How to Keep Alzheimer's Patients Calm

Alzheimer's disease is a progressive brain disorder that impacts memory, thinking and behaviour. It is the most common cause of dementia, accounting for approximately 60-80% of cases. Though the exact cause of Alzheimer's is still unknown, it is believed to result from a combination of genetic, lifestyle, and environmental factors. The symptoms of Alzheimer's can vary from person to person; however, common signs include memory loss, confusion, difficulty with problem-solving and language, and changes in mood and personality. It is important to note that Alzheimer's is not a normal part of aging, and early diagnosis is crucial for better management of the disease.

Creating a Calm Environment

Reducing Noise and Distractions

Diminishing environmental noise and diversions is fundamental in shaping a serene environment conducive to Alzheimer's patients. Overbearing noise can exacerbate agitation and induce disorientation. Actions such as shutting doors/windows and using sound insulation materials can help minimize auditory disturbances. Unanticipated, startling sounds must be steered clear of to preserve a sense of calm. Potential sources of confusion, like the television or radio, should be kept at a soft volume or switched off. It's equally important to maintain an orderly living space, free of clutter, simultaneously warding off sensory overload and paving the way for a comfortable and serene environment.

Establishing a Routine

Setting up a daily regimen can immensely aid individuals living with Alzheimer's to impart a sense of security and alleviate anxious feelings. A predictable day-to-day agenda lends a structure and sense of familiarity which could prevent feelings of confusion and disorientation. Creating a routine that suits the individual's preferences and capabilities is essential. Their past habits and schedules should influence this. This may include regular meal times, systematic physical activity and reserved times for hobbies like reading, gardening or simply listening to music. Sticking to a routine affords Alzheimer's patients a certain degree of control and stability in their everyday lives, consequently fostering a soothing and calm atmosphere.

Providing Familiarity and Comfort

Constructing an environment that exudes familiarity and coziness can significantly uplift the well-being of Alzheimer's patients. Maintaining a consistent and recognizable living space is a good step towards procuring familiarity. Achieving this consistency could involve maintaining the same arrangement of furniture and personal effects so that the individuals can effortlessly identify their surroundings. Exhibiting well-known photographs and treasured artifacts can evoke memories and comfort. Further, using soft lighting, soothing hues, and agreeable scents can augment their sense of familiarity. Respect for personal choices is vital, and they should retain control over daily activities and decisions. By offering familiarity and comfort, anxiety can be reduced, security promoted, and the general well-being of Alzheimer's patients enhanced.

Communication Strategies

Using Simple and Clear Language

When interacting with people struggling with Alzheimer's, one should use clear, uncomplicated language to enhance understanding. Speaking deliberately, with a slow pace and clear pronunciation, utilising succinct sentences, can be beneficial. Complex words and phrases should be avoided as they may only add to any confusion. Give a singular directive at one go and allow enough duration for the individual to comprehend and respond. The use of gesturing or pointing, in tandem with spoken communication, can also be beneficial. Using language that is simple and concise, you can reassure Alzheimer's patients of their comprehension, thus minimizing any anxious or frustrating feelings triggered by miscommunication.

Active Listening and Validation

Active listening and validating are fundamental aspects of effective communication with patients dealing with Alzheimer's. Active focus means fully committing your attention to the person speaking, without any distractions, and understanding their words. Maintaining undisturbed eye contact, along with nodding or using fitting facial expressions demonstrably shows the person that you are listening. It's equally important to validate their feelings and experiences, even if they do not align with your own. Phrases like "I understand your frustration" or "Can you tell me more about why you find this difficult?" can offer comfort and reassurance. Your active participation and validation can help reduce anxiety, creating a supportive and soothing environment for Alzheimer's patients.

Non-Verbal Communication Techniques

For people with Alzheimer's, non-verbal communication techniques can be instrumental in maintaining a tranquil atmosphere. As verbal communication can become strenuous for affected individuals**, non-verbal cues like facial expressions, body language, and tactful touch can aid in communicating emotions** and ideas effectively. Keeping eye contact or resorting to a gentle touch can reassure patients, while simple actions such as smiling or nodding can reflect understanding and empathy. Visual aids such as objects, pictures, or drawings can further facilitate communication. These non-verbal approaches can help to dispel confusion and agitation, fostering an aura of understanding and calm.

Redirecting and Distracting Techniques

For dealing with agitation or shifting the attention of Alzheimer's patients, techniques involving redirection and distraction can be quite potent. In the event of restlessness or agitation in a patient, the initial step should be diagnosing the underlying problem. Once identified, using redirection to divert the patient's attention towards a calming activity or environment can be beneficial. Tactics may include offering a favourite book or puzzle, engaging them with a topic they are fond of, or encouraging them to take part in simple activities, such as folding laundry. Distraction tactics might involve initiating a new activity or indulging the patient in sensory or recreational stimulation. Persistence and adaptability are vital elements to bear in mind, as distinct individuals respond differently. These practices of redirection and distraction can aid in reducing anxiety and fostering a tranquil ambiance for Alzheimer's patients.

