What to do when the person with dementia asks the same questions
by Monica Heltemes on 9/24/2014 to Dementia Activities
new resource, "Ask the OT". Caregivers often have questions or situations that come up in dementia care. Although one answer never fits all situations, having different perspectives on the issue can help - in this case the perspective of an occupational therapist (OT).
Why does the person with dementia say the same things over and over?
The easy answer, but one that can be hard to keep in perspective, is that the person does not remember that he or she already told you that piece of information or story. Yes, in literally seconds, the person can have forgotten what was just discussed. The diseased brain is like a sieve with holes in it. The information just leaks right out instead of staying in the brain as it should.
Sometimes the person may be doing it to get attention. I don't mean to say that the person is purposely doing it to get attention, but rather the person may be bored or even frightened and may be seeking conversation or reassurance.
Another possibility is that the person is having a strong memory of a past event. The fact that the person is experiencing memories is a good thing, but perhaps it is not a happy memory or an unresolved memory, that is worrying the person. In either case, the caregiver understanding that the dementia illness is causing this behavior, is important.
Is there a way I can reduce the dementia behavior of repetitive questioning?
Yes, there are strategies to try. If one does not work, try another. The repeating may not go away completely, but it likely can be reduced.
http://tinyurl.com/pj6j4xx
new resource, "Ask the OT". Caregivers often have questions or situations that come up in dementia care. Although one answer never fits all situations, having different perspectives on the issue can help - in this case the perspective of an occupational therapist (OT).
Why does the person with dementia say the same things over and over?
The easy answer, but one that can be hard to keep in perspective, is that the person does not remember that he or she already told you that piece of information or story. Yes, in literally seconds, the person can have forgotten what was just discussed. The diseased brain is like a sieve with holes in it. The information just leaks right out instead of staying in the brain as it should.
Sometimes the person may be doing it to get attention. I don't mean to say that the person is purposely doing it to get attention, but rather the person may be bored or even frightened and may be seeking conversation or reassurance.
Another possibility is that the person is having a strong memory of a past event. The fact that the person is experiencing memories is a good thing, but perhaps it is not a happy memory or an unresolved memory, that is worrying the person. In either case, the caregiver understanding that the dementia illness is causing this behavior, is important.
Is there a way I can reduce the dementia behavior of repetitive questioning?
Yes, there are strategies to try. If one does not work, try another. The repeating may not go away completely, but it likely can be reduced.
http://tinyurl.com/pj6j4xx
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Alzheimer's Care Training - Help for Alzheimer's Families
Alzheimer's Care Training - Help for Alzheimer's Families: Free Family Caregiver Alzheimer’s Training
Learn how to better care for a loved one with Alzheimer’s by taking advantage of free family caregiver training opportunities available from Home Instead Senior Care.
Learn how to better care for a loved one with Alzheimer’s by taking advantage of free family caregiver training opportunities available from Home Instead Senior Care.
HIPAA - Individually Identifiable Information: Know the Rules! ,,,,,, from Harmony Healthcare International, Inc.
Privacy Rule. One such policy includes incidental use and disclosure of confidential health information (also known as Protected Health Information or “PHI”). Per the requirements in the HIPAA Privacy Rule (See 45 CFR 164.530), protect the confidentiality of individually identifiable patient health and financial information from any unauthorized intentional or unintentional use or disclosure.
For clarity, Protected Health Information (PHI) is defined as any information in the medical record or designated record set that can be used to identify an individual and that was created, used, or disclosed in the course of providing a health care service such as diagnosis or treatment.
The HIPAA Privacy Rule specifies the following pieces of “Individually Identifiable Information” that, when linked with health or medical information, constitute PHI (45 CFR 164.514):
Names of the individual, and relatives, employers or household members of the individual
Geographic identifiers of the individual, including subdivisions smaller than a state, street addresses, city, country and precinct
Zip code at any level less than the initial three digits; except if the initial 3 digits cover a geographic area of 20,000 or less people, then zip code is considered an identifier
All elements of dates, except year, or dates directly related to an individual including birth date, admission date, discharge date, date of death and all ages over 89 and all elements of dates (including year) indicative of such age, except that such ages and elements may be aggregated into a single category of age 90 or older
Telephone numbers
Fax numbers
Electronic mail addresses
Social security numbers
Medical record numbers
Health plan beneficiary numbers
Account numbers
Certificate/license numbers
Vehicle identifiers and serial numbers, including license plate numbers
Device identifiers and serial numbers
Web Universal Resource Locators (URLs)
Internet Protocol (IP) address numbers
Biometric identifiers, including finger and voice prints
Full-face photographic images and any comparable images
Any other unique identifying number, characteristic, or code
Failure to comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) can result in Civil and Criminal penalties. These civil and criminal penalties can apply to both Covered Entities and Individuals.
