One of the main issues facing caregivers for people suffering from Alzheimer’s disease is how much risk they should endure. It is very tempting to coddle a person once they begin exhibiting signs of Alzheimer’s disease. However, it is important, especially in the early stages when the patient may be frightened, that the Alzheimer's patient's routine is disrupted as little as possible. Additionally, as the disease progresses, it continues to be important to minimize disruption to their routine as this enables the Alzheimers sufferer to remain independent for as long as possible.
Understandably, caregivers feel a responsibility towards their charge. Generally, they want the Alzheimers sufferer to be insulated from danger as much as possible. Deciding to allow someone who is in the early stages of Alzheimer’s disease to do something as routine as going for a walk alone can be a very difficult decision. It would also be very tempting to restrict them from doing seemingly mundane tasks, such as making a cup of tea or a simple meal, due to fears about leaving the oven or stove on, as the risk of scalding or burning is very real.
This is a challenging problem with few ideal solutions. In consultation with relevant health care professionals, carergivers and friends need to determine what types of risks are reasonable and to minimize unnecessary risk whenever possible. Other factors, such as accidents and illness, need to be carefully monitored. Caregivers need to keep in mind that Alzheimer's patients still have rights and the right not to be a prisoner in one's own home is essential to long-term happiness.
Measures should be taken to minimize areas of concern. It is essential that homes be well-lit and warm. Whenever possible, very hot surfaces such as radiators or open fires should be avoided. Alternately, adequate safeguarding measures should be put into place. Floors should have no slipping or tripping hazards. It is essential to keep walking areas uncluttered and ensure all footwear fits well. Repairs should be made to remedy any worn or loose carpeting. Sturdy banisters should be installed wherever there are stairs. Doors and windows should feature sturdy locking systems. All dangerous appliances which are unsuitable for use by the Alzheimer's sufferer should disconnected whenever the patient is unsupervised. Caregivers must ensure that administering of medication is closely supervised as it is very common for the Alzheimer’s patient to forget they have ingested their medication and subsequently take it again.
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