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Stressed?

Generally, when you think of a stressful situation it evokes feelings of frustration, anxiety, nervousness and even anger. These days, the word “stress” and all of its derivations (stressed, stressful, stressing) is bantered about frequently — to describe our country’s economy, the local economy, the global economy, the increasing numbers of people who have been recently unemployed or are underemployed, not to mention events in our everyday lives.

It is also a fact that family caregivers as well as people with dementia (PWD) experience stress. It frequently permeates their lives. The question is how best to handle stressful situations as they arise? I wish there was an easy answer but unfortunately it doesn’t exist. We all have different temperaments and varying abilities to cope with difficult, complex, and at times volatile situations, but utilizing the following simple suggestions MAY help reduce what I refer to as “headbanging behaviors.”

  1. Learn to Go With the Flow Think about what is truly important. Does it matter if the PWD is wearing mismatched clothing or does not want to bathe everyday? What truly matters is if the PWD is demonstrating behaviors, which puts someone at risk — such as not bathing for long periods of time, which may result in skin breakdown or infection, or cooking and leaving the pot unattended on the stove — not behaviors that may be embarrassing or annoying to the caregiver.
  2. Keep It Simple Do not overload the PWD with too much information or plan too many activities in a day. The PWD may get fatigued at the end of the day, which MAY result in agitated behavior.
  3. Slow It Down A PWD lives in a much slower world and sometimes has difficulty following conversation (make a concerted effort to include the PWD) or getting ready for an outing in a short period of time.
  4. Develop the Art of Being Wrong If the PWD attempts to blame you for not doing something or saying something (even if you did), tell the person you are sorry as this will help defuse agitated situations.
  5. Try Not to Impose Your Framework on the PWD Consider the PWD’s personal history and preferences before making suggestions.
  6. Take Time for Yourself Be sure to take time on a regular basis to do something you enjoy – read an article, read a book, exercise, enroll in a yoga class, go to a concert or meditate. Whatever you enjoy, do it! If you do not take time for yourself, you will not be able to help the PWD.
  7. Accept the Situation You cannot change the PWD, he or she is incapable of changing. Acknowledge that the relationship has changed and that it is up to you to communicate differently, which will produce positive outcomes.
  8. Ask for Help, You Can Not Do It Alone If you do not have family members who can assist you, seek help from others. Contact our 24-hour Helpline at 1-800-272-3900 for information and referrals to: senior adult day centers, home health aide agencies, food delivery programs and assisted living and long-term care facilities. Our Helpline staff can also answer questions and provide information to caregivers about dementia.
  9. Educate Yourself The Alzheimer’s Association offers the following educational seminars on a regular basis: Understanding Dementia, What you need to know and where to go, Legal and Financial, Medicaid and Homecare, and Easing the Transition into a Long-Term Care Facility. The Chapter also provides Family Caregiver Training in English and Spanish.
  10. Join A Support Group Meet others who are facing similar difficulties and collectively strategize how to resolve difficult situations. Friends and neighbors who are not caring for a PWD often lack the ability to actively listen to resolve problems over an extended period of time.>
For more information about the Family Caregiver Workshops, click here or please call the 24-hour Helpline at 1-800-272-3900.

— Amy Trommer
Dementia Care Trainer



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