Dementia and Conversation Looping: How to Break the Cycle

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A young man smiles as he implements techniques to effectively respond to his father, who is experiencing dementia and conversation looping.

Dementia and conversation looping often go hand in hand, which can lead to frustration without knowing how to effectively respond.

If you have ever played music on vinyl records, you know that the needle does not always track properly. Occasionally, a small piece of debris or dust may cause it to get stuck or skip, leaving you hearing only a few words of the song over and over again until the problem is addressed.

In Alzheimer’s disease and other forms of dementia, memory blips can result in a similar effect described as conversation looping. Typically occurring in mild and moderate stages of the disease, dementia and conversation looping may look like this:

  • You’re having an engaging conversation about your favorite football team’s latest victory.
  • The individual with dementia suddenly changes gears and asks you if you’ve finished your homework.
  • Knowing it is important to step into an alternate reality or timeframe with the person, you respond that all of your homework is finished.
  • You then resume the conversation about the unbelievable touchdown that clinched the win.
  • The other person asks again if you have finished your homework.

What Is the Appropriate Way to Handle Issues With Dementia and Conversation Looping?

It is beneficial to first understand why the behavior is occurring. We all experience repetition to varying degrees. We may forget that we have told someone a particular memory or story and tell them again. We also may repeat a question we have in mind, unsure whether we actually asked the question or simply just thought about it. These types of situations occur when we are not fully focused or paying close enough attention to the environment around us.

In contrast, conversation loops in dementia can happen as frequently as every couple of minutes. Professor of Psychology at Western Washington University Ira E. Hyman, Jr., Ph.D., explains that with cognitive impairment, “…the work of binding the elements of an experience into a personal memory is disrupted.”

It is important to recognize that correcting someone with Alzheimer’s is not a successful tactic. Understanding that, it’s advisable to continue to respond to the person’s repetitive question or story, keeping your reply brief. You can then try changing the topic to something you know is of particular interest to them now or was important to them during their younger years, as long-term memories stay intact considerably longer than more recent ones.

How a Specialized Alzheimer’s Caregiver Can Help

With many challenging behaviors and symptoms to manage, caring for a person with Alzheimer’s on your own can be daunting. Our caregivers are especially trained in effective approaches to managing the challenges experienced in dementia. Let us partner with you to ensure the highest quality care for someone you love.

Whether you are struggling with wandering, sundowning, hallucinations, aggression, or any other complications a family member is experiencing from Alzheimer’s, we can help. Contact us any time at (954) 486-6440 to learn more about our expert dementia care, available throughout Fort Lauderdale, Deerfield Beach, Plantation, and the surrounding areas.

How to Talk to Older Loved Ones About Aging Care

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Adult son and elderly father sit on a couch having a conversation.

These tips can help you talk to older loved ones about aging care in a calm and respectful way.

Maybe you remember having “the talk” with your parents about those cringeworthy pre-teen topics. If you thought that was uncomfortable, brace yourself for having to talk to older loved ones about aging care issues and concerns you are noticing at home! This is often very difficult, for several reasons:

  • Your parents may resent what appears to be a reversal of roles or being told what to do
  • They could be in denial that there’s a problem at all
  • They could feel threatened and fearful of losing independence and the freedom to make their own choices

How can you overcome these very valid feelings to come to a place of acceptance about home care services? Try these tips as a starting point to talk to older loved ones about aging care:

  • Plan the conversation: what you will discuss, who will attend, where you can best talk without distractions.
  • Think through what it would be like to be in your parents’ shoes and exactly how you would want the conversation to go.
  • Resolve to remain calm and respectful through the entire discussion, never attempting to parent your parents.
  • Listen to your parents’ worries with an open mind and without preplanned responses.
  • Realize there may be more than one solution – and, that it often takes more than one conversation to achieve agreement.

Before approaching your parents, practice what you want to say with someone you trust to give you straightforward feedback. Role-playing is a good strategy to refine your presentation and words and to help you gain confidence.

When you are ready to talk with your parents, be prepared for any outcome. In a perfect world, they will agree with your concerns and be open to having the support of a home care professional. It’s certainly possible that they share your concerns, but were unsure how to broach the subject with you. But likewise, be prepared for resistance, defensiveness, and possibly even anger.

