Therapeutic Fibbing

Hello everyone, Since we were children, we’ve been taught not to lie to people. But sometimes there are exceptions to this rule. One of them is when we are working with a person who has dementia. In some cases, telling “white lies” helps them to preserve their dignity, allay their fears, and make them feel […]

Approaches to Address Apathy

Hello everyone, We’ve mentioned that apathy is a common challenge for people who have dementia, and is often overlooked because the person with apathy is not generally disruptive to staff or other residents. It is important to remember that apathy is different from depression, as a person who is apathetic is not necessarily sad, but […]

Using “DICE” to Assess and Manage Challenging Behaviors

Hello everyone, This week we are introducing “DICE,” a tool you can use to assess and manage behavior change in people with dementia. DICE stands for: Describe the behavior Investigate the influence of things like cognitive status, environment, caregiver approach, physical/medical disorders, and psychiatric symptoms Create a person-centered plan to address the behavior Evaluate if the plan works (Kales, Gitlin, Lyketsos, 2014, […]

Pay Attention to Apathy

Hello everyone, “The squeaky wheel gets the oil” is a well-known proverb. In terms of challenging behaviors, the man running down the hall naked or the woman crying loudly at lunch generally get our attention more quickly than the quiet lady in room 101 who likes to keep to herself and “isn’t any trouble.” In […]

Activity Suggestions from the National Institute on Aging

Hello everyone, The National Institute on Aging (NIA) has some good tips on how adapt activities for people with Alzheimer’s disease so they can enjoy them too. Household chores like baking, doing dishes and folding laundry can provide a sense of familiarity and calm. The article also gives great suggestions that your residents’ family members […]

Detecting Delirium

Hello everyone, Dementia and old age are the strongest risk factors for delirium, a condition of acute confusion and rapid changes in brain function. It is important to distinguish delirium from behavioral and psychological symptoms of dementia, as delirium is a medical emergency that should be addressed immediately by the healthcare team. Delirium typically involves […]

Tips to Manage Sundowning

Hello everyone, “‘Twas the night before Christmas and all through the house, not a creature was stirring, not even a mouse…” But perhaps, some your residents are? People with dementia often struggle with restlessness, agitation, irritability or confusion that can begin or worsen in late afternoon and early evening, and can continue into the night. Commonly […]