Enhancing the Activities of Daily Living
By Laura Town, Karen Hoffman and Rachael Mann
()
About this ebook
Alzheimer’s disease robs a person of their independence. Not knowing how to bathe, dress, and take care yourself is stressful and frightening. For individuals with Alzheimer’s disease, completing these basic daily tasks can be a difficult, frustrating process. For caregivers, knowing when and how to help your loved one complete these activities in a way that supports both their health and their independence is a struggle.
This book discusses activities of daily living that commonly present difficulties for individuals with Alzheimer’s disease. It also offers information about identifying your loved one’s specific struggles and working through those challenges with them. The simple checklists in this book will help you learn how to assess whether your loved one needs help bathing and dressing and provide that help in a safe and tactful manner. They also discuss how to handle incontinence issues; provide assistance with cooking, housekeeping, and other tasks essential for independent living; and how to cope with behavioral changes like aggression and depression. Finally, they offer tips for communicating with your loved one in the early, middle, and late stages of the disease.
Through a combination of checklists and practical advice, this book helps you provide safe, encouraging care for your loved one while coping with the stress that accompanies caregiving.
Every day is different when you live with Alzheimer’s disease. Order now and start learning how to make those days better for everyone.
Laura Town
Laura Town is an experienced author and editor who has contributed to many books for the academic, professional, and lay populations. Laura has written on a variety of topics of special interest to the aging population. She has expertise in the field of finance, and she has contributed to several online nursing courses and texts. Her work has been published by John Wiley and Sons and the American Society of Journalists and Authors, and she has also written for the American Medical Writers Association (AMWA). As an editor, Laura has worked with Pearson Education, Prentice Hall, McGraw-Hill Higher Education, John Wiley and Sons, and the University of Pennsylvania.Laura is the founder and president of WilliamsTown Communications, a company that creates educational courses and texts for publishers, universities, and non-profits. She is also the past president of the Indiana chapter of AMWA.
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Book preview
Enhancing the Activities of Daily Living - Laura Town
Title
By Laura Town, Karen Hoffman, and Rachael Mann
Published by Omega Press
Zionsville, IN 46077
© 2020 Omega Press
ISBN: 978-1-943414-24-6
While we have made every attempt to ensure that the information contained in this book has been obtained from reliable sources, Laura Town, Karen Hoffman, Rachael Mann, and Omega Press are not responsible for any errors or omissions or for the results obtained from the use of this information. The information is provided as is
without warranty of any kind. The information available in this book is for informational purposes only and not for the purpose of providing legal, financial, or healthcare advice. You should contact your attorney, financial planner, or physician to obtain advice with respect to any particular issue or problem. In addition, Laura Town, Karen Hoffman, Rachael Mann, and Omega Press do not endorse any products mentioned in this book, nor do they assume any responsibility for the interpretation or application of any information originating from such content.
Production Credits:
Authors: Laura Town, Karen Hoffman, and Rachael Mann
Publisher: Omega Press
Distributor: Smashwords
Photos: All images used under license from Shutterstock.com
Social media connections:
Laura Town
Twitter: @laurawtown
LinkedIn: https://www.linkedin.com/in/lauratown
Karen Hoffman
LinkedIn: www.linkedin.com/pub/karen-kassel/62/2b/915/
Smashwords Edition, License Notes
This ebook is licensed for your personal enjoyment only. This ebook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each recipient. If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to your favorite ebook retailer and purchase your own copy. Thank you for respecting the hard work of the authors.
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Table of Contents
Introduction
Chapter 1: Activities of Daily Living
Checklist: General tips for helping your loved one perform ADL
Bathing
Checklist: Assessing whether your loved one needs help bathing
Checklist: Bathing safety
Checklist: How to help your loved one bathe
Checklist: How to give your loved one privacy
Checklist: What do I do if my loved one refuses to bathe?
Dressing
Checklist: Assessing whether your loved one needs help with dressing
Checklist: How to make it easier for your loved one to choose their clothing
Checklist: How to help your loved one dress
Checklist: How to deal with a loved one who has forgotten how to dress
Checklist: What do I do if my loved one refuses to change clothing?
