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Telling the time with Dementia

Telling the time with Dementia

Memory loss can be hard to cope with and lead to frustration and anxiety.  If you have memory loss you may also have problems with organising, thinking clearly, concentrating, speaking, and reading (language) or seeing things properly.  These symptoms may be due to a diagnosis of dementia.

Early signs of dementia may be difficulty planning or problem solving. This could be planning a holiday or a home improvement and may be an activity that you have managed to do without difficulty beforehand.  Another sign of dementia is difficulty completing a familiar task which may be remembering how to cook a favourite dinner or finding the way home from the shops.

Being able to tell the time is an important skill as it helps us orientate ourselves in our day.  If you glance across to your bedside clock and it is 7.00am you may think it is time to get up and make a cup of tea.  As dementia progresses the ability to tell the time declines and can be lost completely.

An important sign of dementia is losing track of time and place and this can lead to confusion and anxiety. As dementia progresses it may become difficult to read a traditional clock face.  This is because the part of the brain that enables understanding of the positioning of the clock hands is damaged.  If you forget what time of day it is or which month or season it can lead to practical problems like not knowing that it is 2.00am instead of 2.00pm and going out to the shops in the middle of the night. 

A clock with a digital display rather than a traditional clock face can be easier to read and help overcome this problem.

You can also use a clock that states the day and whether it is morning, evening or night which is easier to read. 

A talking clock with verbal reminders can also be helpful if you have problems seeing the clock face and you may feel reassured by the spoken voice.

Memory is very complex, and you use different types of memory when you do different activities.

Different types of memory are working memory, episodic memory, semantic memory, procedural memory, and prospective memory.

You use prospective memory when you remember an appointment or to take your medication at a certain time. If you have difficulties with remembering a date or an event that is due to happen in the future and you forget to do something at a particular time you may have a problem with your prospective memory.

A reminder clock can be used which will remind you to carry out your tasks throughout the day.

A common memory problem is misplacing items like keys or glasses around the house. Having a consistent place for keys like a bowl somewhere obvious can be helpful.

You may find a key finder helpful.

There are a range of electronic devices that can be used to help with memory problems. Some will be easy to use but others may need the support of family and friends to choose the ones that are most suitable for you. 

Some of our products you can see below;

Ravencourt quartz clock

A quartz clock with a clear display.

Clear colour contrast of numbers against a white background

Features a Day/night picture

This product would help a person with dementia that has difficulty distinguishing night and day.

The clock prompts them and for example they can see that it is 4.00am rather than 4.00pm. During the winter months when it is dark early this clock will also indicate whether it is night or day.

This clock would be good to use in a person’s own home or in their room in a care setting.

It would also be helpful in a hospital or respite care setting as it has a clear, easily read clock face that all people would find helpful.

The picture of day and night would work well for an older person or for children.

 

Reminder Clock

The Reminder Clock is a mains powered digital clock with a choice of four different clock displays and twenty helpful reminders that can be set to aid daily routine.

People living with dementia can find difficulty knowing whether it is day or night or morning or afternoon.

The clock has 4 easy to understand displays to chose from

The reminder clock simplifies the time and adds the time of day, for example “It’s now Tuesday afternoon”.

The reminder clock has a choice of 20 reminders to help prompt the user to carry out daily tasks that they may forget like eating and drinking and attending medical appointments.

A reminder is an image or text that appears on the screen with a voice prompt.

You can have reminders for day to day activities like taking medication, having a drink and making lunch or an event like a visit from your family or a medical appointment.

You can upload your own reminders by USB memory stick

 

Key finder

Key finder helps you to find lost keys, remotes, purse, walking stick and other easily lost items quickly.

The key finder is placed on a base support which keeps it tidy and it can be removed from the base and carried with you to find lost items

People who are living with dementia, particularly Alzheimer’s Disease lose items such as keys. This is often one of the early symptoms of the disease. Losing keys and other essential items is frustrating and can also be a safety hazard if the person is unable to easily open or lock their door.

This product is also useful for people who have visual problems. Items such as keys are small and difficult to find.  This product offers a simple and effective solution to finding misplaced items.

The product is supplied with its own battery.

 It may be necessary for a carer to assist with sliding the back panel of the base support down and fit the battery. 

This is a simple action but may difficult for a person with poor vision or perceptual problems.

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Fall Prevention

Fall Prevention

Working to prevent falls is important for everyone as the impact of a fall can be damaging to both you and the people you care for and about.

A fall can hurt you physically, breaking bones or causing bruising and pain. If you have experienced a fall, you may also feel upset and anxious.  Many people lose confidence and worry that they may have another fall, have an injury, and lose their independence. The feelings of fear and anxiety can stop you doing the things you want and need to do, like using your shower and going out in the garden.

Trying to keep as fit and able as possible is a positive approach as if you are strong and have good balance you are less likely to fall when you are walking on uneven ground or catch your foot on an obstacle in your home. 