In the event that the discussion is producing heightened emotions and you are reaching an impasse, shelve the conversation and try again later. It may be beneficial to include someone your parents trust and respect in a subsequent conversation, such as a close friend or medical professional.

When you are ready to explore home care options for your parents, contact Responsive Home Care. We can start out with minimal support, such as meals, transportation accompaniment, or light housekeeping, and slowly work up to more care once your parents feel comfortable with their caregiver.

We understand how difficult it can be for someone to acknowledge the need for assistance at home. Our goal is always to cultivate an environment of independence in which each individual in our care remains as much in control of all of life’s decisions as possible. You can connect with us 24/7 at (954) 486-6440 for more information about our highly personalized home care services in Hollywood, Plantation, Lighthouse Point, and the surrounding areas.

Why Are Your Loved One’s Dementia Symptoms Suddenly Getting Worse?

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A daughter holds hands with her elderly father who is experiencing dementia symptoms.

Have a loved one’s dementia symptoms gotten worse all of a sudden? Find out what it might mean here.

Wouldn’t it be helpful if there was an Alzheimer’s care manual, with step-by-step information on what to expect at each stage of the disease? While there are a few general commonalities during the progression of dementia, each person’s experience is different. This makes it difficult to know what to anticipate on any given day.

Even with the unpredictability of Alzheimer’s disease, there are particular situations that are beyond the typical range of expectations to watch for. Perhaps one of the most concerning is a sudden worsening of dementia symptoms. This could occur for many different reasons:

  • Delirium, caused by an infection, surgery or a hospital stay, medication side effects, insufficient sleep, dehydration, or even constipation
  • Brain injury from a fall or a stroke
  • An underlying illness such as cancer or prion disease
  • Sundowning
  • Disruption to normal routine from a move, change in caregivers, hospitalization, etc.

What Are the Typical Stages of Alzheimer’s Disease?

Alzheimer’s disease is progressive, and as of now, incurable. Therefore, a decline in condition is to be expected. A sudden shift in the person’s condition, however, is atypical. Generally speaking, the disease progresses through the following stages:

  • Early: The first detectable signs of Alzheimer’s are typically very mild, including short-term memory lapses, forgetting a word, or getting lost.
  • Middle:In the middle stage of the disease, cognitive challenges progress to the point that the individual struggles with independently performing activities of daily living.
  • Late:The final stage of Alzheimer’s, which may take years to reach, involves a lack of response and recognition of both people and environment, as the body starts to shut down.

If You Observe Sudden Worsening of Dementia Symptoms…

Seek medical help right away if a sudden decline is noted so that the cause can be pinpointed and addressed.

A dementia care journal can be a very helpful tool, before, during, and after worsening symptoms. Daily journaling can help you keep track of:

  • What works and what does not work in helping the person manage challenges
  • The person’s overall demeanor on any particular day
  • Any difficult behaviors noted, with particulars on time of day and potential triggers or contributing circumstances
  • Medications taken and any side effects detected
  • Sleeping and eating habits

These kinds of details will be invaluable in helping to piece together what may have caused a rapid change in condition and just how to remedy it.

Responsive Home Care’s caregivers in Plantation, Lighthouse Point, Hollywood, and nearby areas are highly skilled and trained in caring for those diagnosed with dementia and detecting any changes in condition. Contact us online or call us at (954) 486-6440 and let us walk beside you in your dementia care journey.

Understanding the Red Flags of Caregiver PTSD

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A female family caregiver sits on couch with knees pulled up and head buried in her arms on top of her knees.

What are the red flags of caregiver PTSD and how can family caregivers get help?

If you think PTSD only happens to individuals who have experienced life-threatening danger, think again. PTSD (post-traumatic stress disorder) can occur after any traumatic event or experience. It may surprise you to discover that providing care for a loved one is one of the main causes of PTSD. Nevertheless, the condition frequently goes undetected, and thus untreated. This is because the individual receiving care is normally the primary focus of both healthcare providers and the family at large.