Promoting Emotional Well-being

Engaging in Meaningful Activities

Activities that hold profound value to Alzheimer's patients can significantly enhance their sense of purpose and achievement. These endeavors must align with the person's hobbies, abilities, and inclinations. Straightforward tasks such as arranging blooms, folding clothes or organizing things, can aid in the sustenance of cognitive function and physical acumen. Activities derived from the patient's preferred pastimes, maybe a musical instrument or painting, can bring about a wave of positivity, reducing apprehension and restlessness, and uplifting emotional health. A serene and supportive ambiance must be formulated for ease of these activities, with the caregiver providing the necessary reassurances, help, and backing.

Encouraging Social Interaction

The essence of social bonding in Alzheimer's patients' emotional health cannot be undermined. Establishing this takes shape through organizing collective activities that enhance engagement and foster interaction. Simple puzzles, straightforward physical movements, or board games that ignite communication can be used for interaction among patients. Equally, creating an accepting and supportive atmosphere where patients feel at ease can stimulate social bonding. Offering opportunities for them to engage in group discussions aids in fostering these connections. Tailoring the interactions based on each patient's abilities and needs ensures everyone's participation at their own comfort levels. This provision of social bonding helps inculcate a sense of togetherness and connection supporting overall emotional wellness.

Managing Anxiety and Agitation

In the lives of Alzheimer's patients, management of agitation and anxiety is crucial. These feelings often arise from fear, confusion or frustration. Mitigating these anxieties involves creating a calming and peaceful environment - minimizing any noisy disturbances and reducing overstimulating distractions. Implementing a daily routine can also aid in reducing fear as it offers a sense of predictability and constancy. Additionally, offering a sense of comfort and familiarity with recognizable surroundings alleviate feelings of nervousness. Effective communication strategies include active listening, and use of intelligible and concise language, assuming a key role in pacifying these anxieties. It is essential to redirect the patients attention when agitation levels rise, providing other activities to engage their minds.

Bibliography

Li, X., Feng, X., Sun, X., Hou, N., Han, F., & Liu, Y. (2022). Global, regional, and national burden of Alzheimer's disease and other dementias, 1990--2019. Frontiers in Aging Neuroscience, 14, 937486. (https://www.frontiersin.org/articles/10.3389/fnagi.2022.937486/full)
Rayathala, J., Kumar, K., & Venkatesh, P. (2022). Review on Alzheimer's disease: Past, present and future. Journal of Innovations in Applied Pharmaceutical Science (JIAPS), 28-31. (https://saap.org.in/journals/index.php/jiaps/article/download/274/306)
Todd, W. D. (2020). Potential pathways for circadian dysfunction and sundowning-related behavioral aggression in Alzheimer's disease and related dementias. Frontiers in neuroscience. (https://www.frontiersin.org/articles/10.3389/fnins.2020.00910/full)
Mead, R. (2022). Meaningful Music in Dementia Care: Anchoring Within Transient Situations. (https://ore.exeter.ac.uk/repository/bitstream/handle/10871/129291/MeadR.pdf?sequence=1)
Ozcan, M. & Akyar, İ. (2021). Caregivers' experiences of patients with moderate‐stage Alzheimer's disease: a qualitative study. Psychogeriatrics. (https://onlinelibrary.wiley.com/doi/abs/10.1111/psyg.12736)
Theofanidis, D., Fountouki, A., & Kotrotsiou, S. (2021). Nursing Interventions in Alzheimer's Disease: A Concise Practical Guide for Everyday Use. International Journal of Caring Sciences, 14(1), 106. (http://www.internationaljournalofcaringsciences.org/docs/12_theofanidis_original\_%2014_1.pdf)
Scott, T. L., Jao, Y. L., Tulloch, K., Yates, E., Kenward, O., & Pachana, N. A. (2022). Well-being benefits of horticulture-based activities for community dwelling people with dementia: A systematic review. International journal of environmental research and public health, 19(17), 10523. (https://www.mdpi.com/1660-4601/19/17/10523/pdf)
Ghayvat, H. & Gope, P. (2021). ... wellness parameter for preventive well-being monitoring to categorize cognitive impairment and dementia in community-dwelling elderly subjects through AI. Neural Computing and Applications. (https://link.springer.com/article/10.1007/s00521-021-06139-8)
Jack, K., Ridley, C., & Turner, S. (2023). Effective communication with older people. Nursing older people. (https://e-space.mmu.ac.uk/625192/3/Communication%20with%20Older%20People%20FInal%20Main%20Doc%2029.pdf)
Estrada, R. (2021). Listen and you will see the person through the dementia. Journal for person-oriented research. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8886446/)