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Caregiving Issues and Sources of Stress. Variable symptomsProcess of an official diagnosisVague informationUnclear diagnosisVague estimates of rate of progression. Caregiving Issues and Sources of Stress. Changes in your partnershipIncreased responsibilitiesCh
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1. Coping Tools for Caregivers The Dementia Conference 2008
March 29, 2008
Sarah K. Lageman, Ph.D.
Mayo Clinic, Rochester, MN
2. Caregiving Issues and Sources of Stress Variable symptoms
Process of an official diagnosis
Vague information
Unclear diagnosis
Vague estimates of rate of progression
3. Caregiving Issues and Sources of Stress Changes in your partnership
Increased responsibilities
Changed future plans and goals
Concern about the future
Medical
Assisted care needs
Finances
Safety
4. Changes in Your Daily Routines Sleep problems
Poor eating habits
Increased smoking or drinking
Less exercise
Less recovery time for your own illnesses
Less care to your own medical needs
5. Symptoms of Caregiver Stress Sadness
Depression
Guilt
Grief
Loneliness
Irritability
Frustration
Anger
Difficulty concentrating and making decisions Insomnia
Weight changes
Appetite changes
Reduced personal care
Reduced participation in personally meaningful activities
6. Coping Skills Diverse sources of support
Self
Other individuals
Groups
Mental health professionals
7. Personal Coping Skills Self-care behaviors
Exercising
Listening to music, reading
Getting massages, taking baths, etc.
Participation in meaningful activities
Working
Hobbies
Volunteering
Breaks from caregiving
8. A Support Network of Individuals Family members
Supportive
Helpful with specific tasks
Distant
Friends
Fun
Assistance
Problem-solving help
Caregiving mentors
9. A Support Network of Groups Religious or spiritual groups
Adult Day Care Centers
Support Groups
Alzheimer’s Association
Association of Frontotemporal Dementia
State Departments of Aging
10. Mental Health Professionals Psychologists
Individual Therapy
Supportive
Cognitive-Behavioral
Group Therapy
Psychiatrists
Social Workers
11. Topics of Psychotherapy Adjustment
Diagnosis
Changes in your partnership
Problem-solving challenges
Initiating change
Information about care options
Help making and feeling comfortable about decisions
12. Topics of Psychotherapy Emotional Issues
Depression
Anxiety
Anger
Guilt
Fear
Misconceptions about caregiving
Re-development of personal goals
13. National Resources Alzheimer’s Association
www.alz.org or 1-800-272-3900
Search for Chapters in your area
Coach Broyles’ Playbook for Alzheimer’s Caregivers: A Practical Tips Guide (www.alzheimersplaybook.com)
http://www.alzforum.org for general information about Alzheimer’s Disease
14. National Resources Alzheimer’s Association
http://www.alzforum.org/dis/car/default.asp for caregiving information
www.alz.org/carefinder/index.asp for Carefinder, a national tool to help people choose home and residential care providers based on individual needs and preferences
15. National Resources Alzheimer's Disease Education and Referral Center (ADEAR) at 1-800-438-4380 or http://www.nia.nih.gov/alzheimers
National Respite LocatorService 1-800-773-5433 (toll-free) www.respitelocator.org
Eldercare Locator1-800-677-1116 (toll-free)www.eldercare.gov
16. National Resources National Association of Area Agencies on Aging202-872-0888www.n4a.org
Meals on Wheels Association of America703-548-5558www.mowaa.org
National Adult Day Services Association1-877-745-1440 (toll-free)www.nadsa.org
17. National Resources Family Caregiver Alliance at 1-800-445-8106 or http://www.caregiver.org/caregiver/jsp/home.jsp
Fact sheet on Taking Care of YOU: Self-Care for Family Caregivers (http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=847)
Fact sheets on Alzheimer’s Disease and Dementia
Handbook for Long-Distance Caregivers
50-State Searchable Resource Map
18. National Resources For information on day care, in-home care, and hospice care:
National Council on Aging at http://www.ncoa.org/ or 202-479-1200
National Association for Home Care and Hospice at www.nahc.org/
National Hospice and Palliative Care Organization at www.nhpco.org/ or 703-837-1500
19. National Resources The Association of Frontotemporal Dementias
http://www.ftd-picks.org/
http://www.ftd-picks.org/?p=caregiver.managing for managing difficult behaviors
Lewy Body Dementia Association
http://www.lewybodydementia.org/ with links for information and caregiver resources
20. State Resources Minnesota Department of Human Services
http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=Aging for Aging section with Home and Community Services link
North Dakota Department of Human Services
http://www.nd.gov/dhs/services/adultsaging/ for Adults and Aging Services
Family Caregiver Support Program
21. Library Resources Mayo Clinic on Alzheimer's Disease (Distributed by Kensington Publishing Corp., New York, NY; ISBN 1-893005-22-4
The Best Friends Approach to Alzheimer's Care," by Virginia Bell, M.S.W., and David Troxel, M.P.H. ISBN: 1-878812-35-1
Alzheimer's Disease. Published by the American Academy of Neurology and available from the AAN Online Store at www.aan.com.
22. Resources Mental Health Professionals
American Psychological Association at www.apa.org or 1-800-964-2000 to connect with the referral service of the state psychological association
Association for Behavioral and Cognitive Therapies at http://aabt.org/ or (212) 647-1890
Ask about experience with caregiving issues and knowledge about dementias
23. Challenges Identifying barriers to self-care
Initiating changes
Small action steps
Record behaviors and goals
Knowing what changes to try
24. Develop a Team Yourself
Your support network
Medical care team members
Members from resource agencies for individuals with dementia and caregivers