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Empowering Dementia Caregivers: Real-Life Strategies for Managing Challenging Behaviors

Have you ever felt overwhelmed trying to manage the challenging behaviors of your loved one with dementia? You're not alone.

In this episode, Lizette shared valuable insights and practical advice tailored specifically for caregivers like you.

One key point discussed was the importance of identifying the triggers behind certain behaviors. For example, anxiety-driven psychosis in dementia patients can often be managed by addressing the root cause of their anxiety.

One caregiver, Hilda, shared her experience with her 96-year-old mother, explaining how early intervention and attention to her mother’s needs prevented psychotic episodes.

Routine and Flexibility

Creating a flexible routine that prioritizes the comfort and preferences of your loved one can significantly reduce anxiety. Hilda emphasized allowing her mother to dictate her schedule rather than forcing her into a strict routine. This approach helped minimize stress and fostered a sense of control for her mother.

Meeting Them Where They Are

A recurring theme was the necessity of meeting dementia patients where they are mentally. When your loved one believes they need to perform tasks from their past, like feeding children or animals, engage them in conversations about these tasks.

This technique helps validate their feelings and can often calm them without the need for confrontation or correction.

Managing Hallucinations

Hallucinations are another common challenge. The speakers advised caregivers to assess whether the hallucinations are causing distress. If they aren’t, it’s often best to acknowledge them calmly.

For example, if a loved one sees children in the room, you might ask, “What are the children doing?” This validates their experience without causing additional anxiety.

The Importance of Emotional Energy

The emotional state of the caregiver can greatly impact the behavior of the dementia patient. Entering a caregiving situation with a calm and positive attitude can help reduce negative behaviors.

It’s also crucial to ensure that all caregivers involved are on the same page, providing consistent and compassionate care.

Practical Tips for Hygiene and Health

The podcast also addressed practical issues like maintaining hygiene and health. For instance, ensuring regular showers after swimming can prevent infections, and adjusting the frequency of these activities based on the patient’s routine can help maintain their overall well-being.

Empowering Caregivers

Ultimately, the goal is to empower caregivers with strategies that reduce stress and improve the quality of care.

Whether it's through adjusting routines, validating their loved one’s experiences, or maintaining a calm and positive demeanor, these insights provide a fresh perspective on managing the challenges of dementia care.

Listen to the Podcast

Listen to the episode on the player above, click here to download the episode and take it with you or listen anywhere you normally listen to podcasts.

a person holding a hand |Empowering Dementia Caregivers:

[0:00] Well, we just had a wonderful Ask the Dementia Coach or Ask the Dementor, which is my little play on words, which might not be everybody's cup of tea, but I'm still working through my branding. But we just had our latest episode of Ask the Dementia Coach, where you will see live coaching of real people who are family caregivers of somebody living with dementia. And it is such a blessing to me to do these episodes with people. In this episode, we had a couple of people join, and one was from Ireland, which totally blessed me. And I am so excited to have met a new friend in Ireland. So shout out to Hilda, and thank you for being a part of my community. If you are interested in joining one of these calls, they are always going to be on a Thursday evening, And then the link is in the show notes and on my website,

[1:18] Where you just go to podcasts and then look for the link where you can sign up for next month's, Ask the Dementia Coach segment and be a part of this growing community and ask me your questions in real time and get real help for you in your dementia caregiving journey.

Welcoming Ms. Hilda and Ms. Pam

[1:45] Well, welcome, Ms. Hilda and Ms. Pam, to our second only, so far, Ask the Dementia Coach segment. And I am super excited that you're here. Ms. Hilda and Ms. Pam, let me tell you a little bit about how I envision these to go, depending on how many people show up. But what I'd like to start with is just when I bring you on to speak to me, just tell me a little bit about where you live and what your biggest struggle with dementia and dementia caregiving is right now, and a goal for the time that we have together. What would you like to get from this time? What is your biggest struggle? What do we need to try to solve today? So if it's okay, I'm going to start with Hilda, Pam. Is that okay? All right. Miss Hilda, so welcome. I'm super excited to see you here. Where do you live, young lady?

