr needs more calories if cr has heart disease check with the doctor about how much and what kinds of fat to use keep certain foods out of reach if cr is on a sugar-restricted diabetic or salt-restricted diet limit ketchup vinegar oil salt and pepper have cr take a multi-vitamin, a tablet capsule powder liquid or injection that adds vitamins minerals and other important things to a person person’s diet serve bigger portions at breakfast because it it’s the first meal of the day

Materials: A multi-vitamin blender or food processor

Categories: Sage, Topic, Emotional Psychological, Medical Physical, Independence, Some Supervision, Maximum Supervision, Smelling, So-So Smelling, Poor Smelling, Taste, So-So Taste, Poor Taste, 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: May have to be repeated more than once to different staff members tell er staff that cr has cognitive problems explain how best to talk with cr if cr must stay overnight in the hospital try to have a friend or family member stay with him her

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: Weight loss forgets to eat upset at mealtime not eating dentures dental care

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

Try: Start with the cr’s interests ask family and friends for memories of interests the person used to have vary activities to stimulate different senses of sight smell hearing and touch for example you can try singing songs telling stories movement such as dance or walking planning time outdoors can be very therapeutic for the cr you can go for a drive visit a park or take a short walk consider outside group activities designed for those with alzheimer’s senior centers or community centers may host these types of activities these can be positive experiences for the cr remember plan ahead so the cr gets the best experiences

Materials: n/a

Categories: Emotional Psychological, Maintenance, Medical Physical

Information: n/a

References: Helpguide org

Keywords: Alzheimer alzheimer’s dementia

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