As a family caregiver, it is important to know the red flags of caregiver PTSD – which are noticeably different from other types of PTSD – and to seek help if you are experiencing them. These include:

  • Apathy: You may feel empty, numb, and emotionally detached from loved ones. This can take place in conjunction with compassion fatigue.
  • Flashbacks: Reliving a distressing experience can bring about the same degree of emotion as when the event occurred.
  • Pain: Both physical and emotional pain can be overwhelming and unrelenting. This may include stomach upset and headaches along with feelings of anguish and hopelessness.
  • Anxiety: Heightened anxiety about your family member’s health and wellbeing may be particularly noticeable at night, and can lead to night terrors.

Why Are Caregivers at Risk for PTSD?

There are many factors that come into play to produce the perfect storm for caregiver PTSD, including:

  • The overwhelming responsibilities involved with caregiving: from day-to-day care tasks to managing life-changing medical and financial decisions on a loved one’s behalf
  • Hospitalizations and other emergency situations that arise
  • Challenging family dynamics and complex emotions such as guilt, remorse, hopelessness, and helplessness
  • Grief over a range of losses: watching a loved one’s health diminish, experiencing a relationship shift from simply being a family member to being in a caregiver role, being unable to live life as it was in the past, and more

What Should You Do if You Detect the Red Flags of Caregiver PTSD?

The initial step is to consult with your primary care physician to describe the symptoms you are encountering. You’ll want to rule out any other medical conditions, especially if you’re experiencing any physical pain.

It is additionally important to locate a therapist who is specially trained in treating people with PTSD. There are excellent treatment options, including EMDR (Eye Movement Desensitization Reprocessing) therapy, in addition to individual, family, or group counseling.

Taking regular breaks from your caregiving role is also extremely important. Let friends and family members know that you’re struggling and that you could use further support. Caregiving should not be a one-person responsibility. Allowing others to step up and help benefits the person you are providing care for as well, providing them with additional opportunities for social connections.

How Does Home Care Help?

Responsive Home Care’s in-home respite care services allow you to take the time away you’ll need for self-care while knowing a loved one is receiving excellent care. Taking care of yourself is key to providing the best care for your family member. Contact us online or call us at (954) 486-6440 to learn more. Responsive Home Care serves seniors in Fort Lauderdale, Deerfield Beach, Plantation, Hollywood, Lighthouse Point, and throughout the surrounding areas.

Here’s What to Avoid During Chemotherapy

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: Do you know what to avoid during chemotherapy?

Chemotherapy is, without a doubt, a potentially life-saving journey. However, during the process of destroying harmful cancer cells, noncancerous cells can be in the crossfire, leading to challenging side effects. The physician will offer guidelines on what cancer patients should do to minimize these effects, but it’s just as important to know what to avoid during chemotherapy. Read more

Starting Home Care: What to do When Family Is in Denial

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When a family member refuses the need for parents starting home care, we have tips to help.

Once you realize that an aging loved one could benefit from starting home care services, it’s not uncommon for the aging loved one to be resistant to the idea. After all, acknowledging the need for assistance is not easy, especially for an individual who values their privacy and independence. However, it gets more challenging when another family member is the one in denial about starting home care. When you’ve reached an impasse within your family in regards to the need for senior care, there’s one very likely culprit to consider: denial. Read more

Tips for Increasing Caregiving Patience: It Takes Practice!

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patient-caregiver

Taking care of an aging adult can be tiresome, but these tips can help you with increasing caregiving patience.

Does waiting in line at the grocery store make you want to pull your hair out? Do you get antsy when the doctor is running behind for your appointment? Some people just appear to project a natural sense of patience, no matter what the circumstances. Wouldn’t you like to know their secret, particularly when it comes increasing caregiver patience in caring for a loved one?

Thankfully, it is possible to increase your level of patience in much the same manner in which you increase your endurance in exercising – through practice. Try these recommendations to help with increasing caregiver patience:

How Do I Become More Patient?

