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Strategies For Persons with Developmental Disabilities Having symptoms of Alzheimer's. Memory. Just a line to say I’m living, that I’m not among the dead; though I’m getting more forgetful and mixed up in my head.
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Strategies For Persons with Developmental Disabilities Having symptoms of Alzheimer's
Memory Just a line to say I’m living, that I’m not among the dead; though I’m getting more forgetful and mixed up in my head. For sometimes I can’t remember when I stand at the foot of the stairs if I must go up for something or I’ve just come down from there. And before the refrigerator, so often my poor mind is filled with doubt, have I just put food away or have I come to take some out? I’ve got used to my arthritis, to my dentures I’m resigned, I can manage by bifocals, but, Oh God, I miss my mind!
Alzheimer's Losses Language skills Short Term Memory New learning ability Judgment, planning and foresight Inhibition/impulse control Reasoning and abstracting Sense of intimacy
Behavioral Changes Pacing Fearfulness Rummaging Sexual comments Hand wringing Hallucinations/Delusions Agitation Withdrawal Insistence Public Masturbation Repeating questions
Physical Factors • Urinary tract infections • Bowel impaction • Dehydration • Seizures • Pain/discomfort • Mood swings
Strategies • Provide quiet time • Alleviate boredom • Avoid many changes • Keep choices simple • keep consistent schedule • Reduce stimuli • Provide decaf beverages • Limit length of conversation
Communication Techniques • Make direct eye contact • Identify yourself • Use calm, clear voice • Eliminate background noise • Use short, simple sentences • Use one-step commands • Ask yes/no questions • Use word cues
Written Communication Label the environment Keep a schedule of the day Use notes as reminders Non-Verbal Communications Use an open, gentle approach Hold out items Wave goodbye Use expression of concern Nod your head
Use the R’s • Remain calm • Respond to feelings • Reassure the person • Remove yourself • Return later
And Also: • Be aware of client needs, information and resources available • Identify aspects of disease and screen their problems • Provide treatment through program development • Advocate and refer for further treatment
Programming • Reality Orientation:Brings information regarding time, place, person, and things • Sensory Stimulation: Activities are presented to accentuate a particular sense • Re-socialization: Uses group techniques to stress interpersonal relationships