Dementia’s Impact on Fall Risks

The National Council on Aging has many resources to help adults build a foundation for longevity and prevent falls.  Currently, 1 in 3 adults 65+ falls each year.  Fall risks are usually the product of a combination between physical condition and environment; however, individuals with dementia are actually 4-5 times more likely to experience falls than older people without the disease.  There are many different types of brain disease that cause a wide range of physical and mental complications.  Here are a few common ways that dementia increases the risk of a  fall and what to watch for in a loved one with dementia:

Disorientation:  A large part of our stability involves awareness of surroundings, judging distances, knowing where we are and what we can expect from our environment.  When individuals with dementia become disoriented not only can they lose their ability to judge an environment properly, their increase anxiety puts them at greater risk.

Changes in gait and mobility:  As parts of the brain that coordinate our fine and gross motor skills are impacted by dementia, the way we walk and move changes dramatically.  Some types of dementia such as Parkinson’s can have a greater impact on ambulation and coordinating movement.  These changes may occur slowly over time and often a fall will alert family to the extent of the changes.

Changes in vision, hearing, and balance:  Our senses naturally decline with age; however for those with a dementia, the parts of the brain that coordinate our hearing, vision, and balance can be greatly impacted very quickly.  Any one of these senses contributes to our stability as we make our way through our homes and communities.

No memory of present condition/ mobility limits:  The different types of dementia are often associated with a range of difficult behaviors.  These may include yelling, unfiltered speech, repeating questions, refusal of care, etc.  Wandering is quite common in those with dementia as well as a desire to return home for those in a memory care facility.  This behavior uniquely impacts the risk of a fall as individuals can be so focused on getting where they are going that they are not able to take precautions in moving safely.  Increased agitation can compound this situation as well.

Dehydration:  As we age, we naturally feel less thirsty.  This can put seniors at risk for dehydration and range of other complications such as urinary tract infections.  For those with dementia who are not able to remember their needs, this is particularly an issue.  Dizziness or lightheadedness and headache from dehydration can greatly increase the risk of a fall in addition to these other complications.

Difficulty problem solving and adapting to new environments:  Many times families will rely on professional facilities to provide nursing and day-to-day care for a loved one with dementia, especially during the mid to end stages of the disease.  Adapting to these new environments would be difficult for anyone, but especially for those with dementia.  Confusion and an inability to problem solve can increase the risk of a fall as individuals with dementia lose their sense of what is safe or not safe to do in a particular environment.

Hallucinations/ delusions:  Some types of dementia can cause individuals to have hallucinations or delusions.  These types of experiences can erroneously heighten their sense of danger and cause them to behave rashly.   The increased anxiety and false sense of reality can increase the risk of a fall.

Lack of judgement/ inhibition:  The frontal lobe of the brain is the command center, filter and brake pedal for our actions.  It is the rational voice that says, you probably shouldn’t say that or do that action.  When dementia impacts this part of the brain, those filters and brake pedals deteriorate and no longer inhibit individuals with the disease.  This changed judgement and fading access to memory can greatly increase the risk of a fall as the individual may no longer be able to appropriately judge the limits of their environment and body.

If you are a caregiver providing or coordinating care for a loved one with dementia, we understand how complex and emotionally challenging the responsibility can be.  Our well-being has many components.  In fact, our lives are surrounded by a complex web of needs and desires.  When a loved one is diagnosed with a type of dementia, it is common for a spouse or adult children to become the hub of care, managing several categories of needs.  Professional Care Managers are pivotal in assisting families at the hub to simplify, coordinate, and proactively guide the care of a love one.

Side note from the blogger:  This is an article I found from a publication put out for seniors in my community.  The publication is produced by our sheriff’s office and is called S.A.L.T. (Seniors and Law Enforcement Together) Times.  The only notation as to it’s original source is Sound Options.  I would like to give proper credit to the original writer of this article, if anyone can help me find the author I will make sure they’re given credit where credit is due.

