In addition to patient care and companionship, patients with dementia have a great impact on their condition and safety.
You may not have thought about it. The old-style flower tiles and terrazzo that seem nostalgic and give the elderly a sense of security may make the elderly dizzy and unable to find items; white tiles with white walls seem refreshing and comfortable, but may make the demented Lose space.
How to improve the spatial movement of the home, so that both demented patients and caregivers can feel at ease? Today we ask experts to provide professional advice.
ＱMother often says that there are things on the patterned floor, and they will always talk to them. Is there anything wrong with the floor at home?
There may be two reasons. One is that the floor pattern affects visual perception. The pattern on the ground is regarded as other things, for example, the smooth ground is regarded as water on the ground, or the floor is dirty or crawling due to the pattern. .
The second is because of hallucinations . The types of hallucinations are not limited to visual hallucinations. Various sensory hallucinations occur at the same time and occur more often in people with Alzheimer’s dementia; vascular dementia occurs more often in visual hallucinations; Lewy body dementia Visual hallucinations and auditory hallucinations occur more often. Among the various types of dementia, Lewy body dementia has the highest chance of hallucinations, and this phenomenon is especially obvious in the afternoon period of many dementia.
Suggested avoidance and handling principles:
1. Record the frequency of the period in which this situation occurs and discuss with the physician.
2. Avoid fatigue of the demented.
3. Clarify whether hallucinations are side effects or interactions of drugs.
4. Avoid excessive patterns on the floor, wall and ceiling.
5. Guide demented people to participate in activities.
ＱFamily helped to organize grandma’s room, but grandma became restless and kept shouting that this was not her room, why?
The environment is closely related to the behavior of the individual, and the emotions will also affect each other. For example, when grandma sees a familiar dresser, she begins to dress up her daily life and greet a beautiful day with a happy mood.
However, people with dementia misrecognize because of cognitive decay, unable to accurately identify and judge the space, thinking that they have come to an unfamiliar environment and produce negative uneasy emotions, which makes the family’s original good intentions to clean up and become more difficult. And lost.
In fact, the environment adjustment does not cost a lot of money. For the demented, the environment does not focus on the new, but on the sense of comfort and connection. Let the demented remember that it is his familiar environment, life and memory. It can be placed on the wall Meaningful photos, pictures, or collectibles can make the demented nostalgic and enhance their sense of comfort.
ＱFather often complained that he couldn’t find anything and turned the house upside down, but things were kept in a fixed place every day, why can’t he find it?
The most obvious symptom of dementia in the early stage is the deterioration of memory, which causes the demented person to forget where to put the items. In the early stage, he can still put the items in a fixed position to help him recall the location of the items.
However, as the course of the disease progresses, the memory of the demented continues to deteriorate. It is recommended to directly guide the demented to recall and find items together, to help the demented with a structured, simple and simple multiple choice question, for example, “Dad, should the toothbrush be placed in the bathroom or kitchen? ?”
Give demented people a modest cognitive stimulus to slow the rate of demented cognitive decline, rather than an open, loosely structured way of guidance. For example, “Dad, where should your toothbrush be?” Instead, it leads to anxiety and affects self-comfort. .
If it is a general item such as a toothbrush, you can prepare several more at home; if it is a valuable item, you can assist the demented person to keep it, so as not to accidentally lose the valuable item. You should also inform the demented person before storage so that he can know the valuable Where items will be kept to avoid uneasiness.
ＱDemented people often do not know the direction of the toilet and the room, saying that they want to sleep but ran to the toilet, how can I help him distinguish?
In addition to the deterioration of the concept of space, people with dementia may increase the phenomenon of going to the wrong room because some rooms are out of sight or unable to see the objects in the room.
The methods for assisting the demented to distinguish the room can be divided into auditory prompts and visual prompts. At the beginning of the wrong room, you can give oral prompts, pay attention to the demented person’s dynamics, when the demented person wants to enter the room, care about what he wants to do, and promptly remind the direction.
In the visual prompt part, the door of the room can be kept open and the light is sufficient, so that the demented can see the items in the room before entering the room, so as to judge whether to go to the right place.
If the reading ability of the demented person is acceptable, you can put text signs and arrows on the aisle or room door where the sight is easier to see, indicating the location of the room. The text description is mainly for him to understand, such as the bedroom can be written as “bedroom” Or “place to sleep” etc.
Consultation: Zheng Yousheng/Functional Therapist at St. Joseph Dementia Elderly Care Center attached to Catholic Dementia Elderly Foundation, He Songyang/Functional Therapist Association of New Taipei City Functional Therapist Association, Meng Xiuzhong/Ideal Health Promotion Team Functional Therapist