The importance of visiting
We all enjoy visits from family and friends; people with dementia are no different. Visits can be a source of support and comfort, and a way to stay connected with others.
The person with dementia usually doesn't remember if you have been there for five minutes or five hours. Ultimately it's better to visit three times per week for 20 minutes than once a week for an hour.
As dementia progresses it is common to experience memory loss, confusion, difficulty with language, problems with thinking, judgement, and decision-making. People with dementia should not be living alone without care if they are suffering any cognitive impairment that could lead to them coming to any harm at home.
On average, a person with Alzheimer's lives four to eight years after diagnosis, but can live as long as 20 years, depending on other factors. Changes in the brain related to Alzheimer's begin years before any signs of the disease.
People with dementia think about the same things that any human thinks about — emotions, relationships, daily life, tasks to accomplish, and more. Receiving a life-changing diagnosis of dementia does not strip a person of their humanity and personhood.
One of the most common causes of death for people with dementia is pneumonia caused by an infection. A person in the later stages of dementia may have symptoms that suggest that they are close to death, but can sometimes live with these symptoms for many months.
It is recommended that a person with dementia be told of their diagnosis. However, a person has a right not to know their diagnosis if that is their clear and informed preference.
There are many different types of dementia and all of them are progressive. This means symptoms may be relatively mild at first but they get worse with time, usually over several years. These include problems with memory, thinking, problem-solving or language, and often changes in emotions, perception or behaviour.
Often when a person with dementia asks to go home it refers to the sense of home rather than home itself. 'Home' may represent memories of a time or place that was comfortable and secure and where they felt relaxed and happier. It could also be an indefinable place that may not physically exist.
Have a routine and take the person to the bathroom on a regular schedule, e.g. every two hours. You may have to respond quickly if someone indicates they need to use the bathroom. Some people have a regular schedule, especially for bowel movements.
It is not a viable option for people with dementia to watch television on their own, but they may enjoy watching television while sharing this activity with a person close to them. This may even provide quality time.
Shortly before dying people with advanced dementia suffer symptoms as pain, eating problems, breathlessness, neuropsychiatric symptoms, and complications as respiratory or urinary infections and frequently experience burdensome transitions. Pharmacological and nonpharmacological interventions may reduce symptom burden.
Systematic review: In a PubMed literature review, we identified only one study that analyzed survival in a large, unscreened sample of people with incident dementia from routine care data. Interpretation: In people with dementia, median time until institutionalization was 3.9 years, and 5.0 years until death.
In the earlier stages, memory loss and confusion may be mild. The person with dementia may be aware of — and frustrated by — the changes taking place, such as difficulty recalling recent events, making decisions or processing what was said by others. In the later stages, memory loss becomes far more severe.
Honesty isn't always the best policy when it comes to someone with Alzheimer's or dementia. That's because their brain may experience a different version of reality. Dementia damages the brain and causes progressive decline in the ability to understand and process information.
Dementia can affect someone's inhibitions. This means they may stop following the usual social rules about how to behave. Disinhibited behaviours can seem tactless, rude or offensive. These behaviours can place enormous strain on families and carers.
increasing confusion or poor judgment. greater memory loss, including a loss of events in the more distant past. needing assistance with tasks, such as getting dressed, bathing, and grooming. significant personality and behavior changes, often caused by agitation and unfounded suspicion.
Signs of the final stages of dementia include some of the following: Being unable to move around on one's own. Being unable to speak or make oneself understood. Eating problems such as difficulty swallowing.
Stage 6. In stage 6 of dementia, a person may start forgetting the names of close loved ones and have little memory of recent events. Communication is severely disabled and delusions, compulsions, anxiety, and agitation may occur.