 

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How can you do a job like that? I could NEVER do something like that!

love best medicine

When I began my journey as a caregiver I had people asking me how I could do such a thing, that they would never be able to do that.  They wanted to know how I could stand to see to the most personal needs of my father and then grandfather.  They couldn’t understand how I could find the compassion and patience to spend 30 to 45 minutes feeding my dad four or five times a day.

The simple answer is they’re family and that’s what family does.  The deeper explanation is, they did it for me.  From the time I was born my family has been there caring for me.  THEY changed my diapers.  THEY fed me.  THEY dressed me.  THEY bathed me.  I spit up and threw up on THEM.  I bled on THEM.  When I cried THEY comforted me.  THEY taught me, loved me and encouraged me.  How can I not reciprocate when THEIR time of need comes?

To that people will often concede the point but now that I have lost both Dad and Grandpa they ask why I continue to do this for strangers.

The honest truth is two-fold.  First of all, once I meet the people I am charged with providing care for they are no longer strangers.  They become surrogate family members.  I care for who they are as a person.  I try to learn about who they are, what makes them happy and how to encourage them.   They often have as much of a positive influence on my life as I hopefully have on theirs.

Second, I think of all the people outside of my family who had an impact on who I am today … teachers, neighbors, family friends, camp counselors, clergy, and random strangers providing random acts of kindness.  Most of these people are no longer in my life, but each of the people I care for were the teachers, neighbors, family friend, camp counselor, clergy or random stranger providing random acts of kindness for someone else.  So in my mind, in some odd concept of karma or whatever way you’d put it, I am returning the favor to a stranger in hopes that someone else is doing the same for those non-family members who had a positive influence on my life.

I have another reason for doing what I do.  I have seven wonderful nephews and four awesome nieces.   I believe the best way to show the future generation how to be compassionate, active, caring adults is by example.  I hope that by demonstrating to them how we should care for our family and strangers that I will have done my part to make the future just that much brighter.

So, to answer the question “How can I do something like what I do?”

I do it joyfully with hope, compassion and love.

Dementia friendly activity … plus something yummy to eat!

Looking for a healthy but yummy snack?  Want something easy that you can involve your loved one in preparing?  Need a dementia friendly activity?  Need a way to encourage an appetite? Have fun making these delicious

Chocolate Peanut Butter Oatmeal

No-Bake Cookies

pnut butter choc cookies

Sugar-Free Chocolate Oat Cookies

Yield: 3 dozen

Ingredients

  • 3 cups quick-cooking oats
  • 3/4 cup honey
  • 2/3 cup natural peanut butter, optional
  • 1/2 cup coconut oil
  • 1/3 cup unsweetened cocoa powder
  • 1 1/2 teaspoon vanilla extract
  • 1/4 teaspoon salt

Directions

  1. Line 2 baking sheets with parchment paper.
  2. In a medium saucepan over medium-high heat, combine honey, peanut butter and coconut oil, stirring until everything blends together smoothly.
  3. Stir in oats, cocoa powder, vanilla and salt and mix until everything is fully incorporated and coated.
  4. Use a spoon or small ice cream scoop to drop cookies down onto parchment-lined baking sheets, then place in freezer for at least 15 minutes to set.
  5. Store in an airtight container either in the fridge or freezer (depending on how you like them) and enjoy!

Recipe adapted from 12 Tomatoes http://12tomatoes.com/2015/04/healthy-sugarfree-cookies-nobake-chocolate-oat-cookies.html

Dementia’s Impact on Fall Risks

The National Council on Aging has many resources to help adults build a foundation for longevity and prevent falls.  Currently, 1 in 3 adults 65+ falls each year.  Fall risks are usually the product of a combination between physical condition and environment; however, individuals with dementia are actually 4-5 times more likely to experience falls than older people without the disease.  There are many different types of brain disease that cause a wide range of physical and mental complications.  Here are a few common ways that dementia increases the risk of a  fall and what to watch for in a loved one with dementia:

Disorientation:  A large part of our stability involves awareness of surroundings, judging distances, knowing where we are and what we can expect from our environment.  When individuals with dementia become disoriented not only can they lose their ability to judge an environment properly, their increase anxiety puts them at greater risk.

