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Living Independently with Dementia

There are many changes that come along with living independently with dementia. If you are staying on your own and currently living with early-stage dementia or mild cognitive impairment (MCI), here are some tips to cope with the changes to maintain your independence for as long as possible.

Why Do Behavioural Changes Happen?

Dementia is accompanied by behavioural changes, which affect your loved one living with dementia and all of you around him/her. Behavioural changes can be one of the aspects of dementia that are most difficult to address. Persons living with dementia who experience behavioural changes are often described as having a “completely different personality” from their “old self”.

Palliative Care

End-of-life care, or palliative care, aims to support a person in the later stages of a life-limiting condition to live as well as possible until they pass on. It also aims to support family and caregivers during this time and after the person passes on. End-of-life care may last for weeks, months, or occasionally years. It is often difficult to know exactly when a person living with dementia is approaching the end of their life.

Person-Centred Care in Dementia

The term “person-centred care”, as a frequently-used term and a developing area,1 does not have a single agreed definition. When loosely defined, it has been used to refer to philosophies of caring that include goals that range from an emphasis on the dignity of the person being cared for, treating this person as an individual, ensuring that care is organised around the person, to involving the person and their close kin in their own care planning.2

Reminiscence in Dementia Care

Reminiscence is a method in dementia care that focuses on facilitating recollection about past events and experiences with persons living with dementia. This recollection creates opportunities to improve the wellbeing of persons with dementia, and for family and caregivers to meaningfully connect with them.

Making a Will

Planning a will is important to carry on the wishes of a person after they pass on. The will should contain clear instructions about what one wants to do with their money and the assets they own. It will also ensure that their legacy and future generations are taken care of accordingly

Reminiscence Activities for Persons with Dementia

Reminiscence involves the discussion of activities, experiences and events from the past and should ideally provide multi–sensory stimulation for persons living with dementia. Apart from reminiscence therapy, persons living with dementia and their family members can participate in or create activities that incorporate elements of reminiscence. These can include looking through old photos, listening to old music or taking part in more tactile activities such as arts and crafts or painting to evoke positive memories from the past.

How Effective are Dementia Medications

Medications, while with modest benefits, may be prescribed to relieve some symptoms and behaviour changes associated with dementia. However, ongoing debates over their effectiveness continue – the benefits and risks of the medications are discussed.

Caregiving Through the Stages of Dementia

Your role as a caregiver changes with the progression of your loved one’s condition. Below summarises the caregiving experience through the different stages of dementia:1-3

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