Dementia - home care
Caring for someone with dementia; Home care - dementia
Dementia is a loss of cognitive function that occurs with certain diseases. It affects memory, thinking, and behavior.
A loved one with dementia will need support in the home as the disease gets worse. You can help by trying to understand how the person with dementia perceives their world. Give the person a chance to talk about any challenges and take part in their own daily care.
Start by talking with your loved one's health care provider. Ask how you can:
- Help the person stay calm and oriented
- Make dressing and grooming easier
- Talk to the person
- Help with memory loss
- Manage behavior and sleep problems
- Encourage activities that are both stimulating and enjoyable
Tips for reducing confusion in people with dementia include:
- Have familiar objects and people around. Family photo albums can be useful.
- Keep lights on at night.
- Use reminders, notes, lists of routine tasks, or directions for daily activities.
- Stick to a simple activity schedule.
- Talk about current events.
Taking regular walks with a caregiver can help improve communication skills and prevent wandering.
Calming music may reduce wandering and restlessness, ease anxiety, and improve sleep and behavior.
People with dementia should have their eyes and ears checked. If problems are found, hearing aids, glasses, or cataract surgery may be needed.
People with dementia should also have regular driving tests. At some point, it won't be safe for them to continue to drive. This may not be an easy conversation. Seek help from their provider and other family members. State laws vary on the ability of a person with dementia to continue to drive.
Supervised meals can help with feeding. People with dementia often forget to eat and drink, and can become dehydrated as a result. Talk to the provider about the need for extra calories due to increased physical activity from restlessness and wandering.
Also talk to the provider about:
- Watching for risk of choking and what to do if choking occurs
- How to increase safety in the home
- How to prevent falls
- Ways to improve bathroom safety
The Alzheimer's Association's Safe Return Program requires people with dementia to wear an identification bracelet. If they wander, their caregiver can contact the police and the national Safe Return office, where information about them is stored and shared nationwide.
Eventually, people with dementia may need 24-hour monitoring and assistance to provide a safe environment, control aggressive or agitated behavior, and meet their needs.
A person with dementia may need monitoring and help at home or in an institution. Possible options include:
- Adult day care
- Boarding homes
- Nursing homes
- In-home care
Many organizations are available to help you care for a person with dementia. They include:
- Adult protective services
- Community resources
- Local or state government departments of aging
- Visiting nurses or aides
- Volunteer services
In some communities, dementia-related support groups may be available. Family counseling can help family members cope with home care.
Advance directives, power of attorney, and other legal actions may make it easier to decide on care for the person with dementia. Seek legal advice early, before the person is unable to make these decisions.
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Budson AE, Solomon PR. Why diagnose and treat memory loss, Alzheimer's disease, and dementia? In: Budson AE, Solomon PR, eds. Memory Loss, Alzheimer's Disease, and Dementia. 2nd ed. Philadelphia, PA: Elsevier; 2016:chap 1.
Peterson R, Graff-Radford J. Alzheimer disease and other dementias. In: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology in Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016:chap 95.
Schulte OJ, Stephens J, OTR/L JA. Aging, dementia, and disorders of cognition. Umphred DA, Burton GU, Lazaro RT, Roller ML, eds. Umphred's Neurological Rehabilitation. 6th ed. St Louis, MO: Elsevier Mosby; 2013:chap 27.
Last reviewed on: 4/21/2019
Reviewed by: Amit M. Shelat, DO, FACP, FAAN, Attending Neurologist and Assistant Professor of Clinical Neurology, Stony Brook University School of Medicine, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.