[2:45] Can you hear me? All right. I live in County Cork in Ireland. Wow. Nice. This is the middle of the night, child. I know it's 10 past 11 p.m oh wow so what was that question again oh yeah I I heard a I heard you speak once before and it was very interesting what what you were saying and um in particular that there's a reason for every behavior and and just sort of investigating mitigating what is causing a behavior. I thought that was very helpful. Okay. About the fan and the men standing up and sitting down and stopping the fan over his head. Yeah. I thought that was great. So, yeah, I'm minding my mother who is 96 and, um.

[3:40] She's her behavior has been pretty off recently but I've just got a hold of it over the last couple of days okay um it's I think from I think it's anxiety driven sort of psychosis, okay so I've eventually I got tablets from the doctor to uh to give her you know if she starts getting bad but um they kind of I think it's Xanax and they knock her out she goes to sleep and then she wakes up and she's she's okay she's not psychotic but um I've been sort of trying to catch the anxiety in time over the last few days and she hasn't had a psychotic episode because I'm sort of getting in there early. Okay. It takes a lot of attention, but I think I'm winning over the last couple of days. And there are another two carers that come, and I'm trying to get them on board as well, you know, that they don't have to get her up straight away. You know, the day is kind of ruled by my mother as opposed to by time, you know, and what she wants to do. And it seems to be helping a lot you know so I'm just interested in watching Does your mum live with you?

[5:09] We're next door to each other literally uh okay a few meters from each other okay so she lives next door like an apartment a house two small little houses okay two small little houses and she's in the other little house okay and so she's alone nobody else is with her.

[5:30] Well um it's 24 7 care and i'm lucky enough really i have um that we can actually afford bought two carers that um and i have a sister that comes as well okay so between all of us we have a rota so it's it's not too bad so she's not alone um for those periods that's good how long is your mom how long is your mom had dementia do you know what type of dementia she has um i don't actually i from listening to a friend about her father who passed away a few years ago she mentioned he had vascular dementia and it sounded like what my mother has because her heart is what's giving out you know and I think when she I think when she um is under pressure or something I think it affects her her mind more or maybe when she's eating after she's eaten or something depending Depending, I'm just kind of imagining that the blood is going to digest food and it's not working so well up in her brain.

[6:41] I think maybe it's after eating and stuff like that. I don't know. I don't really understand it. How long have you known she's had dementia, though? I don't know.

[6:52] It's not even officially diagnosed. She's got a really short memory and she doesn't know where she is a lot of the time. And she forgets that she's actually lives here, you know, and she thinks she's in someone else's house or at an establishment or something. And I have to keep reminding her you're at home, you know. So what would you like to accomplish today? What can I help you with what's your biggest pressing concern um I suppose maybe um her her dementia will just be getting worse I don't know how long she's going to last herself she's 96 um but just being able to handle it I think would it be okay if I rephrase what I heard you say and then tell you what I would tell my clients where we need to start. Because I know sometimes when we're talking about it, we're living it and we see all these little bits and pieces.

[8:03] But if I were to summarize what you have just explained to me is your mom is 96 years old, has a lot of heart history, no specific diagnosis but you've seen the changes over time even though she lives alone she has 24 hour care and that you're seeing some changes in her behavior and knowing maybe what to anticipate next or what kind of changes you could see or maybe understanding a little bit more about what dementia is, might be helpful to you. What do you think?

Identifying the Type of Dementia

[8:45] Yeah, that sounds good. Okay. So where I would start is with your mom. So your mom is 96 years old. If she has started to develop dementia massively later on in her life, right? So she didn't start in her 50s or her 60s or her 70s. If she was significantly older when this started, probably what you're looking at is what they would call like a mixed type of dementia. So what that is, is she may have actually two different things going on. So she might have vascular dementia, but she might have what is called, it's a newer type of dementia that's called LATE, L-A-T-E.

