Try: Identify needs and resources for example medication monitoring personal care services meal services alternate services for handling money activity programs companion care etc monitor for changes in physical or emotional condition when there is a change in function build on cr’s interests and strengths what cr can still do; offer opportunities to use them structure routines and activities around cr’s previous life to provide familiarity and a sense of security

Materials: n/a

Categories: Sage, Topic, Maintenance, Medical Physical, Personal, Independence, Some Supervision, Maximum Supervision, 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: n/a

References: planning guide for dementia care at home a reference tool for care managers by the alzheimer’s association, south central wisconsin chapter the wisconsin alzheimer’s institute and the wisconsin bureau of aging and long term care resources division of disability and elder services department of health and family services 2004 available at www dhs wisconsin gov

Keywords: Time warp routine daily care self care time date unaware forgets forgetfulness memory loss

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

Try: Maintain cr’s routine and avoid new situations if it stresses cr monitor refrigerator for outdated or moldy food stacks of mail for unpaid bills etc and provide assistance to cr through informal natural and formal supports establish a calendar reminder system that enhances or is built on systems cr used previously to aid memory help cr maintain or enhance organizational systems for keeping track of things provide emotional support and reassurance if cr becomes suspicions or paranoid avoid correcting or argument – instead empathize and reassure attach mechanical tracking devices to frequently misplaced items; purchase duplicate items for things that are often lost place important duplicate items with trusted neighbors family members like house or car keys

Materials: Calendar or printed reminder system mechanical tracking devices duplicates of frequently misplaced items

Categories: Sage, Topic, Maintenance, Medical Physical, Personal, Independence, No Supervision, 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: planning guide for dementia care at home a reference tool for care managers by the alzheimer’s association, south central wisconsin chapter the wisconsin alzheimer’s institute and the wisconsin bureau of aging and long term care resources division of disability and elder services department of health and family services 2004 available at www dhs wisconsin gov

Keywords: Adls forgets forgetfulness memory loss misplaces things lost car keys gets suspicious accuses others of theft

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

Try: If cr has trouble stabilizing an object while preparing a meal try using a non-slip mat a pan holder on the stove spike board buttering board belliclamp or wedge against solid fixed objects a damp jay cloth also works well as a non-slip mat if cr has trouble cutting up chopping food try using a spiked chopping boards food processors or adapted knives if cr has trouble opening containers try using an electric can opener mounted can or jar opener belliclamp or wedge object between knees etc if cr has trouble carrying items try using a trolley or one-handed tray

Materials: Non-slip mat pan holder spike board buttering board belliclamp food processor adapted knives electric can opener trolly one handed tray belliclamp

Categories: Sage, Topic, Maintenance, Medical Physical, Mobility, Mobile, Needs Some Assistance, Independence, No Supervision, Some Supervision

Information: n/a

References: occupational therapy and stroke second edition by judy edmans 2010 available at www onlinelibrary wiley com

Keywords: Neal preparation chopping vegetables one handed techniques cooking one sided paralysis

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

Try: Try using a paper weight or heavy object to hold paper in place or use a spring clipboard

Materials: Paper weight or heavy object spring clipboard

Categories: Sage, Topic, Maintenance, Medical Physical, Mobility, Mobile, Needs Some Assistance, Independence, No Supervision, Some Supervision

Information: n/a

References: occupational therapy and stroke second edition by judy edmans 2010 available at www onlinelibrary wiley com

Keywords: Writing one handed techniques one sided paralysis

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

Try: Monitor cr’s performance of daily activities adls and provide assistance only when necessary encourage cr and other caregivers to record familiar routines and habits that cr uses for future reference avoid excess dependence by providing assistance using verbal or visual cues label cupboards drawers and rooms with words and or pictures to aid independence monitor home safety issues like if cr forgets to turn stove off after baking cookies provide cr with reminders like did you remember to turn the stove off avoid doing the task for cr consider safety of living alone if cr lives alone establish ways to monitor routines like neighbors relatives routine visitors service workers such as mail carriers encourage activities that support completion of routine tasks like eating meals socially with others trips to beauty parlor or barbershop etc

Materials: Paper pen adhesive labels or paper and tape

Categories: Sage, Topic, Maintenance, Medical Physical, Personal, Independence, No Supervision, 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: planning guide for dementia care at home a reference tool for care managers by the alzheimer’s association, south central wisconsin chapter the wisconsin alzheimer’s institute and the wisconsin bureau of aging and long term care resources division of disability and elder services department of health and family services 2004 available at www dhs wisconsin gov

Keywords: Adls forgets forgetfulness memory loss

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

Try: If cr has trouble cutting up food try using special cutlery like a rocker knife cheese knife and a non-slip mat under plate if cr has trouble keeping food from moving off the plate try using a plate guard or a plate with a lip if cr has trouble buttering bread try using a buttering board with a non-slip mat underneath to hold bread steady

Materials: Rocker knife cheese knife non-slip mat plate plate guard or plate with a lip buttering board

Categories: Sage, Topic, Maintenance, Medical Physical, Personal, Mobility, Mobile, Needs Some Assistance, Independence, No Supervision, Some Supervision

Information: n/a

References: occupational therapy and stroke second edition by judy edmans 2010 available at www onlinelibrary wiley com

Keywords: Eating one handed eating techniques one sided paralysis keeping food on blate

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

Try: When lifting avoid adding your own weight to whatever you are lifting-get close and keep balance centered avoid using weak back muscles to lift – use your leg muscles because they are much stronger avoid twisting when you are lifting – instead change the position of your feet so that you face cr keeping your spine straight balance is vital – spread your feet to serve as a base for support

Materials: n/a

Categories: Sage, Topic, Maintenance, Medical Physical, Personal, Mobility, Needs Some Assistance, Needs Much Assistance, Immobile

Information: n/a

References: caregiver’s handbook by the caregiver education and support services seniors counseling and training case management services of the san diego county mental health services no date available at www acsu buffalo edu

Keywords: Transferring transfer lifting mobility problems

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

Try: Use only grab bars with a diameter of 1.5 – 2 in the space between the wall and the bar should be no more than 1in

Materials: n/a

Categories: Sage, Topic, Maintenance, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: bathroom aids help 2008 by sherman oaks medical supplies available at www shermanoaksmedical com

Keywords: Grab bars bathroom safety installing grab bars choosing grab bars

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

Try: Call the meals on wheels organization at 703-548-5558 or visit their website at www mowaa org the eldercare locator also can help at 1-800-677-1116 or www eldercare gov

Materials: Phone book or internet

Categories: Sage, Topic, Maintenance, Medical Physical

Information: n/a

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: Meals on wheels can’t cook anymore need help fixing dinner need help preparing meals lunch dinner community services low income services

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

Try: Look for these signs to see if living alone is no longer safe for cr cr forgets to eat food has burned because it was left on the stove the oven isn’t turned off

Materials: n/a

Categories: Sage, Topic, Maintenance, Medical Physical, Personal, Mobility, Needs Some Assistance, Independence, No Supervision, Some Supervision, Vision, So-So Vision, Poor Vision, 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: Check local phone book or contact the meals on wheels organization at 703-548-5558 www mowaa org

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: Living alone memory loss stove oven forgets forgetful independence trouble remembering

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