Care recipient (cr) is having difficulty doing or managing his her daily activities independently

Try: Try to keep in mind that physical exercise proper nutrition good general health and socialization are important for cr try to plan daily activities to help provide structure meaning and a sense of accomplishment for the cr it is always best to establish a routine that cr can become familiar try to choose the best times to do activities according to the part of the day when cr is usually at his her best as cr’s functions are lost try to adapt activities and routines to allow cr to participate as much as possible try to keep activities familiar and satisfying and keep instructions simple try to allow cr to complete as many things as possible by him herself even if you have to initiate the activity try providing cues for desired behavior for example if you label a drawer according to what it should contain cr is more likely to put things in the correct place try to keep cr out of harm harm’s way by removing things that could endanger him her for example hide the car keys and matches also try to keep the environment safe remember what appears safe to you may not be safe for cr

Materials: Adhesive labels marker

Categories: None

Information: n/a

References: Adapted from www webmd com alzheimer alzheimer’s disease daily care of the alzheimer alzheimer’s patient by brunilda nazario 2011

Keywords: Memory loss fatigue energy daily activities home safety driving "]

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

Care recipient (cr) sometimes has aggressive outbursts

Try: Try to anticipate situations in which cr may be uncomfortable over stimulated or confused try to avoid asking too many questions at once giving overly complicated instructions and speaking negatively that way you are less likely to confuse and agitate cr try to limit the amount of loud noises frenetic movement and clutter try to avoid contradiction for example the cr sees a different reality than you do rather than challenge that reality sit and listen ask questions about it try to focus on the past for example cr’s short-term memory may be affected so it’s often easier and less stressful for cr to recall and talk about distant memories than it is for him her to remember what he she watched on tv the night before try using memory cues for example cr may have a hard time remembering to do and how to do everyday tasks like brushing his her teeth or getting dressed becomes more difficult reminder notes placed in key locations can help prevent cr from getting so frustrated

Materials: n/a

Categories: None

Information: n/a

References: Adapted from www webmd com alzheimer’s aggression by jon glass 2012

Keywords: Aggressive aggression frustrated frustration angry and upset outbursts memory loss remember remembering

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

Care recipient (cr) has trouble remembering who called or parts all of a phone conversation he she had just minutes ago

Try: Try having cr write down the 5 ws or you could try verbally cueing cr with the 5 ws the 5 ws are who what where when and why for example encourage cr to make take a message and write down all 5 points w’s of the message here’s an example who mom what call about lunch where meet at our favorite restaurant when friday at noon why to talk about vacation plans you could also make a phone message sheet with the 5 ws on your computer and print several out for cr or if cr is able to you could suggest that he she do this

Materials: Pen and paper

Categories: None

Information: # double check my work # write down information in my own words # ask myself do i want to be quick or accurate # when i get bored – stretch take a short break walk around # when i get angry – doodle take a break and then come back # decide on a menu # count number of people eating # look at the needed ingredients # look in the pantry for what you have # prepare shopping list and shop # follow recipe instructions and organize time # serve and eat meal # clean up

References: traumatic brain injury a guide for caregivers of service members and veterans – module 2 by the office of the u s surgeon general no date available at www traumaticbraininjuryatoz org

Keywords: Memory loss taking phone messages forgetful forgetfulness forgets

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

Care recipient (cr) needs help recovering from mild paralysis

Try: Suggest that cr try walking bending and stretching these are are forms of exercise that can help strengthen cr’s body and keep it flexible suggest that cr do stretching exercises regularly such as extending the arms or bending the torso moving weakened or paralyzed body parts can be done while seated or lying down cr might also try swimming if a pool is accessible and a helper is available try to find an exercise program on the internet or at the library that is written down with illustrations and guidelines so you can assist cr if he she needs help doing a specific exercise

Materials: n/a

Categories: None

Information: n/a

References: hope the stroke recovery guide chapter 4 – movement and exerciseby the national stroke associatin 2010 available at www stroke org

Keywords: Paralysis stroke rehabilitation exercises mobility movement stretching swimming gross motor coordination

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

Driving at an advanced age can be a routine event for some or a dangerous activity for others the physical changes of old age can affect the ability to drive

Try: Have the Care recipient (cr) try the following to improve or maintain his muscles joints vision and hearing muscles joints have the cr visit his physician if arthritis affects his driving if possible the cr should exercise to keep muscle fitness the cr should try to drive a car that is easier for older individuals automatic transmission power steering large mirrors _____ vision vision is key to driving make sure the cr has regular visits to the eye doctor encourage the cr to reduce night travel if he has difficulty with vision if the cr is required to drive with glasses remind him that it is illegal to drive without glasses hearing as with vision have the cr visit a hearing doctor to determine his needs hearing aids are helpful and necessary when driving adapted from agingcare com

Materials: n/a

Categories: None

Information: n/a

References: n/a

Keywords: Medical driving

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

Care recipient (cr) is acting in inappropriate ways

Try: Write down examples of the cr’s inappropriate actions discuss each example with the cr talk about how the situation could have been handled better role play new situations with the cr to practice appropriate behaviors and responses encourage the cr and provide constructive feedback point out what behavior of the cr is appropriate along with what could be done better continue coaching the cr in real life situations as they come up

Materials: Pen pencil notebook

Categories: None

Information: n/a

References: n/a

Keywords: Affect disturb upsetting embarrassing unfitting unseemly behavior

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

The Care recipient (cr) often has foot odor

Try: Air out the feet regularly by removing shoes and socks when they are not needed

Materials: n/a

Categories: None

Information: n/a

References: Adapted from kathryn vercillo 2011 20 tips for how to get rid of foot odor available at

Keywords: Foot odor foot feet body odor personal care

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

Ways for caregiver (cg) who lives some distance from Care recipient (cr) to relate and be involved in caregiving

Try: Make a weekly scheduled phone call so the cr has something to look forward to and can be planning what events and activities that they want to share with you when you call send cards for no other reason than to make the cr’s day and show you care and are thinking about them e-mail if possible send photos of your activities so that while the cr cannot be with you they can feel as if they are involved in your life visit as often as you can

Materials: n/a

Categories: None

Information: n/a

References: n/a

Keywords: n/a

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

Sole cg is overwhelmed and depressed

Try: n/a

Materials: Ask for help family and friends may want to help and even offer to help but they are unsure what to do be direct and specific when asking for help don’t make the request a question such as could you help me _____ make the request specific i would really appreciate it if you could rake the leaves match the chore to the talent or the interest of the helper if you can if it is possible give them an option of time – either today or tomorrow or possibly one day next week

Categories: None

Information: n/a

References: n/a

Keywords: n/a

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

cr forgets the names of specific objects

Try: n/a

Materials: Associate the different object with the function it performs not the specific name of the object instead of asking them to pick up the fork or spoon ask them to get the thing that they eat with instead of saying washcloth say thing they wash up with instead of saying broom mop or dust rag it could be the thing you clean with instead of a pen or pencil it would be the thing you write with

Categories: None

Information: n/a

References: n/a

Keywords: n/a

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