A-to-Z Caregiving Tips (A, B & C)

The Alzheimer’s Foundation of America puts out a fine publication aimed at providing helpful information for those who love and care for others with Alzheimer’s disease and other types of dementia including vascular dementia (what my brother has), Lewy Body dementia, Parkinson’s, alcohol-induced dementia, and others. Their purpose is stated in this way:

Mission: To provide support, services and education to individuals, families and caregivers affected by Alzheimer’s disease and related dementias nationwide, and fund research for better treatment and a cure.

Alzheimer’s Foundation of America

If you’re a regular reader of my blog, you know I have a similar mission or purpose in writing. In addition to sharing the fun stuff in life that comes from my joy in barefoot gardening, grandkids, and following Christ, I have a deep desire to encourage those who are in the trenches of caring for a loved one or friend with Alzheimer’s. We call them caregivers. Some caregivers are paid to do the job (and I’m SO thankful for them), but most are not financially compensated.

They just care. And give.

Today, I’m sharing an article from Alzheimer’s TODAY which should be of great help to ALL caregivers. Tiny Gifts That Are TREMENDOUS is a thoughtfully written A-to-Z list of caregiving suggestions compiled by Mary Kay Baum of Time for Us Camp in Dodgeville, WI. [Click to access Alz.-Today-Vol.-15-No.-4-LR.pdf]

This article resonated with me. As I read each point the article made, I could think of several examples from my own caregiving journey with my mother. Over the next few weeks, with the permission of Alzheimer’s TODAY, I plan to share a few of the things I learned along the way. It is my hope and dream that by sharing my own experiences – the good, the bad, the ugly, the beautiful – someone else will be encouraged in their life as a caregiver. Sometimes, just one unexpected word of encouragement can help someone have the courage to keep going. Sometimes, sharing just one caregiving idea will give another caregiver the hope that they can DO this hard thing.

So, caregivers everywhere, come along with me as I share how these tips played out in my own caregiving journey. We’ll start with ABC.

APPROACH me from the front and avoid startling me.

Gracious, this is so important! Many people do not realize that as the brain deteriorates, the field of vision and the ability to interpret what is in that field of vision becomes increasingly limited. I learned early on to approach my mom slowly from the front. Swooping in from the side, or reaching around her from the back, even if it was just to give her a hug, would cause her to jump. When she was frightened, she was less likely to be cooperative and sometimes even became combative. When mom entered into assisted living, those who followed this guideline had greater success in encouraging her to take medications, get dressed, eat…whatever. Those who would approach from the side and hurriedly shove a cupful of meds or a spoonful of food into her mouth could almost count on resistance.

BEND DOWN or sit down near me if I am in a wheelchair.

Even if a loved one is not in a wheelchair, no one likes to be hovered over. In addition to being seated in a wheelchair, imagine trying to understand what is being communicated when your field of vision is so small. Before you read any further, please put your hands in front of you. Next, touch the tips of each thumb and each index finger (the pointer) together. Your hands have created a small circle. Now, put your eyes up to that circle and look through that small circle. That, my friend, is the field of vision through which the typical person afflicted with Alzheimer’s interprets their world. Let that little exercise, imperfect as it is, inform the way you approach your loved one.

My mom needed to see my smiling face, read my lips and facial expressions, and observe my actions. I would try to have lunch with her every day that she was in assisted living. Mom had a tendency to wander away from the table during meals. Having me there eating with her helped her stay at the table and gave her the visual and social cues she needed to eat.

CALL my name gently and with a smile.

I’m notorious for talking to my husband from the other room, or worse yet, as I’m walking away from him. It’s a bad habit – lazy on my part, and disrespectful, actually. Precious caregivers, we can NOT do that with those who have Alzheimer’s.

We need to practice the art of getting close and putting a gentle smile on our face as we speak to our loved ones. When I needed my mom’s attention, she needed to hear AND see me say her name. A smile made communication more pleasant for both of us. Mom could read frustration on my face even when she could not hear my voice well (she was profoundly hard of hearing). I could save both of us frustration by just remembering the ABC’s.

• Approach her from the front
• Bend down or sit near her (get my smiling face in her field of vision), and
• Call her name gently.

For more helpful information about Alzheimer’s please visit: