KNYSNA NEWS - People with more advanced dementia, which is associated with symptoms such as progressive memory loss, may lack the "social filters" that keep most of us from honestly expressing what we really think out of politeness for other people.

This was noted by Johannesburg occupational therapist Corlia Schutte, many people with advanced dementia become less inhibited, lose a sense of social norms and may consequently express themselves rather more candidly than is generally considered acceptable.

This kind of behaviour can be challenging and hurtful to families who care for people with dementia and Alzheimer's within the home environment," adds Schutte.

"It can be easy for anyone to forget that their loved one is suffering from memory loss and other cognitive problems, and assume they are just being difficult.

"If you can stay aware of the fact that they may be having problems associated with dementia, and keep in mind that their behaviour does not have the purpose of being insensitive and hurtful, however, it can assist you to avoid losing your patience with the individual concerned."

Dementia is a group of symptoms that can occur due to a variety of possible underlying medical conditions and, besides memory loss, may result in a number of other symptoms such as impairments in reasoning, communication, and focus.

Schutte says if a loved one with advanced dementia starts to behave inappropriately or say insensitive things, it can be useful to try to establish what may be causing the behaviour. It may, for example, be that something within their environment, such as loud music; a noisy, busy environment; hunger; tiredness; or even a need for the toilet may be causing the reaction. It may even be that the person is in pain or is experiencing some form of discomfort. By understanding the reasons for the behaviour, it can be meaningfully addressed.

"Also remember that if you are going on an excursion, or taking a few days holiday, that while you and the family may be excited about it, the person with dementia can easily become bewildered and anxious when they are out of their routine and familiar environment," she advises.

According to Schutte, it can also be helpful to honestly explain the causes of any unusual behaviour in their loved one to other family members, particularly younger ones, so that they can understand it and be better equipped to deal with it.

Schutte says loneliness and boredom are common problems affecting elderly people in society, and the sense of isolation this creates is often strongly associated with depression.

"Caring for a loved one with dementia or Alzheimer's can be immensely trying but also most rewarding. It can help if you can try to keep in mind that their memory loss is not their fault and try to understand their experience. If you can do this, it can assist you to be more patient with them and treat them with the compassion they need. By showing your care and love for them, you are able to make them feel safer," concludes Schutte. 

– Supplied by MNA obo Livewell Villages

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