If I have problems with memory I have dementia - FALSE
Everyone encounters situations where they forget details such as where they put their keys or the date and time of their next doctor's appointment. The difference between a 'memory slip' and a diagnosis of dementia is that dementia significantly impacts social and daily functioning. Memory slips may create problems for us but they are not as serious as the memory loss that comes with dementia.
People with dementia can't read - FALSE
The belief that people with dementia cannot read is a myth. Most people with dementia can still read, as long as they could read in the past. Many people with dementia don't read because the font is not in large enough for their aging eyes. Another consideration is that the reading materials may not be of interest or are too complicated for the person with dementia. Most of us are picky with the books and movies we watch and the person with dementia is no different. Ask the person to read words of different sizes (in an Arial or other non curly font) to determine how large the text needs to be and then select books that will be of interest to the reader and are within their range of abilities.
People with dementia are no longer able to do the things they used to enjoy - FALSE
Many people with dementia would enjoy doing some of the things they did in the past if the task was adapted for their abilities. If the task was broken down into smaller steps and/or memory cues were provided to support memory loss, the individual is more likely to do these things successfully. For example, someone who loved to bake in the past may no longer be able to manage a 14 ingredient cake recipe with multiple measuring cups and various bowls, but may be able to bake a 'cake in a mug' with one bowl and only three ingredients (available on our website www.dementiability.com). To ensure the person in your care is able to enjoy a variety of leisure activities, make sure that every activity is adapted to suit interests and abilities and ends in success.
People with dementia have no spared capacities- FALSE
There are many abilities that remain intact in the person with dementia, hence the name of our program -- DementiABILITY. It is vitally important to focus on these spared capabilities with the objective of keeping the individual engaged in life and living as long as possible. Disuse often leads to a decline that is not related to the dementia. The DementiAbility Methods focus on exposing spared abilities with the objective of helping individuals with dementia to be the best they can be.
It is important to correct the person with dementia when they say things that are not true - FALSE
The cardinal rule is "never argue with a person with dementia". A person with dementia is simply taking files from their memory bank that come from another place and time. They are sure they are telling the truth. This is called confabulation. People with dementia often make up answers when they can't recall the details they are seeking. Don't argue -- you won't win!
People with dementia have no memories of the past - FALSE
Memory loss is considered to be the hallmark feature of dementia (although some forms of dementia do begin with a decline in judgment, and memory deficits appear later). The person with dementia often needs memory supports in place to help trigger the memories from the past and to support memory in the present (for finding locations and things and for doing things in the right order). Be sure to label photographs and use words and images to support memory in all aspects of life. The photos for days gone by can trigger other memories, thus opening the lines of communication.
People with dementia can't learn - FALSE
Some people with dementia become entirely reliant on a PSW (personal support worker) or caregiver to get them through the day. Some of this dependence could be reduced if memory supports were to be put in place. Memory supports and routines can trigger actions, such as assisting with finding locations and things and reminding them how to do things in the right order. In some circumstances, we have seen persons who were incontinent learn how to find the washroom and then learn how to toilet themselves independently by using step-by-step instructions beside the toilet (see our Memory Aids book). We encourage all providers of care to use environmental cueing supports to enhance the independence of those in their care.
There are very few things we can do to support a person with Dementia - FALSE
While there is no 'cure' for dementia, there are so many ways to prevent decline and even see noticeable improvements in disorientation, wandering and lack of engagement in daily life. The goal is to find out what a person is able to do and then adapt the activities and tasks of daily life according to what the person is interested in doing.
People with dementia don't need family to visit them once they are in a nursing home - FALSE
A diagnosis of dementia comes with many challenges but we must always remember that the person continues to have the same needs as you and I. The person who enjoyed travel, leisure and special moments with friends and family is still fundamentally the same person -- they just have new challenges to address each day. To support a person with dementia find a variety of things to do that adds joy to each day (for both of you) and provides opportunities for the person to love and be loved. There are many things to do that can add joy to each day.
When you give a person with dementia a doll you are treating that person like a child - FALSE
The focus of dementia care is on meeting the needs of each individual according to needs, interests, skills and abilities. The undeveloping brain is challenged in a world that is difficult to navigate. The need for love and human connection remains strong in dementia. Dolls can meet the needs of those who are lonely and who need to love and nurture. Dolls also offer something to do, thus addressing boredom. Check out our doll therapy guidelines at www.dementiability.com.
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At times everyone can become tired of housework, business activities, or social obligations. However a person with dementia may become very passive, sitting in front of the television for hours, sleeping more than usual, or appear to lose interest in hobbies.
A person with dementia may seem different from his or her usual self in ways that are difficult to pinpoint. A person may become suspicious, irritable, depressed, apathetic or anxious and agitated especially in situations where memory problems are causing difficulties.
Everyone can become sad or moody from time to time. A person with dementia may become unusually emotional and experience rapid mood swings for no apparent reason. Alternatively a person with dementia may show less emotion than was usual previously.
Anyone can temporarily misplace his or her wallet or keys. A person with dementia may put things in unusual places such as an iron in the fridge or a wristwatch in the sugar bowl.
A person with dementia may find it difficult to follow a conversation or keep up with paying their bills.
People with dementia may dress inappropriately, wearing several layers of clothes on a warm day or very few on a cold day.
We sometimes forget the day of the week or where we are going but people with dementia can become lost in familiar places such as the road they live in, forget where they are or how they got there, and not know how to get back home. A person with dementia may also confuse night and day.
Occasionally everyone has trouble finding the right word but a person with dementia often forgets simple words or substitutes unusual words, making speech or writing hard to understand.
People with dementia often find it hard to complete everyday tasks that are so familiar we usually do not think about how to do them. A person with dementia may not know in what order to put clothes on or the steps for preparing a meal.
Declining memory, especially short-term memory, is the most common early symptom of dementia. People with ordinary forgetfulness can still remember other facts associated with the thing they have forgotten. For example, they may briefly forget their next-door neighbour's name but they still know the person they are talking to is their next-door neighbour. A person with dementia will not only forget their neighbour's name but also the context.
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