Changes in gait and mobility:  As parts of the brain that coordinate our fine and gross motor skills are impacted by dementia, the way we walk and move changes dramatically.  Some types of dementia such as Parkinson’s can have a greater impact on ambulation and coordinating movement.  These changes may occur slowly over time and often a fall will alert family to the extent of the changes.

Changes in vision, hearing, and balance:  Our senses naturally decline with age; however for those with a dementia, the parts of the brain that coordinate our hearing, vision, and balance can be greatly impacted very quickly.  Any one of these senses contributes to our stability as we make our way through our homes and communities.

No memory of present condition/ mobility limits:  The different types of dementia are often associated with a range of difficult behaviors.  These may include yelling, unfiltered speech, repeating questions, refusal of care, etc.  Wandering is quite common in those with dementia as well as a desire to return home for those in a memory care facility.  This behavior uniquely impacts the risk of a fall as individuals can be so focused on getting where they are going that they are not able to take precautions in moving safely.  Increased agitation can compound this situation as well.

Dehydration:  As we age, we naturally feel less thirsty.  This can put seniors at risk for dehydration and range of other complications such as urinary tract infections.  For those with dementia who are not able to remember their needs, this is particularly an issue.  Dizziness or lightheadedness and headache from dehydration can greatly increase the risk of a fall in addition to these other complications.

Difficulty problem solving and adapting to new environments:  Many times families will rely on professional facilities to provide nursing and day-to-day care for a loved one with dementia, especially during the mid to end stages of the disease.  Adapting to these new environments would be difficult for anyone, but especially for those with dementia.  Confusion and an inability to problem solve can increase the risk of a fall as individuals with dementia lose their sense of what is safe or not safe to do in a particular environment.

Hallucinations/ delusions:  Some types of dementia can cause individuals to have hallucinations or delusions.  These types of experiences can erroneously heighten their sense of danger and cause them to behave rashly.   The increased anxiety and false sense of reality can increase the risk of a fall.

Lack of judgement/ inhibition:  The frontal lobe of the brain is the command center, filter and brake pedal for our actions.  It is the rational voice that says, you probably shouldn’t say that or do that action.  When dementia impacts this part of the brain, those filters and brake pedals deteriorate and no longer inhibit individuals with the disease.  This changed judgement and fading access to memory can greatly increase the risk of a fall as the individual may no longer be able to appropriately judge the limits of their environment and body.

If you are a caregiver providing or coordinating care for a loved one with dementia, we understand how complex and emotionally challenging the responsibility can be.  Our well-being has many components.  In fact, our lives are surrounded by a complex web of needs and desires.  When a loved one is diagnosed with a type of dementia, it is common for a spouse or adult children to become the hub of care, managing several categories of needs.  Professional Care Managers are pivotal in assisting families at the hub to simplify, coordinate, and proactively guide the care of a love one.

Side note from the blogger:  This is an article I found from a publication put out for seniors in my community.  The publication is produced by our sheriff’s office and is called S.A.L.T. (Seniors and Law Enforcement Together) Times.  The only notation as to it’s original source is Sound Options.  I would like to give proper credit to the original writer of this article, if anyone can help me find the author I will make sure they’re given credit where credit is due.

 

How can you do a job like that? I could NEVER do something like that!

love best medicine

When I began my journey as a caregiver I had people asking me how I could do such a thing, that they would never be able to do that.  They wanted to know how I could stand to see to the most personal needs of my father and then grandfather.  They couldn’t understand how I could find the compassion and patience to spend 30 to 45 minutes feeding my dad four or five times a day.

The simple answer is they’re family and that’s what family does.  The deeper explanation is, they did it for me.  From the time I was born my family has been there caring for me.  THEY changed my diapers.  THEY fed me.  THEY dressed me.  THEY bathed me.  I spit up and threw up on THEM.  I bled on THEM.  When I cried THEY comforted me.  THEY taught me, loved me and encouraged me.  How can I not reciprocate when THEIR time of need comes?