[9:37] Limbic predominant age-related TDP encephalopathy. Okay, it's a type of an encephalopathy. It falls under the Alzheimer's types of dementia. And what categorizes it differently from the others is it is a later onset.

[10:00] It's not caused by the same mechanism as Alzheimer's proper, but it is caused by a different protein. And when I hear of people developing it later on in life, that's when you have to start to think there may be two different types of dementia at the same time. Now, vascular dementia significantly has to do with your blood supply. So if you've had a heart attack, or if you've had a stroke, or if you've had histories of little TIAs through the years, that's what causes the damage up in the brain. So I want you to picture Van Gogh's painting, Starry, Starry Night, right? All these little So depending on where in the brain the blood supply doesn't get to is what you will see happening. So each person with vascular dementia will look different depending on which part of the brain was impacted by not getting the blood supply. Okay? Yeah. So what you describe with your mom is probably a combination of the two.

[11:24] What that means is that sometimes the picture isn't clear as to one moment something's firing, another moment something's not, right? So somebody who has a typical dementia will over time have very certain traits and things that happen. But when you have vascular dementia, like sometimes they're pretty clear and sometimes they're not as clear. A good thing in the sense of a con of a conversation like this is it sounds like your mom is actually still pretty doing pretty well right she's still she has care with her um and i forgot to ask at the start of our conversation does she still get dressed by herself does she still go to the restroom and things like that no no she had a problem she had a fall at the beginning of COVID and never walked after that I don't know okay so is she in bed all the time.

[12:27] She's no she well bed and chair and we use a voice okay so you're actually using a lift to get her up and down yeah yeah okay so that's that's the reason why the 24-hour carers are coming in to physically help her. Okay. So when you described the anxiety earlier on, kind of tell me what happens when that happens. Did you know that caring for a person with dementia doesn't have to be this hard? If you are struggling and you would like to join our next free workshop.

[13:13] The topic of the workshop is three tips how to avoid challenging dementia behaviors, without stress, anxiety, or burnout. I invite you to walk away with science-backed dementia caregiving skills that many professionals don't even know after attending this free workshop on Saturday. If you'd like to register, message me the word workshop on Instagram or check out the link in the show notes below.

[13:58] Um, she, it's usually actually around four, it's usually in the afternoon, more so, maybe about three or four o'clock. And she suddenly worries about the children. She can, I think she goes back in time thinking she has children and she has to feed her children. Today, actually, she had to feed her, her horses and her, and her hens and everything she used to. Have when she was younger you know and she she was sort of I nearly missed her trying to get out of the chair because she had to get up and feed everything you know or look after things just forgets what stage she's at she forgets she's in I'm even saying to her you're 96 years old you don't have any responsibilities you just you know sit back and let everyone look after you kind of I think. And so I'm spending a lot of time reassuring her and reassuring her and until eventually she sort of calms down, you know. Okay. Can we, can we speak about that for just a second? So I want you to consider that when somebody really, the, the, one of the biggest challenges that we have is that when somebody's brain isn't working on the inside.

Lizette behind the glass

Dealing with Hallucinations and Delusions

[15:19] One of the first things that go away is their ability to reason through things. So when you're communicating with your mom and you're reassuring her from your perspective, mom, you're 96, you don't need to go feed the chickens and the horses and the children and so on, you're coming to her from a place where she's no longer in her mind. She thinks, she believes that she is 7, 8, 9, 10, 12 years old, and she has to go feed the horses. So your job is to meet her where she's at, not to bring her back to you.

[16:07] Not to bring her back to the reality of mom, you're 96 years old. So a good way to meet her where she's at is if she starts to say, oh, I'm worried about the children. Well, tell me more about the children. What are the children doing? What do the children need?

