Monday, December 19, 2011

Preventing Wandering in Alzheimer's Patients


Patty McKinney, OTR
Alzheimer's Disease causes a number of changes in the brain and body that may affect safety. Depending on the stage of the disease, these can include changes in judgment, abstract thinking, sense of time and place, and behavior.  As the disease progresses the person's abilities will change, so situations that are not a concern today may become potential safety issues in the future.

One danger to be aware of is wandering in Alzheimer's patients. According to the Alzheimer's Association, about 60 percent of the nation's 5 million Alzheimer's patients will wander. If you are caring for a loved one who suffers from Alzheimer's, these are things to keep in mind to minimize risk and keep your loved one safe.

Wandering is more likely in certain situations, like when someone with dementia is in unfamiliar surroundings. People with Alzheimer's and other forms of dementia often leave clues that they're about to wander. If your loved one says, "It's time to go to work," she might truly be headed out the door in a few minutes. "I want to go home" might mean he's about to go in search of his childhood home, and you have to stop him.

Learn to distract them. Avoid saying, "Dad, you haven't worked in 30 years." Reasoning is not effective, but distracting is a good strategy. For example, if they say they want to go to work, encourage them to go and find their shoes, or to have breakfast first. The distraction is usually sufficient to take their mind off of going to work.

Block or disguise the exits. For safety reasons, never lock a person with dementia in a home alone. Doors can be blocked if a caregiver is with them. Other ideas include placing a mirror or a stop sign on the door.

Another strategy to prevent wandering is to label your rooms. Sometimes people with dementia will go wandering off in search of the bathroom or a glass of water, get distracted and actually leave the house. The Mayo Clinic suggests putting a picture of a toilet on the door to the bathroom or food on the door to the kitchen, so they can more easily find what they need.

Alzheimer's patients sometimes wander out of boredom, or because they are not receiving attention. Engage your loved one in activities to whatever degree you can. For example, washing dishes or folding clothes together. 

Have your loved one take a walk or exercise with you. The physical effort is usually calming. Even if they're not tired afterward, the social engagement of the walk might be enough to keep them from wandering in search of company.

Consider technology as a help in your safety precautions. You can attach a Global Positioning System (GPS) device to your loved one on a bracelet or shoe. If he or she wanders, you can go online to find them on a map. Some devices alert you if a door is open in the house. The Alzheimer's Association has an overview of electronic devices that can help keep track of Alzheimer's patients. 

Finally, many families aren't sure they can safely keep their loved one with dementia at home. The Alzheimer's Association has a guide to determining what kind of care a person needs, and a guide for finding professional assisted living facilities or other long-term care options. Check http://www.alz.org for additional information and resources.

Patty McKinney, Occupational Therapist, is the owner and operator of Glenwood Springs Harmony House, an assisted living facility with peaceful accommodations and professional, qualified personal caregivers.
970-404-0551



Friday, December 2, 2011

Seniors and Safe Driving

Older Driver Awareness Week, recognized by the American Occupational Therapy Association December 5-9, helps bring attention to older driver safety

Patty McKinney, OTR
It's a fact of life that people grow older every day. And with increasing age come changes in physical, emotional, mental and sensory abilities that can challenge a person’s continued ability to drive safely. These changes occur individually and at different times.


Age alone is not a good predictor of driving safety or ability. But safety research shows that declines in our physical, emotional, and mental abilities may increase crash risk or unsafe driving. One key to safety is knowing when we or another driver are at increased risk. Visit the National Highway Traffic Safety Administration's web page, Driving Safely While Aging Gracefully, or download AAA's Older and Wiser Driver to read more about the changes that can affect safe driving and the signs that indicate the need to take a closer look at a person's driving.


The American Occupational Therapy Association (AOTA) believes that occupational therapy practitioners have the skills to evaluate a person’s overall ability to operate a vehicle safely and provide rehabilitation, if necessary. Occupational therapy practitioners work with older adults as well as their families and caregivers, offering individualized assessment. They can identify individuals’ unique challenges and find strategies that will help them live life to its fullest by keeping them healthy and safe in their communities, including behind the wheel.


It is the mission of the AOTA to make sure older adults remain active in the community—shopping, working or volunteering—with the confidence that transportation will not be the barrier to strand them at home. The goal of occupational therapy intervention is to explore ways for individuals to drive safely for as long as safely possible, according to a defined plan created jointly by the individual and the therapist. Occupational therapy practitioners can provide basic assessments and suggest solutions, including adaptive equipment such as a wide-angle mirror, seat cushions, left-foot gas pedal, or hand controls.


For most of us, it's difficult to change from the convenience and independence of driving ourselves to relying on some other means to get around, but thankfully, there are alternatives for seniors who can no longer drive safely. Many prefer to ask family and friends to help them. And most communities around the country, Garfield County and Glenwood Springs included, have other choices ranging from public transportation to specialized programs for people with identified needs. 


Check www.garfield-county.com for information on The Traveler transportation program. The Traveler's mission is to serve as a specialized transit organization linking seniors and the disabled with independent lifestyles through mobility. The City of Glenwood Springs provides ADA-compliant transportation around the community with its free Ride Glenwood transit system. Find out more at www.cogs.us.


Patty McKinney, Occupational Therapist, is the owner and operator of Glenwood Springs Harmony House, an assisted living facility with peaceful accommodations and professional, qualified personal caregivers.
970-404-0551