For Some With Alzheimer's, Occupational Therapy Can Bring Welcome Relief09/06/13
FRIDAY, Sept. 6 (HealthDay News) -- Putting mirrors in
unexpected places and keeping old photo albums handy might just
make life a bit easier for people with Alzheimer's and those who
live with and care for them.
They're among suggestions offered by occupational therapists as
ways to modify daily life as the degenerative brain disease takes
"In some cases, occupational therapy has been overlooked for Alzheimer's disease, but it can make such a difference in keeping people at home when you learn how to set up the environment for success and safety," said Chad Morton, an occupational therapist who's managing director of therapy services for Amedisys Home Health Services in Baton Rouge, La.
According to the American Occupational Therapy Association,
occupational therapy can help people with Alzheimer's and their
- Helping the person with Alzheimer's do things
- Keeping the person with Alzheimer's safe,
- Preventing falls and other injuries,
- Safeguarding against wandering,
- Helping families maintain an emotional connection.
"Our primary objective with occupational therapy is to keep people as independent as possible and doing their activities of daily living -- like eating, bathing, dressing and grooming," Morton said. "We can attempt to rehabilitate anything that's important to a person.
"It's important to identify what remaining abilities they have," he added. "In most cases, they aren't going to be able to learn new things, but you can prolong their ability to self-care by using procedural memory."
That means setting up patterns and routines that need to be the
same every day. Then, with cues, the person taps into his or her
procedural memory, explained Jill Dennis-Perez, an occupational
therapist and clinical specialist at the Center of Excellence at
the New York Visiting Nurse Service.
"Once you learn how to ride a bike, you always know how to ride a bike," she explained. "We do the same thing over and over again in the same manner. So when someone is getting dressed, they need to do it in exactly the same order every day. Blouse first, then trousers, then socks, then shoes. It's the same sequence every day. An external cue, like an alarm clock, can remind them to do certain tasks, instead of a person having to tell them what to do."
The more experience an occupational therapist has, the better
your chance of gleaning some unusual tips about caring for someone
with Alzheimer's. For example, Dennis-Perez said that a simple way
to help prevent wandering, a common issue with the disease, is to
place a mirror on the doors that lead outside. It's unexpected and
may distract the person long enough to forget the original idea of
Both Morton and Dennis-Perez emphasized the importance of
altering the home environment to accommodate the person with
"Being able to go to the home and see the home environment is so important," Morton said. "Sometimes, adapting the environment is as simple as removing throw rugs and installing grab bars in the bathroom. If you can keep them as independent as possible, it will improve their quality of life, and it will ease the caregiver's burden."
Other tips? When someone with Alzheimer's gets flustered or
agitated, which is another common occurrence, "if they're in a safe
environment, walk away for a few minutes," suggested Dennis-Perez.
"When you come back, they may have forgotten why they were mad."
She also suggested using audio or video monitors, designed to watch
newborns, to "help you keep an eye on the person with Alzheimer's
but still let them feel independent."
To help maintain an emotional connection, which can be
especially hard when a parent or grandparent no longer remembers
who you are, both occupational therapists recommended looking at
family pictures, especially older pictures, and asking them to talk
about the people in the pictures.
"They can remember things from 30, 40 or 50 years ago, so sitting down with old picture albums and reliving those shared interests with them can make a huge impact on quality of life for both the patient and caregiver," Morton said.
It's also important to help people with Alzheimer's engage in
activities they enjoy and to give them tasks that help them feel
they're doing something worthwhile, Dennis-Perez said. "Some tasks
can do double duty," she said. "If they take out the trash, it
helps give their day meaning while it's helping them maintain
walking strength and balance."
But occupational therapy isn't just for the person with
Alzheimer's, Morton noted.
"We can teach caregivers to do things as simply as possible," he said. "A lot of times, they're going about caregiving tasks in a difficult way. We can teach them adaptive techniques. Our main goal is to decrease caregiver burden."
The American Occupational Therapy Association has more on how
occupational therapists can help
care for people with Alzheimer's disease.
To read advice from one occupational therapist, click
Copyright © 2013
. All rights reserved.
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.