[16:28] How can we help the children get her to talk about what it is that she's believing, and then you just validate her emotions and say, I will take care of the children. I will go do and then tell her what she's done and then reassure her that they're being taken care of. The same thing with the animals. Oh, it's time for me to go feed the chickens. Well, mom, tell me a little bit more about what we did when we go feed the chickens and get her to talk because she's reliving that period in her life and with a when our brain is not working as well as it did before trying to bring them to our reality does not work we meet them where they are okay did that help yes yeah um i almost feel sometimes that i'm I'm not being honest with her if I'm sort of pretending that there are still sort of hens and horses and children to be minded when there aren't. But I'm not telling you to lie to her. Yeah. I'm telling you to ask her what she believes.

[17:46] Okay, just investigation. Investigated. What does she believe about it? So I'm a Christian. And for many, many, many years, when I was working in the medical field, they had this strategy called therapeutic lying. And for decades, I didn't understand that there was a different way of doing it. because that's what the whole world tells you to do. Just tell a therapeutic lie, go into their reality and just whatever they say.

[18:21] Just lie, just tell a flat out lie. And I had a long conversation with a pastor friend because I was really struggling with it. Number one because I don't like to lie number two I'm not a very good liar you can see it on my face the moment I lie but um but as a Christian I always wondered why but at the same time the the strategy is effective right because the person is not thinking the way they always used to think And what my pastor friend told me was, we serve a God of truth. There has to be some truth in what you are saying to them, which is why you try to get them to tell you what they believe. And then you can use the strategy of just acknowledging that they must be right.

[19:20] Right you're not telling them that you're not lying to them for example like well where's where's dad.

[19:30] Right so your mom says to you where's my husband where's my husband and you just flat out come out not you, a person, right? Just flat out comes out and says, well, dad's at work. Well, dad's long gone. Dad's not at work. That's just a flat out lie to try to redirect the person and not upset them. Or where's dad? It's five o'clock. Dad should be home. Well, where do you think dad is? Well, I think dad might have gone to the store. Well, mom, you must be right. I didn't lie to her that's interesting now because every time she asks about my father I said he's flying around in heaven he's having a great time so how does she respond though?

[20:23] For a while she was almost like had to grieve him every time because it upset her but does she still do that now? She can does she do that now still? Um, she's not so bad. She's kind of getting used to everyone flying around in heaven because most of them are, but, um, she sort of, yeah, it doesn't affect her too much anymore. She just kind of gets a kind of, oh, oh dear. Oh, you know. So there, you know, there are a couple of ways that people have chosen to, to do that. I've had people I've worked with who would just continue to reiterate the person has passed away because the response of the person wasn't magnified. You understand what I mean? Like some people, if you tell them, oh, your husband has passed away and they go into a total grief cycle every day, that's a hard thing to relive. But if she's if she's not like you have to know the person that you're helping as long as what you're doing doesn't make the situation worse then you can continue to to do what you've been doing if it's working but if it makes it worse that's when you want to try something different.

[21:44] Oh there's a big one i forgot about this she keeps seeing people all over the room okay so that's probably hallucinating yeah sorry so your mom your mom even though she doesn't have a diagnosis has definitely got dementia okay and since she's at the later part of her life and since we've had some of these medical things happen people people who have dementia frequently hallucinate so a hallucination is seeing hearing smelling something that is not there okay so they really see hear or smell or taste something that isn't there a delusion is believing something falsely.

[22:37] Right so people get paranoid they get a paranoid delusion somebody's stealing things but when she's seeing something that's a hallucination and so say again sweetheart i think she has both hallucination and delusions so when you have hallucinations hallucinations are frequently a direct result of a physical change in the brain, right? And so there are things that you can do by looking at the environment to see if something's contributing to the hallucination. But oftentimes, the way I've noticed the best strategy with a hallucination is to ask the person if it is bothering them. Okay.