 There is a cause for every fall and sometimes it is due to a medical condition that limits your mobility or causes unsteadiness.  There are also hazards in the home which if you can spot them early can be modified and managed.  Home hazards could be poor lighting, loose carpets and rugs, electric cables, clutter on the floor and slippery floors.

Medication can also contribute to the risk of falling as it may have a side-effect of causing drowsiness, dizziness, or lower blood pressure. Being aware of the risks of your medication (even prescribed) and taking at the right time is important.  Too many “pain killers” can cause drowsiness and therefore make you less aware of falls hazards.

A reminder to take your medication can be helpful if you are forgetful or a dispenser if you have lots of pills to take every day. Click here for a reminder clock. 

Poor vision contributes to your risk of falling and it is important to have your eyes regularly tested and wear the correct spectacles.  Good lighting is important to help you see if you have impairment to your sight.  Common eye conditions that make it more difficult to see in your home are cataracts, age related macular degeneration (AMD), glaucoma and diabetic retinopathy. After a stroke it is possible to have Hemianopia when you see only half of the image in each eye.

If you are experiencing trips and falls due to poor vision it helps to remove clutter, simplify the layout of your rooms, remove loose rugs and tidy cables.  It is advisable to use modern high-wattage light bulbs rather than older style bulbs that take time to reach full brightness.

Wearing shoes that support your feet and help you to walk in a stable, secure way is good.  Sometimes slip-on sandals and “mules” can cause a trip because your foot slips out sideways or you trip on the stairs. It may be helpful to consider a long-handled shoehorn to assist putting on shoes to avoid bending. The shoehorn also helps to keep the back of the shoe in good shape so that you don’t break it down by pushing your foot down and crushing it. 

If you are finding it difficult to climb up steps, Support rails fitted to the wall can be helpful in some cases.  Climbing up outside steps to reach your front door may be difficult without a rail or support. A solid banister rail on your staircase makes going up and down stairs safer and easier.

Many people worry about falling in the bathroom because of slippery, wet surfaces.  If possible, in your home a walk-in shower is easier to manage than getting into and out of a bath.  Support rails can be fitted to the wall of the shower cubicle or on the wall beside the bath to help with walking into the shower or to help you climb out of the bath.

Long-handled sponges can make it easier to reach your feet and wash them if standing in the shower.  Long-handled sponges also help you reach and wash your back and feet if sitting on a shower stool. Click here for long-handled sponges.

If you are using a walking aid such as a walking stick or walking frame, ensure that it is the correct height for you and that the rubber ends are in good condition.  If your mobility deteriorates or you are needing more support from your walking aid then it is good to seek the advice of a Physiotherapist or Occupational Therapist who will provide advice.  

If you are a carer for a person living with dementia they will be at risk of falls because of their medical condition.  The person living with dementia may forget to use their walking aid and get up from their chair or bed without it and fall. A reminder “Don’t forget your stick” poster or verbal reminder can help.  If the person living with dementia becomes upset and agitated they are not concentrating on walking in their environment and may trip or fall.  They may have visual perceptual difficulties and see the world in a different way. An example could be a patterned carpet which appears to be in 3 dimensions and look like steps. The individual then lifts their feet to walk up steps on a flat surface.  Good lighting is important for people with dementia as it enables them to see their world more clearly and helps to alleviate some of the disturbances of visual perception.

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How Music can Bring to Mind Long-Forgotten Memories for a Person Living with Dementia

How Music can Bring to Mind Long-Forgotten Memories for a Person Living with Dementia

Living with dementia involves a lot of emotional stress and trauma, and with the good days also come the bad – the frustration of not being able to explain something or the struggle to conjure up the right thought, idea or memory can be very upsetting.

 

Alzheimer’s disease is the most common form of dementia which 50 million people worldwide are living with, and there’s almost 10 million new diagnosis’ every 12 months.

 

 

The Emotional and Behavioural Benefits of Listening to Music

 

It’s no secret that music has the power to encourage us to display a positive mood and happier emotions, including those initially experiencing a negative state of mind. The sound of music can also jolt memories and ideas so for those living with dementia - or anything remotely similar – music may unlock memories held from the past that had perhaps been forgotten about.

 

Music can also help with social interaction and communication; singing is a process of putting sentences together and sounding out words, and for those experiencing a speech impediment, singing may be a way to express themselves and aid communication.

 

 

 

 

Implementing Music into The Routine of a Person Living with Dementia

 

Dementia can cause immense uncertainty and confusion day-to-day and so changing the routine of a person living with dementia should always be done gradually. It’s important to pay close attention to their response and if they appear to be enjoying the music…

 

If your loved one appears to be happy or relaxed then continue playing music to them on a regular basis - hearing music may also encourage singing and if that happens, you could try singing along with them.

