Care recipient (cr) has fallen out of the habit of socializing and feels isolated and lonely

Try: #review with the cr the list of favorite restaurants activities and entertainment review the list of the cr’s friends talk with the cr about what activities he or she might like to do with which friends # arrange one activity a week for the cr and a friend activities do not need to take up a lot of time keep them simple and geared to the cr’s level of energy and ability arrange for the cr’s transportation at the same time #try to schedule all of the social gatherings for a given month at the beginning of each month #write the activity and ride times on a large calendar and keep the calendar where the cr can easily see it #if an activity requires money make sure the cr has enough cash to cover costs if the cr is not able to plan his or her own social engagements it may not be a good idea for him or her to be carrying checks or a credit card if a taxi paratransit van or other form of public transportation is used make sure the cr has enough cash to cover fares and tips

Materials: Pen and paper list of the cr’s favorite restaurants activities and entertainment list of the cr’s friends and their phone numbers phone reliable transportation your vehicle a friend’s vehicle or a taxi calendar credit card or cash

Categories: Emotional Psychological, Financial, Social, Mobility, Needs Some Assistance, Independence, Some Supervision, Long-Term Memory, So-So L T Memory, Short-Term 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

Care recipient (cr) who seldom leaves home due to frailty and confusion needs interesting activity to combat boredom

Try: #place birdhouses and bird feeders outside where the cr can view them comfortably from inside the home #position the portable table near the place where the cr will sit to watch the birds and adjust it so the cr can use it as a writing surface #place the blank journal pen or pencil and bird books on the portable table #encourage the cr to watch the birds and keep a journal of what types of birds visit noting the time of day and the time of year the birds appear #also encourage the cr to compare the bird habits observed to those described in the bird books locate books about birds in libraries and bookstores #this activity may create a new interest a new hobby and a topic of conversation for you and the cr

Materials: Birdhouses birdbaths and bird feeders books on different species of birds blank journal pen or pencil adjustable-height table

Categories: Emotional Psychological, Social, Mobility, Needs Some Assistance, Independence, Some Supervision, Long-Term Memory, So-So L 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) is often agitated and restless in late afternoon or early evening

Try: #set up a comfortable station for yourself and the cr in the quiet room or area and set the area up before bringing the cr into it you can find lava lamps in many places where novelty lamps and decorating supplies are sold in malls and online essential oils of lavender and other flowers are sold in many natural food stores place the lava lamp where the cr will be able to see it from his or her chair position a chair for yourself so it doesn’t interfere with the view #turn the lava lamp on in advance so the lava can start moving in the lamp before the cr arrives play relaxing music softly in the background #bring the cr into the room about half an hour before his or her sundowning time usually begins use a pillow to settle the cr comfortably #give the cr one-on-one time and speak calmly #using a small amount of essential oil or lotion try lightly messaging the cr’s hands #encourage the cr to watch the lava lamp while relaxing in the chair #let the cr choose the topic of conversation and make as many decisions as possible

Materials: Quiet room music player relaxing music lava lamp lavender essential oil or lotion comfortable chair and soft pillows

Categories: Emotional Psychological, Independence, Some Supervision, Maximum Supervision, Cognitive Awareness, Fully Aware, 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: n/a

References: n/a

Keywords: n/a

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

Care recipient (cr) is socially withdrawn does not have many visitors or take part in activities that might be relaxing and entertaining

Try: #gather

Materials: Calendar with large boxes pen newspaper newsletters bulletins community calendars etc

Categories: Emotional Psychological, Social, Mobility, Needs Some Assistance, Independence, Some Supervision

Information: About upcoming community activities by collecting or clipping items from local and area newspapers bulletins of worship centers and social service agencies community calendars put out by area chambers of commerce or convention and visitors bureaus regular social events for seniors are often published in area newspapers or the bulletins of senior service centers and may include coffee clubs card games daytime excursions exercise classes etc bundle the material or make a list of the available activities that presents them simply if this would help the cr #sit with the cr and review the list of social opportunities as you go down the list ask if the cr likes cards or movies or might like trying the coffee club encourage the cr by noting the ones you yourself would like to try #if the cr is nervous about going alone to a new group plan on attending the couple with the cr you can call the host or organizer and find out in advance if this is possible #focus on activities that are done in smaller groups such as cards #once the activities are picked out write them on the calendar try to pick out a month’s worth of activities at a time #each week talk about any activity planned for the next few days assure the cr if necessary that you will be at the activity with him or her #do not force the cr to attend the activities it is common for a cr to make several efforts before actually attending #if it will encourage attendance let the cr know that he or she can leave the activity if it is uncomfortable make a plan with the cr for how leaving early will be handled however focus on the positive your hope that the cr will enjoy the activity and the people #praise the cr for attending activities for any length of time in a sincere way for example i admire you for trying something new that took courage #if something doesn’t work out consider ways participation could be made more comfortable and discuss them with the cr information

