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How to Know it May be Time for Hospice

Watching someone you love suffer from Alzheimer’s or another memory debilitating illness is incredibly difficult, and it can be even more challenging to decide when it’s time to consider hospice care. Here, we are sharing five signs it may be the right time to consider the extra support of hospice care for an Alzheimer’s patient.

Physician determines they are at or beyond stage 7 of the Functional Assessment Staging Scale

The Functional Assessment Staging (FAST) Scale is a tool used to determine if changes in a patient’s condition are related to Alzheimer’s disease or another condition. If due to Alzheimer’s, the changes will occur in sequential order. Alzheimer’s disease-related changes do not skip FAST stages.  

Unable to ambulate independently

This means a person is no longer able to get around on their own. For example, they require assistance getting from room to room.

Requires assistance to dress or bathe

Without assistance, you may notice they put their shoes on the wrong feet or their day-time ‘street’ clothes on over their pajamas. They are also unable to bathe without assistance.

Becomes incontinent

This includes urinary or fecal incontinence or both.

Unable to speak or communicate 

This may begin as the patient only saying 5-6 words per day and gradually reduce to only speaking one word clearly until they can no longer speak or communicate at all. This will also include the inability to smile.

Why Choose Hospice

Hospice care is for patients with a life limiting illness and a life expectancy of six months or less. The main focus is to manage pain and symptoms and ultimately keep the patient comfortable. When you choose hospice for your loved one, their care team can help you to understand what to expect in the final stages of Alzheimer’s. They will also provide support to you and the rest of your family throughout the end-of-life process.

If you would like more information on hospice care for Alzheimer’s patients, please contact us. We are here to answer any questions you may have.

Elderly couple with dementia putting together a puzzle

Alzheimer’s and Brain Health Awareness Month

June is Alzheimer’s and Brain Health Awareness Month. This month, take time to discuss the importance of brain health with your friends, relatives, and elderly adults in your life—especially those who may be at risk for dementia and cognitive impairment. Taking steps to improve brain health early on can often reduce the risk of Alzheimer’s and other cognitive disorders.

What Is the Prevalence Of Alzheimer’s Disease?

Alzheimer’s disease affects an estimated 6.5 million Americans. As the most common form of dementia, Alzheimer’s is a progressive disorder that destroys brain cells and causes the brain to shrink. It is most common among adults over the age of 65.

Memory loss is the primary symptom of Alzheimer’s disease. Alzheimer’s can also affect a person’s concentration, judgement, and decision-making ability, leading to problems with carrying out essential daily tasks like bathing, getting dressed, and cooking. Many people with Alzheimer’s often require hospice care so they can get help with performing these activities.

The Importance Of Early Screening

Alzheimer’s disease is a progressive condition that develops gradually over time. There is no designated screening test for Alzheimer’s, though your doctor can review your medical history and perform an evaluation to determine your risk.

Ways to Improve Your Brain Health

Maintaining optimal brain health is key to reducing your risk of dementia and Alzheimer’s disease. If you are caring for Alzheimer’s patients, you can work with them to improve their brain health and reduce the severity of certain symptoms.

Eat Healthy, Nutritious Foods

Leafy greens, fatty fish, and almonds are some of the many foods that contribute to good brain health. Foods like these are loaded with nutrients, including vitamin E and omega-3 fatty acids, that are shown to boost brain health and delay the progression of Alzheimer’s. Eat a higher amount of healthy foods like fruits, vegetables, fish, poultry, and nuts to improve your cognition.

Stay Social

Socializing with others on a regular basis can stimulate your memory and attention, strengthening neural networks to improve overall brain function. Being social can reduce feelings of loneliness and isolation, boosting the quality of life in people with Alzheimer’s. Go dancing, join book clubs, and attend social events at community centers. Many hospice care providers can help you find social activities geared toward older adults and seniors.

Exercise Regularly

Physical activity offers a wide range of benefits for cognition and brain health. It improves your circulation and blood flow, boosting your memory and problem-solving ability. It can even help ward off anxiety and mood disorders, including depression. Schedule exercise into your daily schedule, even if it’s only a 10- to 15-minute walk. Better yet, join exercise classes for seniors, such as water aerobics and yoga.

Challenge Your Brain

Learning new skills and challenging your brain can lead to the formation of new connections between brain cells, which reduces your risk for cognitive problems, including Alzheimer’s. Play board games with your relatives and other seniors in the community, or take classes that teach you a new language or how to cook a certain cuisine. You can even download and play brain games on your smartphone, such as Wordle, Lumosity, and Candy Crush.

Hospice Care With Abode

Abode Hospice and Home Health is a leading provider of home health and hospice services throughout Colorado—including hospice services for people with Alzheimer’s disease. Fill out our online form today to learn more about our many home health care services.

Changes in Communication

As Alzheimer’s and Brain Awareness Month continues, we want to discuss a very important topic- communication and Alzheimer’s. As the disease progresses, a person’s ability to communicate gradually diminishes. Changes in communication vary from person to person, but there are several common issues you can expect to see, including difficulty finding the right words and organizing words logically.

Effective Communication

If someone you love is living with the disease, you know it can be challenging at times to communicate with them. The video above discusses the following ten tips for effectively communicating with your loved one.

  1. Never argue. Instead, listen.
  2. Never reason. Instead, divert.
  3. Never shame. Instead, distract.
  4. Never lecture. Instead, reassure.
  5. Never say ‘remember.’ Instead, reminisce.
  6. Never say ‘you can’t.’ Instead, remind them what they can do.
  7. Never say ‘I told you.’ Instead, just repeat.
  8. Never demand. Instead, just ask.
  9. Never condescend. Instead, encourage.
  10. Never force. Instead, reinforce.

Help Make Communication Easier

In addition to these tips, there are steps you can take to help make communication easier, including:

You also want to encourage the person to communicate with you. You can do this by doing things like holding their hand while you talk and showing a warm, loving manner. It is also important to be patient with angry outbursts and remember that it is just the illness talking.

If The Person is Aware of Memory Loss

Since the disease is being diagnosed at earlier stages, many people are aware of how it is impacting their memory. This can make communication even more sensitive because they may become frustrated when they are aware of the memory loss. Here are some tips for how to help someone who knows they have memory problems.

Additional Resources

For more information on Alzheimer’s disease and how it impacts communication, visit the links or reach out to the contacts below:

** NIA Alzheimer’s and Related Dementias Education and Referral (ADEAR) Center

800-438-4380 (toll-free)

[email protected]

 

** Family Caregiver Alliance

800-445-8106 (toll-free)

[email protected]

 

** Alzheimer’s Association

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