People withAlzheimer’s disease and other dementiasface a lot of stressors. They may struggle to remember things, try to cover up theirmemory problems, or feel frustrated that they can’t do things they used to do easily.
They can also feel more stressed and overwhelmed as time goes on. A framework called Progressively Lowered Stress Threshold (PLST) can give caregivers a frame of reference to help them understand and reduce the challenging behaviors associated with Alzheimer’s disease and other dementias. PLST was identified by Geri Hall, PhD, a retired clinical nurse specialist fromBanner Alzheimer’s Institute.
痴呆症患者不能总是容易和te how they feel. “You’re probably not going to hear, ‘I’m getting a little overwhelmed right now,’” said Heather Mulder, associate director of outreach programs at Banner Alzheimer’s Institute. “You’re going to have to look for more indirect communication like changes in mood or behavior. If the person you care about starts being moreanxious or agitated, that could be your clue that they are getting worn out or reaching capacity.”
Structure can help reduce stress
People with Alzheimer’s or other dementias feel better when they have a consistent, predictable routine. Caregivers can watch for how people’s energy level ebbs and flows through the day and structure a routine that matches.
“Consider the amount of energy or stress the person will need to invest to complete a task,” Mulder said. After a taxing activity, plan a less-intense option so the person can rest and rejuvenate.
The order of activities is important, but you can be more flexible with the timing. “If the morning routine consists of getting dressed, fixing breakfast, and eating while reading the newspaper, always try to do them in that order. It matters less if you start them at 7:30, 8:30 or 9:00,” Mulder said.
Strategies for reducing arguments
Dementia changes how people share what they think and what they need, and it also changes the way they understand what you are saying. As much as possible, don’t correct them or try to convince them of something—you’re likely to get into an argument.
Instead, listen and respond to the emotion behind what they are saying, and offerempathyand reassurance. Mulder offers this script:
“你听起来 ________.我我们uld feel that way too if this were happening to me. Don’t worry, I’ll take care of ________.”
You can also try to distract the person and draw their attention toward a soothing thought or activity.
Anticipate strong emotions to defuse them
With prevention, you can help people with Alzheimer’s and other dementias manage their emotions. Mulder recommends you:
- Provide a calm, soothing, and comfortable environment for the person to thrive in.
- Structure a consistent routine and avoid change.
- Try to identify the cause of intense emotions. Are they overwhelmed, tired or bored? Eliminate the trigger or help them navigate it.
“These strategies help you to better understand what is going on in the person with dementia’s world. Once you are aware, you can anticipate needs or avoid issues in the future,” Mulder said.
The bottom line
Strategies like managing fatigue and maintaining consistency are mainstays of symptom management for people with Alzheimer’s and dementia. But the model behind them is not well-known. “Understanding progressively lowered stress threshold (PLST) offers a framework to help a person living with dementia have the best quality of life,” Mulder said.
If you’recaring for someonewith Alzheimer’s disease or dementia, theexpert care teamat Banner Health can help. To connect with a health care provider, visitvwin.comac德赢官方首页 .
Additional reads:
- Planning Ahead for Alzheimer’s and Related Dementia Care
- 5 Essential Bathing Tips for Dementia Caregivers
- 7 Tips for Coping with Sundowner’s Syndrome
Are you a caregiver to someone with Alzheimer's or dementia? Listen to ourDementia Untangledpodcast for guidance and support to help better navigate this complicated and challenging role.
