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In the name of love, provide warmer care for Alzheimer’s patients

  Some people say: “Death is not really passing, forgetting is.” Alzheimer’s disease patients and their relatives will encounter such tragic things. Alzheimer’s disease, for the patient, is an irreversible disease that gradually forgets, loses consciousness, and then loses the ability to take care of himself; for the patient’s family, it is also a hardship: watching their loved ones gradually forget and lose everything , but also to take care of the responsibility. At present, the existing anti-Alzheimer’s disease drugs cannot reverse the disease, and early, regular, systematic and comprehensive rehabilitation of Alzheimer’s disease can reduce dysfunction and help delay the disease. , supplemented by rehabilitation care is particularly important.
Listen patiently and communicate effectively

  People with Alzheimer’s disease may have diminished communication skills over the course of the disease, making it increasingly difficult for them to express themselves and understand others’ language, and for caregivers to understand what the patient means or feels. In daily life, although patients have difficulty communicating, they should be encouraged to speak and chat more to slow down the development of aphasia. Be attentive and patient in communicating with Alzheimer’s patients: listen to their demands, understand and encourage more. At the same time, when communicating, caregivers should try to express as simply and clearly as possible. There are mainly the following 6 skills:
  Don’t say “Do you remember?” or “How did you forget?”: The patient’s memory is impaired. will speed up their impairment and will not help improve memory.
  Agree on everything, don’t argue with them: Debating can lead to stress and unhappiness, and neither is good for the patient.
  ·Speak slowly, speak clearly, and speak well. Say (just ask) one thing at a time.
  • When asking patients about their intentions, use yes or no sentences, such as “I’ll give you a cup of tea now, will you?” rather than open-ended sentences, such as “what would you like to drink.” Use body language to help patients understand.
  · Before doing the next action, the caregiver should speak up and do not do it without warning.
  · Encourage patients to use objects to tell stories. Invite patients to provide input and encourage patient participation.
Passing care from everyday care

  With the development of the disease, patients with Alzheimer’s disease will gradually lose the most basic ability of daily life, and the high-quality care of the caregivers can delay the rapid deterioration of the patient’s self-care ability.
  1. Clothing: Loose and comfortable, easy to put on and take off
  · Encourage patients to put on and take off their own clothes, try to prolong and maintain the ability of patients to dress on their own, often give encouragement and praise, so that patients have confidence in their appearance.
  ·When the patient needs help to get dressed, be patient, hand the patient only one piece of clothing at a time, and give step-by-step instructions on how to dress, and try to follow the patient’s rhythm to avoid urging.
  ·Choose loose, comfortable clothing that is easy to put on and take off. If the patient prefers to wear a certain set of clothing, it is possible to buy several more sets of the same clothing for rotation.
  2. Food: Develop good habits and avoid choking
  . Alzheimer’s disease patients should focus on low-fat, low-salt, easy-to-digest diets, eat more fresh vegetables and fruits, eat regularly and quantitatively, and establish good eating habits. When serving food, the caregiver should also inform the patient of the recipe by saying, “Here’s rice, we’re going to have chicken today” and similar introductory words. Doing so reduces the patient’s unease in the presence of food or the misconception that the meal has other uses.
  Caregivers should accompany the patient to meals each day and encourage the patient to eat by themselves. For patients who can still hold chopsticks, try to let them use chopsticks, which can exercise their brains while eating. If chopsticks cannot be used, a crank spoon can be used to help patients more easily bring food to their mouths.
  ·The food can be cut into small pieces and ensured that it is soft enough so that the patient can chew and swallow easily; food with soup should not be too hot; bone spurs should be removed in advance when eating fish.
  Some family members feel that the patient eats slowly, or it is easy to sprinkle the ingredients on the ground and then feed it directly. This is not advisable and will cause the patient’s autonomic function to decline prematurely. During meals, give the patient enough time to enjoy the food slowly, and chat gently and easily to relieve the patient’s anxiety.
  3. Living: Both comfort and safety
  The room for patients with Alzheimer’s disease should be simple and bright, without placing too many furniture items, and leaving enough spacious passages for the patients to walk.
  ·Use brightly colored signs or simple pictures to mark bathrooms, bedrooms and kitchens to ensure that the rooms are well lit and that the floor must be non-slip.
  ·Lock knives, scissors, medicines, pesticides and other items, and have safety devices for gas, power and other switches, and do not allow patients to open them at will.
  ·Remove the door locks of the toilets and bedrooms at home to prevent the elderly from locking themselves. Lock the door at night to prevent it from going out of the house unconsciously, causing loss or accidents.
  4. Walking: It is more important to prevent falling and getting lost
  . Alzheimer’s disease patients are often accompanied by extravertebral system lesions, ataxia, difficulty in standing and walking, and easy falls. Therefore, it is necessary to go out and go up and down stairs. Someone to accompany and help. If the patient is in good condition, they can often take a walk outside the home accompanied by their family members to familiarize the patient with the living environment and avoid anxiety when they are in a new environment.
  Alzheimer’s disease patients are easy to get lost when they go out. Do not let the patient go out alone, and put the patient’s and family’s name, address, contact number, and the disease safety card or cloth in the patient’s pocket or sewn on a specific part of the clothes. so that it can be found in time if it gets lost. Patients can also be equipped with smartphones, wristbands, etc. with positioning functions, and electronic fences can be set up to facilitate family members to find.
  · Let neighbors and property managers know that there is an Alzheimer’s patient in the home, help stop the patient when they go out alone, and notify the patient’s family.
  5. Taking medicine: avoid taking it by mistake