  • It’s OK to not fix the problem immediately. Allow something that is broken to remain broken for some time as opposed to pressuring yourself to quickly deal with it.
  • Take a beat, and truly listen when others are speaking. It’s easy to begin formulating your response before the person has finished, but strive to place all your concentration instead on everything they are saying.
  • Attempt to channel your inner child. Let yourself laugh more, be silly, and remind yourself not to permit the small things that irritate you to become big things. A little lightening up and letting go can go a considerable way towards getting rid of stress.
  • Focus on being in the moment. When your thoughts begin to wander, recognize the distraction, but gently guide your thinking back to your breathing.
  • Deliberately put yourself in circumstances that necessitate patience. Let someone go ahead of you next time you’re standing in line. Make yourself wait a few moments (or more!) prior to checking your phone. Initiate a conversation with an individual who tests your patience.
  • Accept your present circumstances. Perhaps the person you’re caring for is taking a lot longer to get dressed than you’d like. Remind yourself that your job is to provide care but to also allow the person to stay as independent as possible, and often that will call for allowing some additional time and a good measure of patience.

When time is of the essence, however, it becomes all the harder to stay patient. Let a caregiver from Responsive Home Care help. We are available to provide a full range of home care in Lighthouse Point and the nearby areas that will help you free up the time you need. Reach out to us at (954) 486-6440 to find out more information and to ask about a free in-home consultation.

How a Hug Can Improve Senior Health

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Something as simple as a hug can actually improve senior health!

Everyone remembers the stress of social distancing at the height of the pandemic. One of the most fundamental components of being a human – physical touch – was put aside in order to protect us all from harm.

We learned quickly though, how much harm a lack of physical contact can cause. It is particularly important for older adults who have experienced loneliness or isolation to feel connected to those they love, and there’s an effective but highly beneficial solution: hugs.

Research has revealed the following incredible effects to help improve senior health that can be obtained by giving and receiving hugs:

  • Fewer negative emotions, such as anger and loneliness
  • A strengthened immune system
  • Lower blood pressure and a regulated heart rate
  • Regulation of the production of white blood cells
  • Improved circulation in the body
  • Decreased pain
  • Reduced stress
  • A boost in positive emotions, like contentment, security, and happiness
  • Improved sleep and glucose metabolism

One senior care facility in New York tested the effect of hugs on older adults with a program called “Embraceable You.” 200 participants were involved in this voluntary program, and they rated their current degree of satisfaction with their wellbeing and overall health. In addition, they noted the amount of casual touch experienced in their lives. Trained “hug ambassadors” were brought in to administer appropriate forms of touch, while residents were given buttons to wear if they were interested in participating in the hug experiment.

Throughout the study, residents were given a token for each hug they received. In a short time, residents were seeking out huggers, and by the end of the first week, they had accumulated nearly 1,400 hugs.

At the conclusion of the study, the participants were surveyed and sectioned off into two categories: low contact (one or two instances of physical contact each day) and high contact (more than three instances a day). The high contact participants overwhelmingly noted higher amounts of satisfaction in the following areas:

  • Interest in doing things (88%)
  • Not feeling depressed or hopeless (97%)
  • Sleeping well (71%)
  • Feeling energetic (66%)
  • Able to concentrate well (93%)

It just goes to show what an unbelievable difference such a seemingly insignificant display of affection can make to improve senior health.

Contact Responsive Home Care, the top home care company in Ft. Lauderdale, FL and the nearby areas, online or at (954) 486-6440 to learn more ways to improve senior health, and just how our in-home care can make a difference in the life of someone you love.

Bridging the Gap in Dementia Care: Using Food to Engage and Connect

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Learn how food can help you engage and connect as you provide dementia care.

Food is a universal language, and it connects us all! Think about how many cherished memories have been made through the years that incorporated food at the center of them all: birthday parties, wedding celebrations, holiday meals. Even average days involve routines that become ingrained in us around food, from that first aromatic cup of coffee in the morning to a shared bowl of buttery popcorn with family while watching a movie.

Of course, food isn’t just needed for our physical health, but it is also often a highly effective way to connect with someone with dementia while delivering dementia care. Here are several activities you can try to help spark memories while appealing to all the senses through food.

