Caring for a person with a decreased ability to handle daily tasks

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Caring for a person with a decreased ability to handle daily tasks

The following suggestions may help you develop a plan to help a family member who has an ongoing problem with memory, problem solving, judgment, or the ability to handle daily tasks. These suggestions are basic and do not include all the information you will need to care for your family member. Your health professional may have other suggestions to add to your plan.

• Establish a simple daily routine.
  • Set regular times for meals, baths, hobbies, and a limited number of activities.
  • Warn the person about upcoming changes in the schedule. People with memory problems don't adjust well to sudden changes in their routine.
• Structure the environment to improve memory.
  • Use calendars, clocks, and bulletin boards with pictures of the season, month, and upcoming holidays.
  • Label objects.
  • Use lists, notes, and other helpful devices as reminders.
  • Write daily activities on a calendar or daily planner and keep it in a place where it can be seen easily.
• Give short instructions. A person with memory problems may be able to remember only small amounts of information at a time.
  • Break tasks and instructions into clear, simple steps, one step at a time.
  • Use short, simple, familiar words and sentences.
  • Provide written as well as verbal instructions whenever possible.
• Teach a task in the setting, or a similar setting, where the person will need to do the tasks. A person with memory problems may have difficulty applying what has been learned in one setting to other settings.
• Create a safe environment.
  • Lock all poisons and medications and store them in child-proof containers out of reach.
  • Use a medication box with a separate compartment or section for each day of the week. This will help the person remember when to take his or her medications.
  • Review all medications and dosages with a health professional or pharmacist. Many medications can cause confusion.
  • Put bells on doors and provide an identification bracelet for a person who might wander outside and become lost.
  • Make your home safe from falls.
• Avoid or reduce stress, which may make symptoms worse.
  • Maintain eye contact and use touch to reassure the person and show that you are listening.
  • Allow the person as many choices in daily activities as you can. Allow him or her to select such things as clothing, activities, and foods.
  • Provide regular stimulation of the senses through touching, singing, exercising, and hugging. Touch may be better understood than words. Holding hands or giving hugs may get through when nothing else can.
  • Ignore behavior that is disruptive or disturbing. Try to interest the person in another activity.
  • Avoid arguing with the person about things that don't really matter. Just change the subject.

Credits

Last updated:	February 27, 2007
Author:	Jan Nissl, RN, BS
Reviewed By:	William M. Green, MD - Emergency Medicine, Colin Chalk, MD, CM, FRCPC - Neurology
Editors:	Susan Van Houten, RN, BSN, MBA, Tracy Landauer