 

It might also be a good idea to encourage movement to the rhythm of the music, but avoid overstimulation (if there is too much going on at once - new sounds, movement, singing, people nearby - then this can cause confusion and upset as it may feel like there is too much going on at once).

 

 

Musical Solutions with Ravencourt Living

 

The Ravencourt Living One Button Radio is a way for people living with dementia, poor co-ordination or dexterity issues to operate a radio with ease.

 

With standard radios comes the complexity of controls (generally small, fiddly buttons) and the ease of de-tuning from your preferred station resulting in distressing white noise - that’s why we developed a radio with a simpler design and a retro style (far more appealing to those of past generations).

 

Simply set the volume and station on the One Button Radio for your loved one using the two main control dials (which can be removed and stored in the rear compartment) to complete the set up. The radio can then be switched on and off by pushing the large ‘one’ button on top so your loved one can listen to their favourite songs with ease – and not a fiddly button in sight!

Purchase the One Button Radio today direct from Amazon and help your loved one enjoy listening to music, and the memories it may bring back to them.

 

Charities and Voluntary Organisations

If you or someone you love has been diagnosed with dementia, you are not alone. More than 920,000 people in the UK are living with dementia – a number which is expected to rise to over a million by 2024 according to Alzheimer's Society.

If you need the help of a dementia support service there are many options available, helping you at every step in your journey: Alzheimer’s Society National Dementia Helpline Phone: 0300 222 1122 Admiral Nurse Dementia Helpline Phone: 0800 888 6678 Carers Direct Helpline Phone: 0300 123 1053 Age UK Advice Line Phone: 0800 055 6112 Independent Age Phone: 0800 319 6789

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Caroline Hayden-Wright

Caroline Hayden-Wright

MSt Primary and Community care, BSc (hons), Dip COT

Registered Occupational Therapist HCPC

Member of Royal College of Occupational Therapists

Caroline has been an Occupational Therapist since 1986 and worked at Addenbrookes Hospital in Cambridge for 14 years. She worked with people living with dementia, people with cognitive difficulties, neurological conditions, and those with a range of long-term conditions such as arthritis, heart disease and stroke.

This was followed by four years as a community Occupational Therapist working with people in their own homes, enabling people with physical and cognitive difficulties to live as independently as possible.

Caroline has more recently worked as a Training Consultant for several major charities who provide services for older people and people living with dementia.

Caroline is also currently working as a Lecturer in Occupational Therapy for Anglia Ruskin University in Cambridge, working on the development of a new pre-registration MSc course in Occupational Therapy.

A note about Caroline from Oli Story, Managing Director of Story & sons

Dear all,

Thank you so much for clicking through to our shop. We really do hope that you will love the products that you find and that they will help you to live happy, active and independent lives for as long as possible. Caroline’s experience (above) speaks for itself. But its how she applies this knowledge in a very considered and caring way, that made us choose her to assist with both product selection, and in helping us build a knowledge base for you around how to live well through aging or disability or both. Please do keep checking in for regular updates from Caroline.

 

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Gardening

Gardening

Gardening is an activity that many people enjoy and want to continue doing even if they have some restrictions on mobility or poor vision.  Gardening is beneficial for both physical and mental wellbeing.  The sight and smell of plants and the opportunity to be in contact with nature are all part of the positive experience.  Gardening is an activity that builds our physical stamina and helps to keep us active and able to carry out other physical tasks such as bending, standing, and lifting.


Top tips
Choose lightweight tools which are made from plastic, aluminium, or carbon fibre instead of heavy steel. If you have difficulty bending long handled tools extend the reach which limits how far you need to bend.  Planning the garden environment with raised beds or raised tubs will also reduce the need for bending. Consider using ground cover plants, using woodchips or gravel to reduce the amount of weeding.

If you enjoy gardening but are finding bending over and gripping garden tools there are some products which can help you:

  • The Easi-grip range can be used with your long handled tools and enable a better hand hold and grip.
  • Easi-grip add on handle
  • Easi-grip arm support cuff to allow the forearm to be used which provides extra strength
  • Easi-grip trowel with ergonomic handle

Author: Caroline Hayden-Wright
MSt Primary and Community care, BSc (hons), Dip COT

Registered Occupational Therapist HCPC

Member of Royal College of Occupational Therapists

Caroline has been an Occupational Therapist since 1986 and worked at Addenbrookes Hospital in Cambridge for 14 years. She worked with people living with dementia, people with cognitive difficulties, neurological conditions, and those with a range of long-term conditions such as arthritis, heart disease and stroke.

This was followed by four years as a community Occupational Therapist working with people in their own homes, enabling people with physical and cognitive difficulties to live as independently as possible.

Caroline has more recently worked as a Training Consultant for several major charities who provide services for older people and people living with dementia. Caroline is also currently working as a Lecturer in Occupational Therapy for Anglia Ruskin University in Cambridge, working on the development of a new pre-registration MSc course in Occupational Therapy.  

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