  • Preparing. Choose a simple recipe to prepare, like fruit salad or sandwiches. Assemble the ingredients and incorporate them into your conversation. While washing and cutting up fruit, for instance, ask the senior what kinds of fruits they enjoyed as a kid.
  • Decorating. Frost cupcakes while reminiscing about the treats Mom would prepare for school birthday parties. Roll out cookie dough and use cookie cutters and sprinkles to make them specific to an upcoming holiday while you discuss holidays past.
  • Storytelling. Take out a vintage cookbook and look through the recipes together to see if any spark memories. The senior may remember food rationing during wartime, or the time they tried a new recipe at the beginning of their marriage that was a total disaster. If a specific recipe is of interest, make it together!

Consider how you can involve the senses into mealtimes as you deliver dementia care. There is so much more to food than taste! Point out the sizzling sound of eggs frying, delicious scent of the chicken you are roasting for dinner, the cool smoothness of bread dough being kneaded. Attempt to make each plate served appetizing to the eyes as well as the palate. And whenever possible, cultivate conversations that link the person to memories from the past.

Quite often, a person with dementia will encounter a diminished appetite and lose interest in food. Activities such as these can be a terrific way to restore the joy we experience together through shared meals and treats.

Our dementia care experts have lots more tips to make life the best it can be for someone with dementia. Get in touch with Responsive Home Care any time online or at (954) 486-6440 to request dementia care resources or to find out more about our home health care services in Fort Lauderdale, FL and the nearby areas.

Health Concerns That Can Cause Negative Mood Changes in a Senior

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Everyone goes through good days and bad days, and everyone is entitled to negative thinking or irritability every now and then. If you are caring for an older adult who appears to have fallen into a routine of continual negativity and complaining, there could be a reason for it. It’s worthwhile to explore whether or not a health issue may be the culprit for negative mood changes in a senior.

The following are several possibilities for chronic negative mood changes in a senior and how you can help.

  1. Urinary tract infections. A UTI’s classic signs and symptoms of pain, burning, and urgency to urinate may include additional side effects for seniors, including angry outbursts, irritability, confusion, as well as other alterations in behavior or mood. Speak with the physician to rule out a urinary tract infection if you observe these types of uncharacteristic behaviors.
  2. Pain. A recent research study discovered that participants who are experiencing chronic pain reported an increase in negative moods, including fatigue, anger, tension, depression, anxiety, and more. It’s worthwhile to share any of these mood changes with the physician, as these kinds of mood changes actually impact the effectiveness of pain management treatments.
  3. Dementia. Mood and personality changes are typical in dementia. It is crucial to understand that these changes are a symptom of the physiological changes in the brain, and are not a representation of the person’s own choices and decisions. There are medicinal and natural treatment choices that can help the person feel calmer and less agitated that you may desire to explore.
  4. Medication side effects. A number of medications – including those designed to help with mood, such as antidepressants – may cause troublesome mood swings. Medications for blood pressure, inflammation, and seizures may cause personality and behavioral changes in some people. Again, talk with the physician and go through the senior’s prescriptions to determine if the problem stems from one medication, or possibly the interaction of multiple meds together.

Negative mood changes in a senior can arise from loneliness or boredom, too. No matter the reason, constant negativity can be taxing for a caregiver’s personal sense of wellbeing. It is important to be able to step away from your caregiving role on a regular basis, and to make this time away a top priority. The senior will also benefit from the chance to spend time with different friends, family members, or a professional caregiver. These breaks are a healthy part of your caregiver/care receiver relationship – for both of you.

Responsive Home Care’s caregivers are wonderful companions to help brighten the mood of the older adults we serve. All of our care staff are fully trained, background checked, and experienced in a wide range of in-home care services for seniors. If you’re looking for an award-winning home care company in Ft. Lauderdale, FL or the nearby areas, contact us online or at (954) 486-6440 to learn how we can help someone you love, while allowing you the time you need to rest and rejuvenate.

Simple, Effective Strategies You Can Try Today to Improve Memory

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Help seniors improve memory with these simple strategies.

Do you recall learning the order of colors of the rainbow as a child? A lot of us were introduced to Roy G. Biv to master this feat – one of many mnemonics we learn that, interestingly, often stay with us for a lifetime.

As we age, it’s expected to experience some level of memory impairment; and naturally, it’s even more pronounced when Alzheimer’s disease or another form of dementia is a factor. Scientists are constantly aiming to locate effective ways to improve memory and cognitive functioning, and have observed some interesting findings on “old school” strategies such as mnemonics. Here’s what they have recently discovered:

Mnemonics

Mnemonics produces a link to a memory through a phrase, abbreviation, song, etc. This training yielded great results in increasing activity in areas of the brain that are affected by dementia, leading to improved retention of information.

