Instead of lying to hurt or manipulate a person, which is bad, these are fibs used to validate, reassure, and comfort someone with memory loss. The first thing to realize is that telling someone with dementia the truth can be cruel and unkind, causing distress and pain rather than helping them.
Avoid asking too many open-ended questions about the past, as it could be stressful for a person with dementia if they can't remember the answer. While it might seem polite to ask somebody about their day, it's better to focus on what's happening in the present.
Generally, it's best for the physician to explain the diagnosis. New information doesn't always "stick," however, so don't be surprised if someone with Alzheimer's disease continues to ask what's wrong. In such cases, you can offer a reassuring but brief explanation. You may also need to talk to family and friends.
It is recommended that a person with dementia be told of their diagnosis. However, a person has a right not to know their diagnosis if that is their clear and informed preference.
So, dementia care experts often recommend a technique called therapeutic fibbing. It helps you step into their current reality and spare them unnecessary upset and distress. This technique takes some getting used to because going along with your older adult's new reality can feel like you're lying to them.
Alzheimer's disease progressively destroys brain cells over time, so during the early stages of dementia, many do recognize something is wrong, but not everyone is aware. They may know they are supposed to recognize you, but they can't.
Someone with Alzheimer's disease may start rummaging or searching through cabinets, drawers, closets, the refrigerator, and other places where things are stored. He or she also may hide items around the house. This behavior can be annoying or even dangerous for the caregiver or family members.
Administration: The examiner reads a list of 5 words at a rate of one per second, giving the following instructions: “This is a memory test. I am going to read a list of words that you will have to remember now and later on. Listen carefully. When I am through, tell me as many words as you can remember.
In stage 6 of dementia, a person may start forgetting the names of close loved ones and have little memory of recent events.
How should you tell? Choose the place and time carefully and to meet the needs of the person with dementia. Only under very rare circumstances can bad news not wait until morning. Try to arrange to tell the person at a time of day when he or she is rested and in a safe, comfortable, and private place.
Although you may dread telling her, it might serve a form of relief for her to openly talk about her disease and the life issues she is facing. Additionally, withholding the truth about a diagnosis of Alzheimer's or dementia could lead to paranoia later and cause a breach of trust between your mom and yourself.
If a person with Alzheimer's has ongoing disturbing hallucinations or delusions, seek medical help. An illness or medication may cause these behaviors. Medicines are available to treat these behaviors but must be used with caution.
Over time, the disease causing the dementia spreads to other parts of the brain. This leads to more symptoms because more of the brain is unable to work properly. At the same time, already-damaged areas of the brain become even more affected, causing symptoms the person already has to get worse.
In some cases, the short answer is no, they're not aware they have dementia or Alzheimer's. Cognitive impairment can cause people with Alzheimer's, dementia, stroke, brain tumors, and other types of damage in the brain to believe that there's nothing wrong.
Generally, a senior with dementia should go into a care home if you're struggling to meet their needs and your mental and physical health as a caregiver are at risk. The safety of your loved one should also be a key factor in deciding whether it's time for memory care.
Receiving a life-changing dementia diagnosis doesn't strip a person of their humanity or personhood. People with dementia think about the same things that any human thinks about — emotions, relationships, daily life, tasks to accomplish, and more.
The Mini-Cog test.
A third test, known as the Mini-Cog, takes 2 to 4 minutes to administer and involves asking patients to recall three words after drawing a picture of a clock. If a patient shows no difficulties recalling the words, it is inferred that he or she does not have dementia.
The clock-drawing test is a quick way to screen for early dementia, including Alzheimer's disease. It involves drawing a clock on a piece of paper with numbers, clock hands, and a specific time. The inability to do so is a strong indication of mental decline.
The main sign of mild cognitive impairment is a slight decline in mental abilities. Examples include: Memory loss: You may forget recent events or repeat the same questions and stories. You may occasionally forget the names of friends and family members or forget appointments or planned events.
Lying, or untruths, may occur at any stage of dementia, but this symptom generally is more common among seniors with mid- to late-stage dementia and can worsen as the disease progresses.
In addition, individuals with Alzheimer's disease and other dementias frequently become unable to appreciate other people's feelings or needs as sensitively as they once did. As a result, they can seem “selfish” or “self-centered”, and uncaring about other peoples' needs or feelings.
Often when a person with dementia asks to go home it refers to the sense of 'home' rather than home itself. 'Home' may represent memories of a time or place that was comfortable and secure and where they felt relaxed and happier. It could also be an indefinable place that may not physically exist.