Ideas to give Elders and Dementia/Alzheimer’s seniors good care with routines..by francy Dickinson
Dear Francy; Dad moved in two months ago and stays in bed all day. What can I do to get him up and out?
Good Care Secret? ROUTINE
Many people lose their routines when they retire or suffer a loss of a spouse or a health change. It is a normal for them to react…they just cope. So, if you are unable to get them professional care…then YOU have to be the care giver with the mostest….and that means YOU return the senior to ‘a routine’. You might remember back to when you were raising or helping others raise their children…children respond to life so much stronger with a routine in place….well…this is just like that…the more you pre-program the day with activities that are repeated…the more secure the senior feels and the more they respond in kind.
I say this with love…because it means that YOUR own life is changed…you, have to live for another and it is very challenging…trust me — I live it. But here are the rules:
RULES FOR DAILY ROUTINE:
- You will do the routine for two days and then take a break. So we have two days on and one day off. That off day means you can sleep in or do your own morning routine.
- You will have an up attitude, even when you are down, sick or tired. That is what it means when you ‘give care’ You are giving not taking.
- You will think through a routine and write it down and then make it your own.
FRANCY’S ROUTINE WITH GEORGE:
George hates to get up in the morning. So I do not pressure that…I allow him to rest. He has Alzheimer’s and Parkinson’s so there are loads of issues for him. But what to remember is that everyday…is a new day in his mind…so it has to be a new day in my mind too.
I bring him breakfast and tell him that he has to get up in 1/2 hour and then I take note of the time. I either rest, or go and get things done in the house while he is eating and then return at the set time for him to get up. I make sure he has taken his meds then I get him up and bring him into the bathroom. Usually, he has already gone to the toilet…so I begin with him sitting on his bath bench facing out into the bathroom – or facing me standing right next to him. It is a good height and easy for him to get up and down from this sitting position.
I start him by asking him to remove his upper clothes and as he does that I go and get his clean clothes for the day. I always put out an under shirt and a thermo-shirt and then a flannel shirt or nice sweat shirt (sometimes with an added vest.) <Why so much? Seniors often have a problem with feeling cold and to keep the house temp in order…I layer his clothing>
Once he is undressed on top: I then get warm water and give him a wash cloth and he does his personal wash up, then deodorant Twice a week we do a bath; the other days it is this procedure instead. <Many elders become worried about water and a bath is hard to get them to do…so this is a short clean, if the problem with the bath continues, then hire a bath person to come once a week and you do the clean up ea day in-between>
Then I help him dress with his undershirt, his thermo-shirt and have him stay seated.(I do not add the rest of the tops until he is done with all of his clean up and ready to exit the bathroom) Still in his sitting position: I then have him do his leg exercises that keep his calves strong. <This exercise keeps the falling down to a min. The calves are the point that helps us stay up and balanced> He will sit and lift one leg out straight and then do flex and point of his foot for a 20 count. Keeping the leg out and straight the whole time. Then we change to the other leg. I do the flex and point with a slow (one-and two- and three…so the point is on the number and the flex is on the and count– up to 20) You can do this a round of one or two…depending on how strong the legs are and if they have fallen within the last month. If so, repeat the 20 count routine on both sides.
He stays in a sitting position and we take off his socks. I let him do it and he bends down and then takes off his pajamas and his Depends…he then cleans up with a fresh wash cloth, just like we did with his torso and then sits back down. I make sure his feet are done and I help him with this so he can be steady. I then apply a moisturizer for his legs and feet and he has to rub it in. It will require him to bend over; so I stay close and hold his shoulders so he does not fall while he rubs in the moisturizer all over his lower leg & feet. If there is fungus on his toes we do the drops at this time. The skin there gets very flaky and we want it healthy, clean and moist. <This is when you notice if there are any sore spots or red spots. If so you talk to the doctor right away by phone and get guidance Any sores on legs or feet are serious and hard to heal…get help —fast>
I then (while in a sitting position) have him put on his new Depends to the knees and add his sweatpants to his knees and then he stands and we pull them up. He sits down and we add his socks and slippers. He then gets up and goes to the sink and I have him do his shaving on his own. Then I remind him of his mouthwash, his floss and then he sits back down to do his Sonicare. Now you may or may not have a Sonicare…but I feel they have saved our teeth. They are an investment, but they do such a good job when you are unable to move your arms well to do your teeth. <Obviously if using false teeth you would have them soaking while you did the body clean and rinse and put the teeth in fresh and ready to go. You never brush false teeth they are made of material that is to be cleaned with a Polident-type of soaking once a day to keep the mouth fresh and you would have your senior rinse their mouth with mouthwash before the teeth are put in again.>
Now he is back standing at the sink: I have him use a wash cloth and get it very warm water and let George go over his face. Then I use a sugar scrub…it is designed for the face. Or you can use a cleanser for the face with beads in it to remove the dead skin on the face and leave it looking fresh and healthy. George moves and scrubs the scub all over his face up into his brow and hairline and his eye brows. Then he takes the hot wet wash cloth and cleans it off the scrub…rinsing and cleaning until the scrub is gone. Then he puts on Oil of Olay. <Any moisturizer is good, this one is easy for a guy to use and It is designed as a nice face moisturizer and it goes all over the skin of the face and ears and chin. it has SPF in it so the sun will be kept away from delicate facial skin and ears. Now he is clean and ready to leave the bathroom.
I remove all his clothing that has to be washed and put it in the closet in a large clothes hamper and do a load twice a week of his clothes alone. < It is “SO-OOO” important to keep the bathroom and clothes clean, the bed linens and towels clean too! The ability to have bed sores and infections in small cuts and scraps are very high – when a person is older and their body is not as healthy as it used to be. Clean everything…be a freak…or hire it done. Its your choice.>
George then goes out to the living room. Where I have a straight back chair. I put a small pillow on the chair for his comfort and he sits down. From here he does his exercises. He will first do a stand – squat – stand and slowly sit. This is an exercise that allows his thighs and bum to learn how to sit and stand from a chair, again. I use the term stand as (solider with his straight arms down to his side – I say squat and he does and I move my arms to the front so he remembers that he has to balance his body with his arms. Then I say solider again and he goes into the straight standing position with his arms straight down to his side and then I use my voice “Slowly down” for him to sit in a slow motion….then it is repeated for at least 10 times. If we do this 4 times a week…his body responds well…if we do it less…he forgets the routine and his muscles get weak again. That is when he begins to fall and it goes down from there…
I have learned that his routine is really ‘my routine’ and the more we are able to stick to it..the better his body and muscles respond.
From there I do arm exercises and I will do a little video for you to use if you like. I will add it in to this blog when I get it done.
After we are through I help him back into his chair and have him do 3 really deep breaths to load up his brain with oxygen. Breathing-in with the nose and out with the mouth. The is the beginning of his day…from here he rests and we do what ever our day holds. But I do this as often as I can. YES…it is a pain — NO he is not always nice to me while we do it — YES I have to push him each time — NO he does not remember the exercises or the toilet routine —YES it does make a difference in the quality of his day forward.
It’s a routine that takes about 1 hour and 30 minutes because he is slow. But it sets the tone for a full day of healthy, happier emotions and the attention makes him feel wanted and I always give him a full cheer-leading routine as he is going through is paces.
I know you can do it. It would be done like this at a professional care facility…so I think doing it at home makes the ability of the senior to stay in good health and strong all the longer. I feel that Alzheimer’s is going to take over George…but we can hold it off by keeping him fit and clean and happy in his day
Blessings on all that you do each day for your senior. Francy