September 09, 2008

How to Solve Some Problems Between an Alzheimer’s Patient and a Caregiver (2)

Problem: A caretaker asks a simple question of a patient. The patient delays in answering so the caretaker repeats once more. The patient still waits, and the caretaker decides to reshape the question in simpler terms. The communication deteriorates into conflict.

Solution: It is significant to allow enough time for a response when conversing with an Alzheimer’s patient. Interrupting, or even rephrasing the question, can confuse a person who is trying to process and state how he feels. The most efficient way to get a response is to ask one question at a time and then wait for an answer. Alternatively, if a patient struggles to find a word or express a feeling, kindly suggesting the word he or she is looking for could help. Common politeness in this case would be the best advice.

Problem: A caretaker notices that a patient is feeling opposing to help or consistently depressed. He can’t think of anything impolite or disrespectful he might have done. The patient expresses no concerns when asked if there’s a problem.

Solution: A positive and warm disposition is important to keep when handling an Alzheimer’s patient. Whether it’s merely validating their feelings or acknowledging frustrations, or even joking and singing to get a smile, a patient must understand that you care about them. Try framing questions and especially instructions in a positive way, always mindful of the patient’s comfort.

Problem: A caretaker is tired and stressed out. This attitude seems contagious and begins to influence the patient. The patient refuses to go behind directions and puts up resistance.

Solution: Alzheimer’s disease is not easy on anybody, the patient or the caretaker. It is a complicated situation and much tolerance is needed during this very vulnerable time. If a patient refuses to cooperate, then let him or her say no. You can approach them again later when they are in a better temper. There is nothing wrong with taking a few minutes away from your patient and relaxing. In fact, it is the advisable thing to do in most cases. When you return, you will be feeling better and your patient, maybe in a better mood himself, will be more willing to respond.

Communication between caregivers and Alzheimer’s patients can lead to frustrations. Nevertheless, with patience and a good understanding of what Alzheimer’s patients need in a caretaker, some of these common frustrations can be dealt with.

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