Tip Sheet

Behavior Issues

  • Anxiety and agitation can sometimes be caused by bodily discomfort, such as pain, constipation, hunger or uncomfortable clothes. Try figuring out what might be wrong. Ask your physician to evaluate for medical problems. Medications and lack of sleep can cause behavioral changes.
  • Stay calm, as your anxiety will increase their anxiety.

Bathing (for dementia)

  • People with dementia are often resistant to bathing. They will claim they just showered or that they will do it later or outright refuse to bathe. Unless someone is incontinent, daily bathing is not necessary. Pick your battles—once or twice a week may be sufficient. Coupling bathing with an activity is sometimes helpful, e.g. going to the doctor or out to lunch or a bowl of ice cream.

Where to Find My Important Papers

Click here to download a PDF of this form to print or fill out on your computer.

針對有失禁症狀之癡呆症患者的護理建議 (Incontinence and Dementia - Chinese)


  • 與醫生討論失禁問題是否由藥物、前列腺增生或尿道感染引起,特別是突然出現失禁症狀的患者。


  • 研究各種失禁用品。市面上有許多失禁用襯墊和內衣。每個人的需要各有不同,應選擇最適合的產品。在防護內褲中加上襯墊能增加吸收量。不要稱之為成人紙尿褲,應稱作防護內褲。


  • 癡呆症患者通常對穿著防護內褲表現抗拒。可能需要一些技巧讓他們習慣穿著,例如,在早上穿衣服時將防護內褲自然地融合到穿衣的一部分。先把襯墊放在內褲裡,在失禁病人更換衣服或從廁所站起來時,把內褲遞給他們。如果病人表現出抗拒情緒,您可以對他們說「它能幫助我更好地照顧你,這樣我就不會擔心了」,或者可以說「這對您有好處,穿上它您就不用再趕忙跑去洗手間,也不必擔心因此摔倒了。」


  • 使用橡膠或一次性塑膠防護床墊、椅子、汽車座椅等。


Consejos para cuidadores de personas con demencia que sufren incontinencia

  • Hable con el médico para determinar si los medicamentos, el agrandamiento de la próstata o una infección urinaria pueden estar causando el problema, especialmente en el caso de un inicio repentino de la incontinencia.

When Caregiving Ends

Caregiving can last for many years.  Caregivers set their own lives aside to care for someone else.  When that person dies, caregivers have to figure out what to do with their lives now.  There is no preparation for this transition.  Generally you are so busy caregiving, and life changed so long ago, that there has not been time nor energy or even the psychological will to think about what comes next.  Here are some tips that might help you during this time:

Legal Planning for Incapacity

As you face aging and the need to make plans for your future, you face having to make legal decisions about many aspects of your lives. These legal decisions not only protect you from others doing things you might not like to you, they also protect family and loved ones by giving them guidance in the care that you would like to receive. After completing all the legal paperwork, the next step is to sit down and talk to family about the decisions you have made and why.


Finding an Attorney to Help with Estate Planning

Before you or a loved one is faced with a life limiting illness or cognitive impairment, it is important to have completed the legal paperwork necessary for estate planning. Unfortunately, this often not the case, and family is trying to get the necessary legal documents completed under difficult circumstances, such as cognitive impairment, where someone is no longer able to manage his/her affairs or a medical crisis. (see Tip Sheet: Making Decisions: What Are Your Important Papers)

Conservatorship and Guardianship

When someone is no longer able to handle his or her own financial or personal affairs, the court can appoint an individual or professional to act on behalf of the incapacitated person. When a minor child is involved, it is generally called a guardianship. When an adult needs someone, it is called a conservatorship. However, states define these terms differently and you need to consult an attorney in your state to determine what the law is.

Advance Health Care Directives and POLST

The Advance Health Care Directive (ADHC) allows you to appoint someone (health care agent, attorney-in-fact, proxy or surrogate) to make a decision for you if you can not speak for yourself. It is also called the Durable Power of Attorney for Health Care, Natural Death Act, Directive to Physicians or a Living Will. (The living will is slightly different; check on what is recognized in your state.) Every state recognizes the ADHC, but states have their own forms, as laws vary from state to state.



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