Description: The passage focuses on the topic which is about activities of daily living. We will be guided to learn some kinds of difficulties a person with Alzheimer disease might have with daily tasks, we will be shown a few strategies that may work in organizing and implementing the day-to-day activities of our Alzheimer clients.
Much of what we do in our lives is based on routine, we get up in the morning, we shower, eat breakfast, go to work, never think about all the activities that make up our typical day for the person with Alzheimer disease, however, the day-to-day activities that we take for granted are anything, but routine memory loss confusion emotional reactions and physical losses.
Every new day, it brings a fresh set of challenges to be coped with, to be met in this module, we’ll take a look at the kind of difficulties a person with Alzheimer disease might have with daily tasks, you’ll meet some home support workers like yourselves who’ll talk about what they do to make it easier for their clients to continue their day-to-day living as independently and as productively as possible.
In our day to day lives and activities, we place great value on our freedom our independence, because that is what gives us our feelings of self-respect of dignity while Alzheimer disease may eventually rob a person of their memory and their physical abilities, the disease cannot take away that inherent need, we all have as human beings to contribute to feel needed.
Whenever we go into my outside must climbed, I first introduced myself asking them their name, although I’m told telling them, what day it is keeping the conversation, as I said, very lightly a cup of things at a time, what we’re going to do for maybe an hour or two.
Then we take those on from there when I first began working with my Alzheimer client, it took me several months to gain her trust and to communicate properly with her, for example, when I first started going to their home, she would not let me look at the mail, she would promptly take Marathon mailbox and run directly upstairs and hide it on me.
After we have grown accustomed to each other, she will put the mail on the dining room table and she will ask my opinion on certain things that she has received in the mail, so after I’d say about six months, we have become very close and good friends being flexible and ready to adjust to changes.
A client’s capabilities are the keys to maintaining a rewarding relationship, keeping tasks and activities simple can greatly reduce the chance of confusion or emotional reactions on the part of the person with Alzheimer disease.
Some of the most common activities involve getting ready for the day, working with an Alzheimer’s person, you have to keep reminding doing daily tasks like brushing hair, brushing teeth, face washing, whereas a normal person remembers to do these things, the daily activities that I involve my client with is to start in the bedroom and weed slowly make the bed together.
You have to be very patient and even if they don’t do it, it is not to be discouraged, because this is what you have to expect with the disease and choosing close the client sometimes will take out what they want or at certain stages, they do not know what they want.
So as time goes by, you know what their likes and dislikes are, so you give them something that they would like to be wearing dressing, as our summer clients has to be very clear play no buttons, because they have problems.
So you find something that is zippered up or pull over the head so that they can help themselves meal times can create confusion for the client who has forgotten how to cook, use utensils or even how to eat properly with my Alzheimer’s client.
I involve them in preparing meals, the specific meal that I’m to prepare is lunch preparing, I always ask what they would like to have for lunch, if they have a favorite meal, then I will prepare that and have them assist and meet with it.
They will also clean up the kitchen after preparing the meal and the dishes with me, some Alzheimer’s clients cannot feed themselves at some stages, you can give them finger foods and probably one utensil that they could use.
Then you go from finger food where you might have to feed them and help them, one of the most beneficial things you can do is to find out as much as you can about your client what their lives were like before Alzheimer what was important to them as individuals.
It’s important to know the background of my client, because I would understand where she’s coming from and I would be better able to cope with any situation that may arise, for example, a typical wife for a mother, she may become very bitter towards any help that I try to give her.
So what I usually do is that I have her help me and she may sense that she still has her role and she’s not as angry or bitter about a homemaker coming into the family, they might keep saying something in Italian and you probably don’t know what it is and talking to the family member, you would know exactly what it means, it could be something simple like I want some water.
If you are speaking in Italian and you don’t know the true value of exercise, it cannot be measured, regular exercise helps to alleviate stress, refocus our energies for the person with Alzheimer disease exercise can calm and relax while providing a feeling of satisfaction and accomplishment they love going out for walks.
They love going out and they love moving and the fresh air and the movements and the exercise is very good for them light activities can involve going out to the garden in the backyard, watering the flowers, turning the hose on the front lawn, we both do it together and also plant flowers in the spring with the family.
The daughters had bought a number of plants and we both got down on our hands and knees and plant these flowers together as a team involving your clients in your day to day chores can help them feel involved in what’s going on around them.
While it may slow your work down, it’s important to remember that your role is to help your client compensate for their losses by involving them in your activities, you’re giving your clients a very important sense of purpose and responsibility in asking or else.
I must cleanse to do a test, sometimes, they do not comply, so I’ll ask them if they could, please keep my company and do the laundry or help me to make the lunch and they will give me certain times that they will help me doing things.
For instance, the laundry, they’ll say 10 minutes, so they’ve come down with me, giving me enough time to have this and the washer that we can go back upstairs, because I never leave my house, it is quite slow making the beds, doing the dishes, folding clothes, these are things that they’ve seen a lot.
They may not do it exactly the way that it should be done, but I let them do it the way they’re going to do it that day, some days are better than other day, it depends on their moods, sometimes, they’re very aggressive and they won’t go along with you.
So that’s to be expected and we know that one of the most challenging act Tiffani’s in your day may involve bathing and dressing your client, make the bathing experience positive and free of stress by relaxing and following a routine whenever possible.
One of the first steps I do is asking the family bro routine, she prefers getting dressed in the bathroom after her bath or she prefers even taking her bathrobe in with her, once I established the routine, I usually explained to her step by step.
For example, if she’s put in the bathtub even on a bath stool and they run the water sometimes that noise alone might upset her and she may start to get confused, so I explained to her step by step and that it takes away any confusion of the client may already have, because it is a stranger, giving her a bath and she may not appreciate that if there is resistance.
Then I suggest her, let’s go for a sponge bath and if she’s still resistant to that, I would ask her later, if I got establish a rapport with her, not every part of your day will be filled with wall-to-wall activities nor should it make time to sit down with your client to relax and talk together ways that I’ve learned that I’ve been coming in eating with them when they smile or they give a hug or something that they don’t normally do that makes you feel you have communicated with them.
When they look at me eye-to-eye contact and they give me a small little smile or a grin, then I know I have gotten through my client, all of us are creatures of habit comfortable in our routines safe in the knowledge that things will stay the same until we choose to change them for the alzheimer client change, sometimes it is out of their control, the effect on their routine can be not only disturbing it, can be frightening too.
When I go on vacation, I will first of all inform the family members that I’m going away on holidays and give them the specific date and the length of time that I will be away, next I will speak to my Alzheimer’s client and instill on them everyday.
I’m going away in holiday and the dates I will leave in a date, I will return and we will also mark it on the calendar, so every day when I go in, I will say to my client that I will be going on holiday, I will be returning back, I will be only going for a very short time and I will be back, but you have to constantly repeat and repeat.
Their words of the job that come when I’m dealing with animals, I’m a client usually comes from the family seeing the relief on their faces usually means I’m doing a good job and lessening their load.
You see some of the clients how they appreciate it and you can go home happily, because they know that they’re there and they are well taken care of and it’s very rewarding as a home support worker play an extremely important role in the day-to-day lives of your clients.
It’s your actions, your interest and your energy that allows those you care for to retain their self-respect their dignity and their independence, what we’ve shown you here are only a few of the strategies that may work in organizing and implementing the day-to-day activities of your Alzheimer clients, keep in mind that what you bring to the relationship with your client goes far beyond a meeting of their basic needs, it involves building a trusting relationship that makes those you care for feel needed and able to contribute and that is one of the most valuable things you can do.