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.
When people living with mid- or late-stage dementia who live in a facility or are hospitalized say, “I want to go home,” what they're really saying is, “I'm uneasy,” or “I'm scared.” Reassure the individual that they are safe and you are there with them.
Ultimately it's better to visit three times per week for 20 minutes than once a week for an hour. Do not go on outings until your loved one is totally adjusted to their living situation, and then only if you think it would be helpful and not confusing. Come with a friend or someone else who knows the person.
Some people with dementia choose to live alone. You may feel happier and more in control in your own home, where you can keep your routines and stay in your community. Keeping your independence may also be important to you. Some people live alone because of their circumstances.
In the final stage of the disease, dementia symptoms are severe. Individuals lose the ability to respond to their environment, to carry on a conversation and, eventually, to control movement. They may still say words or phrases, but communicating pain becomes difficult.
In stage 6 of dementia, a person may start forgetting the names of close loved ones and have little memory of recent events.
People with dementia think about the same things that any human thinks about — emotions, relationships, daily life, tasks to accomplish, and more. Receiving a life-changing diagnosis of dementia does not strip a person of their humanity and personhood.
other long-term health problems – dementia tends to progress more quickly if the person is living with other conditions, such as heart disease, diabetes or high blood pressure, particularly if these are not well-managed.
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.
The average life expectancy figures for the most common types of dementia are as follows: Alzheimer's disease – around eight to 10 years. Life expectancy is less if the person is diagnosed in their 80s or 90s. A few people with Alzheimer's live for longer, sometimes for 15 or even 20 years.
Telling the truth could be cruel
So when we hear about using therapeutic fibbing to lie to someone with dementia, it might seem cruel and wrong at first. But always sticking to the truth, especially about an emotional subject or something trivial, is more likely to cause your older adult pain, confusion, and distress.
Providing the person doesn't appear to be uncomfortable or distressed, then sleeping more during the day isn't normally a reason to be worried. However, if a person is lying down in bed and asleep for most of the time they will need to be looked after to make sure they don't develop any physical health problems.
Stage seven is the final stage of the dementia progression. At this stage, most people will have no ability to speak or communicate. They will require assistance with most daily activities including walking, dressing, bathing, and toileting. This stage requires 24-hour care and assistance.
In the middle stage of dementia, symptoms become more noticeable and the person will need more support in managing daily life. This stage of dementia is often the longest. On average it lasts about two to four years.
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.
Pain is one of the most common symptoms that people with dementia experience. However, often it is poorly recognised and undertreated in dementia. The main reason for this is that, as dementia progresses, the person's ability to communicate their needs becomes more difficult.
Palliative care is for anyone diagnosed with a life-limiting condition, including dementia. It focuses on making a person's quality of life as good as possible by relieving discomfort or distress. A person can receive palliative care for any length of time, from a few days to several years.
It is quite common for a person with dementia, especially in the later stages, to spend a lot of their time sleeping – both during the day and night. This can sometimes be distressing for the person's family and friends, as they may worry that something is wrong.
Individuals with dementia often have anxiety which can make them feel nervous, worried, or cause them to not want to be left alone or out of sight of their caregivers.
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.
As dementia progresses it is common to experience memory loss, confusion, difficulty with language, problems with thinking, judgement, and decision-making. People with dementia should not be living alone without care if they are suffering any cognitive impairment that could lead to them coming to any harm at home.