“Your Peace of Mind" Part 4

In the below article we offer, some core principles of creating Dementia friendly environments and wellbeing planning. Hot off the press new leading world research for better cognitive health and how we can help and support you to learn more.

Published: 25/07/2024

Supporting Dementia

While creating a dementia-friendly communities and providing reassurance are proven to reduce agitation and the symptoms of people living with dementia, it is important to remember the complexities of this condition when evaluating the right support.

Today, let's delve into these intricacies and explore how they clash with the realities we sometimes face in our community when supporting people living with Dementia.

 

While a dementia friendly environment is undeniably beneficial and crucial, it's important to recognise some potential pitfalls, when evaluating the right support required.

Dementia is a progressive disease, and agitation can arise due to factors beyond our immediate control, below are a few examples and possible solutions the challenges we might face.

At the end of this feature, we explain more about our own Dementia Support Programme and how it might help guide you and your family.

 


 

Dementia Friendly Environments

Proponents of the perfect-environment theory believe that with suitable surroundings and support, agitation in dementia can be minimised. These Dementia Friendly environment suggestions would likely include:

Clear and consistent layouts: Familiar routines and easily identifiable features help with navigation.

Soothing and predictable atmosphere: Minimising clutter, harsh noises, and excessive stimulation reduces confusion.

Routines tailored to the individual: Engaging in familiar hobbies and activities provides a sense of purpose and accomplishment.

Empathetic and trained support: Understanding communication challenges and responding with patience is key.

In theory, this creates a safe and predictable space that reduces triggers for agitation.

NEW 2024 research offers hope!

The Lancet Commission is a world leading medical journal and offers critical insights into better cognitive health.

This study reveals that a significant portion of Dementia cases could be delayed or prevented by addressing modifiable risk factors, many highlighted in the "Your peace of mind" articles on this site.

Supporting unmet needs are essential 

Basic needs such as hunger, thirst, or toileting can cause distress and agitation, it is important that these are monitored.

Recommendations

Look for increased muscle tension, pacing, or changes in eye contact, which can indicate discomfort. Pay attention to vocalisations: Grunts, groans, or sighs can be signals of distress, not just frustration.

Monitor how often the person uses the toilet and offer assistance before urgency arises. Visual cues, use pictures on cabinets or doors to indicate bathrooms or kitchens. Use timers and alarms for gentle reminders can signal upcoming meal or toileting times.

Sensory stimulation, through touch with reassuring items or tools, soothing music or calming scents can create a relaxing environment.

Display visuals presenting pictures of familiar food and drink options on a laminated menu. Portion control, maybe offering smaller, more frequent meals to avoid overwhelm. Have readily available snacks and drinks for easy access.

Allow the person to eat at their own pace and choose preferred utensils if possible.


Supporting underlying medical conditions

Be aware that any pain, infections, or medication side effects can contribute to agitation.

Recommendations

Perhaps it’s time to talk to a doctor this could include medication reviews and adjustments, highlighting potential new symptoms they might be able to adjust the dosage or prescribe a different medication.
Engage in calming activities they enjoy, such as listening to music, reading, or spending time in nature can also be helpful in times of distress.
Validate their feelings and let them know you're there for them. Be Patient, it takes time to manage underlying conditions and their effects.

Supporting communication difficulties

Frustration from being unable to express clearly can lead to frustrating outbursts.

Recommendations

Use pictures, symbols, or even writing things down. Breaking down tasks into smaller steps, using simple language, and allowing extra time for processing can make communication smoother. Pay attention to both verbal and nonverbal cues.
Recognising situations that lead to frustration, consider sensory overload, fatigue, or complex instructions as potential triggers.
Ask your GP for a referral to the speech and language therapist they can assess specific needs and recommend customised strategies for improved communication.

"My favourite dementia book 'From Dementia to Rementia' written by my good friend and dementia support Guru Jackie Pool, offers practical, evidence-based strategies to improve the quality of life for individuals living with dementia, as well as their caregivers. Jackie is a leading expert in the field, provides clear guidance on topics such as nutrition, stress management, communication, memory enhancement, and sleep. By dispelling common myths and fostering hope!"

Christopher Tansley | Managing Director

Supporting the progression of a disability

As dementia progresses, the capacity for self-regulation and coping mechanisms can diminish.

Recommendations

Manage Dementia with foresight, taking proactive steps can significantly elevate quality of life by reducing confusion and anxiety.
Identify preferences and routines, this includes preferred daily activities, mealtimes, and even clothing styles. This can provide a sense of identity, security and control, empowering the people who support to anticipate needs and create a predictable environment.
Your life’s tapestry, potentially as memory fades, cherished moments and important connections can become hazy. Creating a "memory book" filled with photos, names, and anecdotes can be a source of comfort and connection. This can be a collaborative project with those close family and friends, sparking positive reminiscing.
Maintaining a sense of purpose and accomplishment and set small, achievable goals that focus on physical activity, mental stimulation, or hobbies you enjoy. This could be taking daily walks, completing puzzles, or listening to favourite music.
Good planning can create a safety net that eases the challenges dementia presents.

Don't Face Dementia Alone, we are ready to help you.

Our specialist Dementia Support Programme is tailored to the severity of your symptoms, providing extra support where you need it most. We combine practical and physical support with emotional advice and recommendations to maximise the quality time you have at home and in your community.

We can help you with the right planning and support at home, to overcome daily challenges by:

  • Understanding your symptoms – Working together to achieve the support required.
  • Improving well-being – Encourage healthier living and meaningful connections.
  • Planning to live well - Promoting your independence and social experiences.
  • Defining your independence - Documenting your preferences for others to clearly follow.

Get the right home support you deserve; Contact our friendly team today on 0115 8800911