[23:35] Yeah, I've never thought of that. Okay. If she says, no, they're not bothering. If they're not scaring her, if they're not bothering her, likely it's more bothering you. Because she's seeing something that you can't see, right? She is really seeing something that's not there, that we can't see, okay? As long as she is not afraid, and if you don't want to put her on, they can put her on medications to try to control hallucinations. She's 96 years old. I wouldn't put her on medicine, right? But if she is afraid, if she is afraid of what she's seeing, then we've got to do something. But if she's not afraid of it, all we need to do is manage your expectations of the hallucination. I'll use Deb, a good friend of mine. I worked with her for a couple of years with her mom.

[24:36] Deb was bothered by the hallucinations more than her mom was. So most of what I worked with was with Deb in understanding that those hallucinations weren't bothering her mom. Her mom saw children. Her mom wanted to feed the children. And so we worked on strategies to manage Deb's expectation of what her mom was seeing so that her mom wouldn't worry about the children, right?

[25:06] So she would ask her, so mom, where are the children? What do the children need? and she would just kind of try to help her along those lines of just reassuring her but not trying to lie to her either but telling her mom the children aren't there is just gonna upset her because she really sees them okay yeah all right what i call her her psycho i kind of say she goes from maybe anxiety into what I call psychosis is she thinks the carer is trying to steal from her or kill her and I come in and she said be careful be careful mind yourself mind yourself and then she can get really sort of witchy and sort of cackling and she'd grab my hand and hold really really tight grip and it's really horrible horrible kind of a state and she had been doing that like twice a day about up to three days ago okay what did you change that made it easier.

[26:13] I think that we sort of didn't force her to do anything if she wants to stay in bed now she stays days in bed and I'm trying to think um.

Managing Behavioral Changes

[26:26] I think I just yeah I just I'm just nicer to her I think and I don't get I've actually, calmed down a lot of other things going on in my life and I'm focusing on her now and I'm actually giving her more energy and you know she came she went out to the garden the other day and then she wanted to come in and then she wanted to go out again and I just went along with everything and I brought her in and brought her out and brought her in and I think when she feels she's in control of the situation she doesn't panic so much it's when she's sort of made to do things that she doesn't want to do or doesn't understand right people people with dementia will suck up your emotional energy and so if you go in with a bad attitude or a didn't sleep well or you stubbed your toe, they're going to sense it. But the same thing for the caregiver.

[27:27] So if her other caregivers are coming in and they've kicked the dog and run over the cat coming to work and they're stressed because of their life, she could be picking that up from them. Yeah. Yeah. And so she'll take on the emotional energy of the people around her as best you can routine is her friend what you're doing is great and wonderful you're doing a very good job of taking care of your mom i'm super super proud of you what a good job awesome let me hear what miss pam has for me tonight since it's just my two little ladies, thank you you are welcome hilda i'm so glad you came.

Addressing UTIs and Personal Hygiene

[28:14] Yeah thanks a million will i i'll hang on will i you can absolutely you can stay you're you're i'm just going to mute you but you're welcome to stay and then you can listen to what pam has to ask okay okay thanks so as i was sharing with you earlier um my concern is that my mother has these continuing utis okay and um you know she's going to the pool three days a week and so i'm just i I don't know what to do with her situation as far as I've got her on cranberry, I've got her on D-manis, I've got, I don't know, we haven't taken sugar out of her diet, which would be a nice thing to do, but I'm not going to fight her at any point. Well, we've got to pick her up poison, right? Right, right. So I need to know, you know, what to do.

[29:04] I just recently bought her incontinent pads versus doing the menstrual pads which is what she was using before she said these are so much better so i think that tells me that she's leaking more but it's improving the better but i she has this funny odor her body has a funny odor and i can't really describe it, um she has bad breath she has bad bo not like bacterial odor it just has just a funny odor i don't know how else to describe it but it's probably because she goes to the pool three days a week and she's in the morning probably not rinsing okay so when does mom take a shower um usually just tuesday and saturday so tuesday and saturday and and i know I know from our previous conversations that when mom goes to swim, you're not always with her. I'm never with her. You're never with her, right? So who takes her to the pool? Right.