If you have questions regarding HIPAA or need help maintaining compliance, please click here to contact Harmony Healthcare International or call them at (800) 530-4413.
For clarity, Protected Health Information (PHI) is defined as any information in the medical record or designated record set that can be used to identify an individual and that was created, used, or disclosed in the course of providing a health care service such as diagnosis or treatment.
The HIPAA Privacy Rule specifies the following pieces of “Individually Identifiable Information” that, when linked with health or medical information, constitute PHI (45 CFR 164.514):
Names of the individual, and relatives, employers or household members of the individual
Geographic identifiers of the individual, including subdivisions smaller than a state, street addresses, city, country and precinct
Zip code at any level less than the initial three digits; except if the initial 3 digits cover a geographic area of 20,000 or less people, then zip code is considered an identifier
All elements of dates, except year, or dates directly related to an individual including birth date, admission date, discharge date, date of death and all ages over 89 and all elements of dates (including year) indicative of such age, except that such ages and elements may be aggregated into a single category of age 90 or older
Telephone numbers
Fax numbers
Electronic mail addresses
Social security numbers
Medical record numbers
Health plan beneficiary numbers
Account numbers
Certificate/license numbers
Vehicle identifiers and serial numbers, including license plate numbers
Device identifiers and serial numbers
Web Universal Resource Locators (URLs)
Internet Protocol (IP) address numbers
Biometric identifiers, including finger and voice prints
Full-face photographic images and any comparable images
Any other unique identifying number, characteristic, or code
Failure to comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) can result in Civil and Criminal penalties. These civil and criminal penalties can apply to both Covered Entities and Individuals.
If you have questions regarding HIPAA or need help maintaining compliance, please click here to contact Harmony Healthcare International or call them at (800) 530-4413.
Feds delay enforcement of home care wage rule - Modern Healthcare
Feds delay enforcement of home care wage rule - Modern Healthcare: Feds delay enforcement of home care wage rule
By Lisa Schencker | September 11, 2015
The U.S. Labor Department won't start enforcing its new rule requiring higher pay for many home healthcare workers just yet, despite a recent court decision upholding the rule.
The new rule won't go into effect until 30 days after the District of Columbia Circuit Court of Appeals issues a mandate making its opinion effective. It's unclear when that mandate will come because industry groups have asked the court to wait until after they try to appeal the matter to the U.S. Supreme Court.
The rule was slated to go into effect Oct. 13.
By Lisa Schencker | September 11, 2015
The U.S. Labor Department won't start enforcing its new rule requiring higher pay for many home healthcare workers just yet, despite a recent court decision upholding the rule.
The new rule won't go into effect until 30 days after the District of Columbia Circuit Court of Appeals issues a mandate making its opinion effective. It's unclear when that mandate will come because industry groups have asked the court to wait until after they try to appeal the matter to the U.S. Supreme Court.
The rule was slated to go into effect Oct. 13.
Online Tools | Caregiver Center | Alzheimer's Association
A diagnosis of Alzheimer's raises many questions. The Alzheimer's Association has several free, online tools to help you find answers, local resources and support.
Alzheimer's Navigator®
ALZConnected® (Message Boards)
Caregiver Stress Check
Care Team Calendar
Comfort Zone®
Community Resource Finder
E-Learning Workshops
essentiALZ Individual Certification
TrialMatch®
Virtual Library
Read more: http://www.alz.org/care/alzheimers-dementia-online-tools.asp#ixzz3ST9Bt8Q1
Alzheimer's Navigator®
ALZConnected® (Message Boards)
Caregiver Stress Check
Care Team Calendar
Comfort Zone®
Community Resource Finder
E-Learning Workshops
essentiALZ Individual Certification
TrialMatch®
Virtual Library
Read more: http://www.alz.org/care/alzheimers-dementia-online-tools.asp#ixzz3ST9Bt8Q1
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