  ·Alzheimer’s disease patients often suffer from multiple concomitant diseases at the same time, and need to take multiple drugs. In order to avoid accidental or missed doses, all oral drugs must be taken by the caregiver and cannot be placed next to the patient. For patients who are bedridden for a long time and have dysphagia, it is best to break the tablet into small pieces or crush it and dissolve it in water.
  · For patients who often refuse to take the medicine, in addition to supervising the patient to take the medicine, the patient should also open the mouth to check whether the medicine has been swallowed, and prevent the patient from spitting out or taking out the medicine unattended. Moderate and severe patients often cannot tell their discomfort after taking the medicine. Caregivers should carefully observe the patient’s reaction after taking the medicine, and give feedback to the doctor in time, so as to adjust the medication plan in time.
Race against time to fight against oblivion

  The human brain is the most complex and most efficient information processor in the world. Although we unfortunately suffer from Alzheimer’s disease, through rehabilitation training, we can repeatedly “access” the memory of basic common sense that already exists in our brains but are constantly lost, and rebuild our self-care ability. Only in this way can we race against time and fight against forgetting.
  1. Memory rehabilitation methods
  Alzheimer’s disease patients have impaired recent memory, but most of their long-term memory is still preserved. Through conscious and repeated memory training, it can delay the decline and promote the recovery of intelligence. These specific methods include:
  • Instantaneous memory The caregiver can read a sequence of numbers out of sequence, starting with three digits and increasing by one. Such as 125, 2334, 51498… After reciting, let the patient repeat it until it can no longer be repeated.
  ·Short-term memory Show the patient a few items, such as apples, rice bowls, mobile phones, pens, etc., and put them away immediately to let the patient recall what they just saw. The number of items can be increased gradually, and the viewing time can be from long to short.
  ·Long-term memory can often allow patients to recall relatives and friends at home, the names of colleagues in the original unit, the TV content they watched a few days ago, and what happened at home.
  2. Attention Rehabilitation Methods Rehabilitation of
  attention disorders is the central issue of cognitive rehabilitation. Although it is only one aspect of cognitive impairment, only those who correct cognitive impairments such as attention disorders, memory, learning, communication, and problem solving can Rehabilitation can be effective.
  ·Demonstration training The caregiver should inform the patient about the content of the activity, and during the activity, language prompts should be given so that the patient can concentrate. For example, in Taijiquan, the patient can see the stretching and smooth movements while explaining the essentials of the movements in a cadence manner, mobilizing the patient’s vision and hearing, and strengthening the training of attention.
  ·Classification training The purpose is to improve the attention of patients with different difficulties. The operation method is mainly in the form of pen and paper exercises. The patients are required to complete the prescribed pattern description according to the instructions, or perform appropriate actions according to the instructions in the tape and computer. The classification training content can also be used for continuous, selective, alternating and separate attention item training according to the classification of attention.
  3. Computing ability training The training of the size of
  numbers , the concept of how many and the computing ability, such as dividing chopsticks into two piles, let the patient compare which pile is more and which is less. It is also possible to ask the patient to perform some simple household consumption account calculations. For example, after going to the mall to buy some daily necessities, ask the patient to calculate how much each item cost, how much was consumed in total, and how much is left.
  4. Language training Impaired language function is a big problem
  for Alzheimer’s patients. Severely damaged patients often have unclear pronunciation. Caregivers should teach simple words first, and then encourage patients to pronounce the words clearly; they can also show the patient and encourage the patient to say the name of the object; for patients who lack words , caregivers can teach simple words for everyday life and simple words to express ideas. For patients who can have simple conversations, but often forget words or do not express their meaning, caregivers should encourage them to communicate more, express more, and understand more, so as not to make mistakes. Of course, the repair of language training should not be rushed. The method and progress should vary from person to person and be gradual.
  5. Other beneficial intellectual training The
  intellectual training is rich in content and in various forms, such as logical association, flexibility of thinking, analysis and synthesis ability, comprehension and expression ability, social adaptability, etc. Common training methods are:
  ·Logical association, thinking flexibility training You can find some toys that are conducive to intelligence from children’s toys, such as building blocks according to the drawings to build various shapes.
  ·Analysis and comprehensive ability training Patients are often asked to summarize and classify some pictures, objects and words. For example, take out the picture cards used by children and ask the patient to classify animals, plants, daily necessities, etc. separately.
  ·Comprehension and expression ability training Tell patients about what they have seen and heard in daily life or children’s stories, and ask some questions for the patients to answer after telling them.
  When confronted with Alzheimer’s patients, we are powerless to change their memories as they fade away, but we can delay their rapidly decaying memories with love and understanding.