References: n/a

Keywords: n/a

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

Care recipient (cr) often resists the caregiver caregiver’s cg cg’s suggestions

Try: #the cr may automatically dig in his or her heels as a defense to feeling threatened challenged or ordered around resistance may also be triggered by feelings of confusion or a sense of having limited control #try to rephrase what you say and how you say it so that it doesn’t sound as if you are bossing the cr around for example instead of saying you need to take your bath now fill the tub with bathwater and say would you like to take a bath now so the water won’t be wasted the cr may not want to waste anything and take the bath without further resistance #compromise when possible while you probably have needs as a cg for things to happen at certain times and in certain ways be selective about which activities you want to be rigid respecting the cr cr’s ability to choose when and how various activities will take place respects his or her independence #if the cr resists something the first time you suggest it consider dropping the request and bringing it up at a later time sometimes the passage of time diffuses the cr cr’s resistance to an idea

Materials: n/a

Categories: Emotional Psychological, Mobility, Needs Some Assistance, Needs Much Assistance, Independence, 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

Care recipient (cr) becomes restless or disoriented at the end of the day and has difficulty sleeping through the night

Try: #increase daytime exercise and other physical activities #structure relaxing activities like walks or card games late in the afternoon and into the evening structure is important and can help develop a pattern of activity before sleep #discourage extended napping during the day if the cr needs to rest find out through trial and error how much rest is actually needed for the cr to be refreshed #limit periods of inactivity such as sitting and watching tv #limit caffeine sugar and junk food intake particularly late in the day #encourage the cr to eat four to six light meals throughout the day instead of three heavy meals consider a light snack before bedtime #turn on indoor lights well before sunset and close curtains at dusk to minimize shadows #minimize safety hazards when you know the cr is likely to be at risk in the home due to confusion put nightlights in the bedroom and hallways close off any parts of the home you don’t want the cr in with baby gates and put dangerous tools or foods in the kitchen out of reach or under lock

Materials: Simple games that match the cr cr’s ability level calming music adequate lighting light-blocking curtains safety devices such as baby gates cabinet locks and nightlights

Categories: Emotional Psychological, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance, Independence, Some Supervision, Maximum Supervision, 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: n/a

References: n/a

Keywords: n/a

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

Care recipient (cr) is agitated

Try: #locate recordings of nursery rhymes camp songs classic hymns songs of the girl scouts and boy scouts folk songs etc from libraries and online buy or compile your own recording #ask the cr to pick out music from the selections you’ve gathered #encourage the cr to sing along with the songs #singing the repetitive familiar verses may soothe the cr

Materials: Music player recordings of nursery rhymes camp songs or classic hymns from the cr cr’s youth batteries and headphones if necessary

Categories: Emotional Psychological, Social, Mobility, Needs Some Assistance, Independence, Some Supervision, Cognitive Awareness, Somewhat Aware, Long-Term Memory, So-So L T Memory, Short-Term 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

Care recipient (cr) with significant confusion is suspicious or paranoid about someone taking money or possessions

Try: #avoid arguing with the cr #try nonverbal reassurances such a gentle touch or hug respond to the feeling behind the accusation and then reassure the cr for example you might say i see that you are upset about this let’s see if we can find out what what’s happened together #if the cr is confused try to locate any favorite hiding places used by the cr for storing objects which are later assumed to be lost check these spots first when the cr reports losses #help the cr look for missing objects and then move into another activity #if the cr suspects money is missing try limiting the amount of cash the cr keeps on hand consider withdrawing cash allowance in weekly installments rather than monthly #offer the cr a chance to look over each monthly recent bank statement to verify that nothing out of the ordinary is happening with his or her money

Materials: Pocket change recent bank statement

Categories: Emotional Psychological, Some Supervision, Maximum Supervision, 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: n/a

References: n/a

Keywords: n/a

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

Care recipient (cr) gets agitated and restless in late afternoon or early evening

Try: The cr may become more easily distracted later in the day because of fatigue try to plan things that the cr absolutely needs to accomplish early in the day be willing to adjust cr’s agenda later in the day to reduce distractions keep the evening activities simple and quiet avoid movies shows documentaries or news that may be overly-stimulating or disturbing

Materials: n/a

Categories: Emotional Psychological, Independence, Some Supervision, 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: n/a

References: n/a

Keywords: n/a

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

Care recipient (cr) is restless in the evening

Try: #when restlessness begins invite the cr to sit at the table #close curtains or blinds and plug in the lamp with the bright bulb #turn on the music player and let the cr pick which relaxing music you’ll play #ask the cr to draw or color a picture for you using paper or one of the coloring books rather than giving the cr a child child’s coloring book you can find adult-appropriate coloring kits specifically for felt markers in drug stores and craft stores #calmly talk to the cr help the cr express his or her feelings through coloring and drawing #the activity calming music and bright light may help the cr relax

Materials: Table and chair near an electrical outlet lamp with a bright light music player relaxing music such and nature sounds and ocean waves paper to drawn on and coloring books bright-colored pencils or felt tip pens

Categories: Emotional Psychological, Social, Independence, Some Supervision, Vision, Good Vision, Cognitive Awareness, Somewhat Aware, 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, 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