There are a multitude of mnemonic strategies that are very effective in improving memory. For example, try mnemonic keywords. Mnemonic keywords are fun and creative ways to memorize words in another language. It involves selecting a word that’s much like the new word you want to learn, and visualizing an image that brings the two words together. For instance, if you’re wanting to remember that chapeau is French for the term “hat,” you might picture Charlie Chaplin along with his famous black hat. The “Chap” element of his name can trigger the initial letters in chapeau, and the memory will stick.

Spaced Retrieval Training

This strategy involves gradually increasing the amount of time between memory tests, and was shown to also be highly effective for those with dementia. Compared to mnemonics, however, there was actually a decrease in brain activity, which led medical researchers to determine that the information had been processed more efficiently.

This training method is very effective in increasing independence and minimizing anxiety for those with cognitive challenges. Choose a desired event or activity for the person to keep in mind, such as a lunch date with a buddy on Friday. Start by asking the person a question to establish whether or not the memory is already in place. If not, remind them they are having lunch with John on Friday. Wait 15 seconds, and ask the individual the question again. If the memory is in place now, increase the time to 30 seconds, and ask again, continuing to double the time and ask again. If the person does not remember after 15 seconds, keep repeating the process every 15 seconds several more times before determining that it is not an effective technique, at least not for this particular event or activity.

Both strategies are simple, drug-free approaches to incorporate into the treatment for someone during the early stages of Alzheimer’s, or even for anyone who is looking for approaches to improve memory.

Let Responsive Home Care provide additional resources and support for someone you love with dementia. Our creative approaches to help improve memory make the most of an older adult’s cognitive functioning, independence, and wellbeing. Contact us online or call (954) 486-6440 for more information about our home care assistance in Fort Lauderdale and the nearby areas.

 

 

Downsizing for Seniors with Dementia

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Learn the benefits of downsizing for seniors with dementia.

You’ve come to the realization that the family home is just way too much for your mother and father to take care of. A smaller home became available just around the corner from you that’s ideal: a lovely flower garden in the backyard, a bright, cheerful kitchen, and no stairs to navigate. Now it’s time to begin the downsizing process. The only problem? Mom has dementia.

It’s not uncommon for seniors with dementia to struggle with change. Leaving the familiarity of home and moving into a brand new one can increase feelings of agitation and anxiety, but there are strategies to help ease the transition.

  1. Pace yourself. It’s natural to want to rip the band aid off and make the downsizing process as quick as possible for seniors with dementia. However, a better approach in this situation is taking time to discuss the upcoming changes with the older adult, one step at a time. Keep a consistent and calm demeanor, and empower the person to maintain as much control over the required decisions as possible.
  2. Maintain memories. Take pictures and/or videos of some of the items being donated or discarded and use them to create a scrapbook for the older loved one. This helps aging loved ones to revisit the items anytime they would like, and can also be used to spark conversations and reminiscing after the move.
  3. Create a system. Donating and discarding seniors’ possessions are necessary parts of the downsizing process. Again, include the individual in the decision-making process to the greatest extent possible. There will probably be specific items the older adult can’t stand to part with, which can be placed into storage if the new living arrangement can’t accommodate them. If there are items the senior rarely uses or sees, however, it might be easiest to have those removed before involving the person in the process.
  4. Set up the new home yourself. Arrange the senior’s most loved furnishings and items of comfort in the new living environment before bringing them in. Include photographs of friends and family near the bed, so they can see them when they go to bed and first wake up. Then bring the senior loved one in, and help with rearranging anything they’d like adjusted. This process will lessen the anxiety that may occur for someone needing to unpack and figure out the best locations to place items in a brand new environment.

Our Alzheimer’s care team is thoroughly trained, experienced, and highly skilled, and we are available to help through the downsizing process and beyond for seniors with dementia. Reach out to us at (954) 486-6440 or online for more information about our caregiver services in Fort Lauderdale, FL and the nearby areas.