70% is the percentage of cells that have probably already been destroyed by the time disease symptoms appear.
All the explanations we might be tempted to give the sufferer to prove our point, to make them understand our reality, are more than ineffective. In fact, they increase anxiety because they can't be understood. Perhaps you've already tried to explain, with supporting evidence, that it's night time. What was the result? The person with dementia reacted badly, perhaps even getting angry with you despite your gentleness. In any case, your explanations and evidence were not understood.
A large part of communication is non-verbal. What is your non-verbal ?
You're standing very close to the customer, smiling at him and moving your hand closer to loosen and pull down his pants! What does he see? How can he interpret this gesture? He'll say "No, no, no" and try to pull you away, or even hit you if you persist. Instead, gesture that you're going to help him and show him the toilet. Use his hand on yours when you untie the panties, and he'll feel as if he's doing it himself.
The same question asked again and again: how do you keep control?
Remember, it's not you who has the problem, it's the person with dementia. For her, this is the first time she's asked you. You've got to remember the incredible havoc it's wreaking on her brain, and the fact that it won't heal. Then take 3 deep breaths.
"What time is mass?"
Mme asks you this question every 5 minutes. First, you take a deep breath if you're feeling impatient. Then, again in a calm, gentle tone, you answer "It's tomorrow", then follow with "I've got a song in my head", then singing: "All the lovers in the world have blue eyes..." Ms. starts singing along, or following the rhythm. Rhythm doesn't die, this section of the brain is spared.
"Someone stole my wallet
Possible response from you: "I'm sorry this happened, I'll make sure we keep an eye on your things." And that's even if her wallet is in her office. Maybe she doesn't recognize it, maybe it's not what she's looking for. An explanation from you would be misunderstood.
"I want to go home. Which home is she talking about? The home where she grew up and the security of being with her mother and father? We don't know, but what we do know is that the best way to calm the anxiety and stress the person is experiencing at the moment is to enter into their reality with love and compassion. You can try this: "Tell me about your mommy", then when you feel the anxiety diminish, you divert to another point of interest like a song, a snack, an activity in a quiet place.
Despite advances in the field of dementia, we still know very little about it. There are types and stages of dementia. There are several types of AD and many variations in the stages. In short, each person is unique, and your interventions and approach must be personalized, working with what remains rather than with what is definitively destroyed.
You're an agent of change in your environment. Your colleagues will emulate your adapted, straightforward day-to-day interventions. You'll help families enormously by sharing your knowledge with them, and they'll become your allies.
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Suggested website:
http://www.douglas.qc.ca/info/alzheimer
http://www.alzheimer.ca/fr
Video suggestion :
Teepa Snow: https://www.youtube.com/watch?v=sUgPm8RMa48&index=1&list=PLeu1xlHHkFCU_k85X1xBwjzayVIzNB12R
Philippe Voyer: https://www.youtube.com/watch?v=qu4xkMOApUk&index=7&list=PLDeZyroxJyARWgFxiOKS3vJlPp72mu1qP
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