To that people will often concede the point but now that I have lost both Dad and Grandpa they ask why I continue to do this for strangers.

The honest truth is two-fold.  First of all, once I meet the people I am charged with providing care for they are no longer strangers.  They become surrogate family members.  I care for who they are as a person.  I try to learn about who they are, what makes them happy and how to encourage them.   They often have as much of a positive influence on my life as I hopefully have on theirs.

Second, I think of all the people outside of my family who had an impact on who I am today … teachers, neighbors, family friends, camp counselors, clergy, and random strangers providing random acts of kindness.  Most of these people are no longer in my life, but each of the people I care for were the teachers, neighbors, family friend, camp counselor, clergy or random stranger providing random acts of kindness for someone else.  So in my mind, in some odd concept of karma or whatever way you’d put it, I am returning the favor to a stranger in hopes that someone else is doing the same for those non-family members who had a positive influence on my life.

I have another reason for doing what I do.  I have seven wonderful nephews and four awesome nieces.   I believe the best way to show the future generation how to be compassionate, active, caring adults is by example.  I hope that by demonstrating to them how we should care for our family and strangers that I will have done my part to make the future just that much brighter.

So, to answer the question “How can I do something like what I do?”

I do it joyfully with hope, compassion and love.

Dementia friendly activity … plus something yummy to eat!

Looking for a healthy but yummy snack?  Want something easy that you can involve your loved one in preparing?  Need a dementia friendly activity?  Need a way to encourage an appetite? Have fun making these delicious

Chocolate Peanut Butter Oatmeal

No-Bake Cookies

pnut butter choc cookies

Sugar-Free Chocolate Oat Cookies

Yield: 3 dozen

Ingredients

  • 3 cups quick-cooking oats
  • 3/4 cup honey
  • 2/3 cup natural peanut butter, optional
  • 1/2 cup coconut oil
  • 1/3 cup unsweetened cocoa powder
  • 1 1/2 teaspoon vanilla extract
  • 1/4 teaspoon salt

Directions

  1. Line 2 baking sheets with parchment paper.
  2. In a medium saucepan over medium-high heat, combine honey, peanut butter and coconut oil, stirring until everything blends together smoothly.
  3. Stir in oats, cocoa powder, vanilla and salt and mix until everything is fully incorporated and coated.
  4. Use a spoon or small ice cream scoop to drop cookies down onto parchment-lined baking sheets, then place in freezer for at least 15 minutes to set.
  5. Store in an airtight container either in the fridge or freezer (depending on how you like them) and enjoy!

Recipe adapted from 12 Tomatoes http://12tomatoes.com/2015/04/healthy-sugarfree-cookies-nobake-chocolate-oat-cookies.html

Dinner with Dad

This story struck a chord in me.  When my dad was still able to be out and about I took him to a restaurant for a meal.  He was struggling at the time with the concept of silverware and “proper” table manners.  I wish I could have received the same reaction as the son in this story.

I found this short heartwarming story on Shareably.com.  I decided to pass it on here, thanks for the read!

A son took his old father to a restaurant for an evening dinner.

The father being very old and weak, dropped his food on his shirt and trousers.  Other diners watched him in disgust while his son was calm.

After he finished eating, his son who was not at all embarrassed, quietly took him to the washroom, wiped the food particles, removed the stains, combed his hair and fitted his spectacles firmly.  When they came out, the entire restaurant was watching them in dead silence, to able to grasp how someone could embarrass themselves publicly like that.

The son settled the bill and started walking out with his father.

At that time, an old man amongst the diners called out to the son and asked him, “Don’t you think you have left something behind?”

The son replied, “No sir, I haven’t.”

The old man retorted, “Yes, you have!  You left a lesson for every son and hope for every father.”

The restaurant went silent.

To care for those who once cared for us is one of the highest honors.  Share this if you agree.