As Alzheimer's disease progresses, activities like dressing, bathing, eating, and toileting may become harder to manage. Each patient has ups and downs. Some may find activities like bathing, dressing, or eating confusing or challenging. Others may not. To make the best of the time spent with your loved one, you need to be flexible and understanding.
- Observe your loved one's day to see if you can develop a routine that makes things go more smoothly.
- Look for times when your loved one is less confused or more cooperative and plan your routine to make the most of those moments.
Remember that bathing can be the most difficult task caregivers face. People with Alzheimer's may fight it or perceive it as threatening.
If your loved one is upset by bathing, advanced planning can help make bath time better for both of you. Schedule a bath or shower during the time of the day that your loved one is calmest. Try to plan your loved one's baths or showers when you are not in a hurry. If you try to hurry the shower or bath, you may end up making it more confusing. Try to help your loved one feel in control as much as possible and help as far as their abilities allow. Most importantly, never leave the person alone in the bathroom.
For a person with Alzheimer's, getting dressed may be a series of problems. Reducing choices may help make dressing easier. Encourage your loved one to dress independently if they are able. Present a limited selection of outfits. Choose clothes that are comfortable, easy to get on and off, and easy to care for.
Eating can be hard for people with Alzheimer's. Some may want to eat all the time, while others may have to be encouraged to eat. Make sure to serve meals in a quiet, calm place. Noise may prevent your loved one from focusing on the meal.
Eliminate any distractions, such as a table centerpiece or excess utensils. Avoid patterned dishes or tablecloths. Serve only one or two food items at a time. Don't worry about manners, just try to encourage them to chew thoroughly and take their time.
As Alzheimer's progresses, people may lose control of their bladder and/or bowels. This can be upsetting to them and their caregivers. Try to be calm when these accidents happen. If you get upset it could make them feel worse. Sometimes incontinence is due to illness or a recently developed condition, so be sure to talk about it with your loved one's doctor.