Saturday, July 22, 2017

Wandering and the Patient with Dementia


Harry's Home Care offers skilled nursing and personal care support to help patients remain in their own homes. By providing education to family members while attending to patients, Harry's Home Care empowers loved ones to manage wandering and other challenging elements of caregiving.

For family members of individuals with dementia, wandering can be one of the most frustrating and dangerous aspects of the condition to manage. It occurs when cognitive decline means that patients no longer have the ability to know where they are and where they are going. This loss of orientation is mental as well as physical, which means that the patient may head out of the house for a place that he or she used to go years or decades ago.

Whether the person in question sets out for a destination or appears to simply wander aimlessly, the caregiver's difficult task is to keep him or her safe. Many families find that exercise and mental stimulation helps to control the impulse to wander. Some choose the straightforward method of securing doors and windows so that the patient cannot open them easily, while alarms provide warnings if he or she has found a way out.

Other safety strategies focus not on wandering prevention but on supporting a quick return home. Experts recommend that all potential wanderers carry identification, which should include a caregiver's phone number as well as key medical information. Some families are able to equip their loved ones with wearable tracking devices, such as jewelry.

In certain neighborhoods and settings, caregivers can notify those nearby of wandering issues. Many neighbors get to know who nearby has dementia and who to call if they see the person walking about. Brightly colored clothing can help both loved ones and neighbors to identify the wanderer and help get the individual home before she or he travels too far.

Sunday, July 16, 2017

Incontinence Support Tips for Patients and Caregivers


Through Harry's Home Care, qualified professionals offer both medical and daily living services for those who need help living at home. Harry's Home Care provides a variety of supports, including assistance with toileting and continence.

Although inconvenient and often embarrassing, incontinence is a common challenge among older individuals and those with certain medical issues. A caregiver must deal not only with the practical implications of the issue, but also the emotional. It is important for the caregiver to be calm, relaxed, and understanding about the situation, even when the inevitable accidents happen, so that the patient does not feel ashamed.

Another part of the caregiver's role is to help the person avoid accidents and messes whenever possible. A schedule for toileting can often help, particularly if it is informed by an understanding of how often and when the person tends to urinate or defecate. Such a schedule can also help the person to practice bladder control.

Many people also benefit from pelvic floor exercises, which help to strengthen the muscles responsible for controlling urine. Caregivers can help patients to find these muscles by asking them to stop the flow of urine in the middle of the stream. Then, once the patient is off the toilet, he or she can work these muscles by tightening and relaxing them.

Meanwhile, individuals who are incontinent may feel better wearing protective pads and being close to a toilet whenever possible. For some people, this may mean keeping a portable commode in the bedroom, so that sudden urges can be addressed immediately.