Handle the holidays with Alzheimer's

Traditional outings and gettogethers weigh heavily on those whose aging parents are beginning to show signs of dementia and becoming increasingly confused. But there are some practical ways for adult caregivers to stay healthy and relaxed during the holidays, even when "sandwiched" between caring for children and for parents as well.

"Caregivers need to decide which traditions to continue or not, then set limits as to what is possible, and for goodness sake, be willing to ask for help," said Julian Dean, director of programs and education for the Central Coast Chapter of the Alzheimer's Association.

To prepare the person with Alzheimer's for the holidays, create a "quiet" room for when things get too hectic, and have a familiar person to stay with them so they don't feel isolated. Name tags are useful at gatherings, since people with dementia may recognize faces but often can't recall names. It's always good to review photos of those coming to visit, and having the person with dementia help with decorations can prepare them for the festivities.

For visitors, try not to have too many people over at one time, as it can be overwhelming for all. Arrange a good time to stop by- late morning or early afternoon is usually preferable to evening time.

If there is any concern about loved ones wandering off and getting disoriented, they can be entered into the Safe Return/ MedAlert system at the Alzheimer's Association offices.

Other safety considerations include decorations inside the home. Use ribbon rather than sharp hooks to hang ornaments. Avoid decorating with items that look edible but may not be. Choose quiet but familiar music and lights that don't blink. Candles and fireplaces can be hazardous, and substituting sparkling cider for alcoholic beverages is important as well.

Caregivers should try to maintain as normal a schedule as possible for the person with dementia. Don't try to do too much in one day or move too fast. If the loved one becomes overwhelmed, take them to a quiet, safe retreat and offer support.

For more information, call the Alzheimer's Association at (800) 272-3900 or visit www .centralcoastalz.org.