Personal Hygiene and Grooming
Checklist: Hygiene and grooming activities
Checklist: Assessing whether our loved one needs help with personal hygiene and grooming
Checklist: How to help your loved one perform grooming activities
Checklist: Grooming safety
Toileting
Checklist: Assessing whether your loved one needs help with toileting
Checklist: Tips for helping your loved one use the toilet
Checklist: Toileting safety
Checklist: Dealing with confusion
Checklist: Dealing with incontinence
Checklist: Dealing with constipation
Checklist: Dealing with urinary tract infections
Eating
Checklist: Assessing whether your loved one needs help with eating
Checklist: Techniques to help your loved one eat
Checklist: How to increase your loved one’s appetite
Checklist: How to deal with swallowing difficulties and choking
Communication
Checklist: Assessing your loved one’s communication difficulties
Checklist: How to communicate with your loved one with mild Alzheimer’s disease
Checklist: How to communicate with your loved one with moderate Alzheimer’s disease
Checklist: How to communicate with your loved one with severe Alzheimer’s disease
Mobility
Checklist: Assessing whether your loved one needs help with mobility
Checklist: Mobility strategies and techniques
Checklist: Techniques for transferring your loved one
Chapter 2: Instrumental ADL
Shopping
Checklist: Assessing whether your loved one needs help with shopping
Checklist: Shopping with your loved one
Cooking
Checklist: Assessing whether your loved one needs help with cooking
Checklist: Safe cooking modifications and techniques
Housekeeping
Checklist: Assessing whether your loved one needs help with housekeeping
Checklist: Housekeeping tips and techniques
Using the Phone
Checklist: Assessing whether your loved one needs help using the phone
Checklist: Techniques to help your loved one use the phone
Transportation
Checklist: Assessing whether your loved one needs help with transportation
Checklist: Helping your loved one get around independently
Managing Money
Checklist: Assessing if your loved one needs help managing money
Checklist: Helping your loved one manage their money
Taking Medicine
Checklist: Assessing whether your loved one needs help with taking medicine
Checklist: Helping your loved one take medication safely
Other IADL
Chapter 3: Behavioral Challenges
Checklist: Assessing possible behavioral triggers
Memory Loss
Checklist: Signs of progressing memory loss
Checklist: Coping with memory loss
Difficulty Concentrating
Checklist: Sings your loved one is having difficulty concentrating
Checklist: Coping with concentration problems
Anger
Checklist: Identifying causes of anger
Checklist: How to deal with anger
Aggression
Checklist: How to deal with aggression
Psychosis
Checklist: Signs your loved one is experiencing a psychotic episode
Checklist: How to deal with a psychotic episode
Depression
Checklist: Signs your loved one is depressed
Checklist: Supporting your loved one with depression
Other Behavioral Challenges
Checklist: Other behavioral changes that may occur with Alzheimer’s disease
Chapter 4: Sleep Problems
Checklist: Assessing whether your loved one is having difficulty sleeping
Checklist: Providing a good sleep environment
Checklist: How to prevent wandering at night
Sundowning
Checklist: Basics about sundowning
Checklist: How to deal with sundowning
Chapter 5: Making Time to Care for Your Loved One
Work Life
Checklist: FMLA Basics
Family Life
Conclusion
About the Authors
Laura Town
Karen Hoffman
Rachael Mann
A Note from the Authors
More Titles from Laura Town and Karen Hoffman
Resources
Reference List
Omega Press Sample: How to Save Money on Healthcare
Introduction
Nothing about the Alzheimer’s process is easy. One of the more stressful phases for both the individual with Alzheimer’s disease and the caregiver is the gradual loss of independence which results from the inability to perform certain tasks. In general, these tasks fall into one of two categories: activities of daily living (ADL) and instrumental activities of daily living (IADL). Broadly defined, ADL are basic self- care tasks necessary for maintaining health and well-being, whereas IADL are more complex tasks essential for independent living.
Not knowing how to drive, how to cook, how to bathe, or even how to use the toilet is frightening for both you and your loved one. Over time, your loved one may forget how to perform both ADL and IADL, which will increase their need for a full-time caregiver. This lack of independence places an incredible stress and strain on caregivers. What makes this process more confusing is that at the beginning, individuals might remember how to complete tasks on some days and not others. In my (Laura’s) father’s case, he sometimes knew when to use the toilet and other times did not. When he realized that he was becoming incontinent, it added to his depression and he seemed to decline at a faster rate than he previously had. As a caregiver, you must assess whether your loved one needs help with certain tasks and what degree of assistance is required. You also need to understand techniques you can use to help your loved one complete these tasks while retaining as much independence as possible.
In addition, as the disease progresses you may notice your loved one exhibiting behaviors that are uncharacteristic for their personality. These may range from simply saying things that seem odd or inappropriate to acting in ways that could be dangerous to you, your loved one, or others. Being prepared for these changes and knowing how to respond to them is crucial.
The checklists in this book will provide you with information you may need to help your loved one perform essential activities and face behavioral challenges. This information is particularly important if you are a live-in caregiver or provide at-home care for your loved one. As you review this information, remember that every individual with Alzheimer’s disease has different strengths and difficulties. As such, the suggestions throughout this book can and should be tailored to fit your loved one’s specific needs.
Chapter 1: Activities of Daily Living
Activities of daily living, or ADL, include care and hygiene activities that must be completed in the course of a typical day. In general, the tasks involved in ADL are learned early in life and include things such as taking a bath, getting dressed, and brushing teeth. Activities related to eating, communicating, and moving around are also considered ADL.
Small declines in the ability to perform ADL—such as missing a bath or wearing a day-old shirt—may pose no imminent danger to your loved one. If left unchecked, however, ADL declines can lead to illness, infection, and other serious health issues. As a caregiver, you must recognize where potential needs exist and be prepared to offer supportive, low-pressure assistance to your loved one. The following checklist discusses tips for helping your loved one perform ADL.
Checklist: General tips for helping your loved one perform ADL
When helping with ADL, involve your loved one as much as possible. If you start taking over activities, your loved one will forget how to do them on their own much more quickly.
Offer help as tactfully and compassionately as possible. Treat your loved one with dignity at all times. Your attitude as a caregiver will be reflected in your loved one’s actions.