[30:12] A friend. A friend. Does the friend watch to see if she's taking a shower or rinsing off after the pool? Okay. So a couple of things that pop into my mind is the first thing is your mom is probably not rinsing off or taking a shower after she comes out of the pool. And she may be staying in the wet garments longer than she is aware. You know, or she's getting out. She goes to lunch right afterwards. Does she wear the bathing suit underneath her clothes? Okay. So I know that she's rushed because she has to get a ride to the lunch. So that's probably why there's no shower after the pool. Okay. So we know she's likely not taking a shower after the pool, then she's getting on clothes. The pad that she has in her clothing Clothing might be a little damp from before, so she's not necessarily changing at that time. Then she goes out for lunch, and then she comes home. And then what I understand is then she goes and takes a nap. Oh, yeah. Right, because she's tired. Exactly.

[31:26] So what I would suggest you maybe consider trying is let her, you know, do her normal routine, come home, have her take her nap. And then when she wakes up from her nap, she takes a shower on a Monday, Wednesday, Friday, when she goes to the pool. Instead of a Tuesday and a Saturday. I know on a Saturday you normally took a shower because she's getting ready to go to church. But that could be the bonus one if you really wanted to get another shower. But having her take those showers after...

[32:02] After she goes to the pool because my my thought is that she's never actually getting dry right and so the lady parts will stay wet and then the lady parts will start to get a infection and staying damp from the it's not necessarily so much the chlorine as the just the dampness that the constant dampness will cultivate the bacteria.

[32:32] Another couple of things to consider is that she might be getting to a point where she's needing more direct supervision when she's actually showering. When people are in three types of buckets of dementia, the first bucket, I think mom's been in up until recently. I think we might be moving into this middle bucket where before she could do everything for herself, maybe just needing some reminders and some cues and so on, not having people

Changes in Self-Care Abilities

[33:05] take things away, but letting her do it and quality was still good. I think your mom is moving into the middle bucket where she's kind of thinking, think about, you know, when the kids were little, hitting the high spots and the low spots, but not all the in between spots, right? So a kid would take a bath or a shower as a little one. They would wash their face and their hands because they could see that was dirty, right? But the rest didn't necessarily get done or they'd wash their hands and not rinse off all of the soap, right? They could physically do it, but they didn't do it with good quality.

[33:46] So your mom's kind of in that That middle bucket where she's physically doing the steps, but she's maybe not doing all of the steps correctly in the right sequence. She might be using way too much product or no product at all related to soap.

[34:08] She might only be washing here and the other leg, and then that's done instead of all the private parts. she may need you to actually watch and make sure she's washing everything. Not doing it for her, but being in the bathroom and just, hey mom, you gotta wash that thing.

[34:30] And try to get her to actually three three times a week three times a week yes yes well i noticed like recently when she's been doing her hair we got her a new curling iron and um i was wondering how that was going to go um and so she has pretty short hair kind of like mine and um she'll just put three little curls right here in the front and that's it bare minimum so that's kind of telling me that there's a lot of bare minimum things going on. So what's actually happening, that's really good observation, Pam, because what's now starting to happen is she's only taking care of what she can see. Yes. So she doesn't see what's behind her here where she used to. Right. And so what that, that's very much telling me that, that, you know, like we talked about in a previous time, you know, she's probably not switching out her clothes. She's probably wearing the same underwear over and over again because she doesn't recognize that they've either been worn or that they're soiled. And so my guess is, you mentioned the breath odor.

[35:45] My guess is that she's not actually doing mouth hygiene every day. That she's not taking she wears dentures right she's not actually taking her dentures out and putting them in the solvent she does do that she does then i don't know how much other brushing exactly so she's not doing something or she's not putting the solvent in all the time or she's not leaving it long enough she's she's skipping steps right and so the changes that you're starting to see is in the quality of what she's doing. It's not that she's not able to physically do those tasks. It's that she's not able to, thinking-wise, do all of the absolute sequences of the task. Taking a shower is a very complex task. There are multiple hundreds of steps that we take that we do so automatically, but then the person will start to skip those steps because they know the beginning, the middle, and the end of the task, but they don't know all the details anymore, and so they don't stay on task and actually bathe.

