Mary asked the questions again and again while waiting for her lunch at a restaurant. Her eyes were fixed on the centerpiece which included a printed list of the specials during the next three days, including Christmas. So every two minutes, she had the same request: “Please read me the menu. When is Christmas? When is Christmas?”
Repetition is one of the common challenging behaviors of Alzheimer’s disease. Others include refusal, delusions (fixed, false, ideas or beliefs), aggression, false accusations, wandering and agitation.
Behaviors like constant and repetitive questions can try family caregivers to the breaking point. Alzheimer’s expert David Troxel confirms.
“It’s a long haul,” he said. “It’s not an acute illness — the average length is eight years, but people can live with it for 20.”
The following are approaches from the Home Instead Senior Care network’s free Alzheimer’s Disease or other Dementias CARE: Changing Aging through Research and Education Training Program to help families manage challenging behaviors like repeated questions:
1. Redirect. The first time a question or concern comes up, take a few moments to answer the question fully and provide reassurance that all is well. If that doesn’t work, try to engage the senior in a related topic. For example:”Tell me about your favorite Christmas.” How about your favorite Christmas meal?” “What holiday do you like best?” Sometimes discussing the topic will lead away from the repetitive behavior and calm her anxiety.
2. Utilize the person’s life story for ideas. The CARE program encourages caregivers to know seniors well. For instance, when a caregiver knows that the person loves country-western music or enjoyed quilting they can ask that individual about this new topic to “change the subject,” but in a meaningful and respectful way.
3. Physically move the items or senior from the environment. If the menu, in this case, or the object, in general, continues to agitate or irritate, remove the senior or the object from that situation.
4. Offer simple choices. Persons with dementia still want to feel in control of their lives. The CARE program teaches that one way to break a repetitive question cycle is to offer a simple choice. “Speaking of Christmas, Mom, would you like to serve turkey or lamb this year?”
5. Apologize or take the blame. Apologizing or taking the blame in a situation (even if it’s not your fault) diffuses many situations. In this case, the family member can apologize for not understanding her concern or question and then try to move Mom away from her anxiety about Christmas plans.
For more information about Alzheimer’s Care for a loved one call 910-484-7200 or visit www.homeinstead.com.