Physical Preparation for Home Care
These suggestions need to be evaluated by the caregiver and family regularly as changes in your loved one are observed. I am addressing all stages of dementia that I have experienced and heard others say they have encountered.
Entrances and Exits of House
A ringer attached to doors to notify caregiver of exits
One ramp entrance if a wheelchair is needed
Rails where steps are located
Possibly locked doors
Widening of doors if a wheelchair is needed
Floors and Passageways Inside House
Remove all area rugs
Be certain all passageways are clear of any furniture, shoes, or clothing.
Keep passageways well-lit at night.
Be aware of any wet or slick areas
Refrigerator and Food Service
If diabetic, total freedom and access to fridge might need to be limited. I had to limit some items and put them in a garage fridge at night. At the same time, I made snacks like peanut butter crackers available in case blood sugar went down at night.
I found it best to serve both of our plates at the counter and place them on the table. Since a lot of choices are difficult with dementia, “family style” service can be overwhelming. At the end of our meal, two choices of a favorite dessert were made available. Treats in between meals were offered as well.
Stove
In my situation wandering at night was a regular occurrence even though I was attentive to addressing “sundowners.” I found tortillas being cooked on an open electric burner one night. If necessary, knobs can be taken off at night. In our last stage, I had to arrange for some nightcare to get to sleep.
Telephone
In our first stage, the memory of some numbers could still be used on the cellphone. I adjusted our landline with predialed numbers having pictures of each family member. Phone calls were usually short because knowledge of things to say was limited.
TV Remote
Covering the unnecessary buttons with heavy tape can provide fewer choices yet maintains some independence.
Bathroom
Handrails for toilet and shower are usually needed. The opening into bathroom may need to be widened to 51’’.