Prompting and Supervision for Medication

[37:03] Yeah, because she can remember to take her morning pills, but not her night ones.

[37:10] And so sometimes I'll come in 10 o'clock when I'm putting her to bed and I look in the pill box, they're still there. And she has to take them at five. So what that tells me is you're going to have to consider starting to preemptively start to do these things with her, which I know is a change for you guys because she has been fairly able to do all of these things. She just needed supervision. But now she's going to need those prompting cues more frequently, which means we have to facilitate that for her and be the reminder. And if she's not ready to take her medicine at that time, you'll need to work through it with her and say, hey, but it's time for us to do this. I know your mom's not hard and belligerent and is pretty accommodating but we're definitely it sounds like getting to a point in her journey where it's not so much like I know for right up until now you've been way more distant supervision she's had the supervision but the change is coming where you're going to have to be the more direct prompting and making sure that the quality.

[38:34] Is there because what's happening now is her quality is going away. Right. And that's probably part of what I'm realizing in my own world. It's starting to change and I'm not going to have the freedom to do what I've been doing because she's going to need me more. And I know it's a hard adjustment. It's hard. All right.

[39:01] Very very hard I'm not quite there yet with my mom and dad well because you have your dad still, correct right but if something happened to my dad i would be moving in with my mom until we could come up with a better plan right because i think that's where the journey is different you know with my dad i had my mom to help with dad but now that dad's gone and now and i knew it was going to be that way but that's why we moved her in and i'm thankful that we moved her in but it's been six years and um starting to see these changes so yeah well they were six good years though very good years yeah yeah because it's it's six years later and it's only now starting to right but it's actually been it's actually been eight years that my dad's been gone she lived for two years on her own and we lived next door so that helped we were there but then And we just started seeing her anxiety about being home alone at night and, you know, forgetting to lock the door and burning food. And we thought, you know, it's time, you know. So we bought a bigger house and we moved her in with us. And she's very happy here and whatnot. Most days you're very happy too.

Reflecting on Caregiving Journey

[40:16] Yeah, most days. But I think I just feel like when I'm bad, it's not good.

[40:23] It's okay. Okay. That's what I'm here for. Right. All right. Was that helpful? Yes, very much. Will you try those strategies for me? Yes. Awesome. Sure will. Wonderful. Well, ladies, thank you so much for being here in my very second Ask the Dementia Coach segment. I'm super excited that you guys were here. Hilda, I'm very glad you joined us today. This was lovely you were welcome to come back to as many of these as you like this really is to serve you and to help make new friends all over the world i cannot believe that you called in from ireland lovely yeah it's very helpful thanks very much all right well guys the lord's blessings and And I will see you guys in the next episode. Bye. Okay. Thank you. Bye-bye. Bye.

Lizette as a family caregiver

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About the author

“Think Different” Dementia’s owner, Lizette Cloete, OTR/L graduated as an Occupational Therapist from the University of Pretoria in South Africa in 1992. Lizette has almost 30 years of experience as an Occupational Therapist in a variety of settings, the latest being in the home health environment. She enjoys teaching on the topic of dementia, most recently presenting at a national conference on the topic “Dementia Made Simple”.

Disclaimer: These blogs, videos and any work done by Lizette Cloete OT, as a Member of Think Different Dementia, LLC, is given only as educational content and consulting work. This does not create an Occupational Therapist-Patient Relationship. The educational content and consulting work performed should not be considered medical treatment as an Occupational Therapist. The consulting work does not take the place of medical work normally performed by a licensed Occupational Therapist. Please consult a licensed Occupational Therapist for medical advice.

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