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Parkinson's Disease with Dementia -
Special Challenges
By Sandra Fuson, Staff Writer
Other ideas that you may want to
consider:
Keep travel plans simple. As much as
possible, continue established routines if you need to
travel.
Keep dangerous objects, such as knives, out of reach and
out of sight. Other objects you may want to put away
include ladders, step stools, small appliances that
require supervision when in use, and anything else in
your home environment that you think would be a danger
to your loved one.
Use mental exercises to keep memory as sharp as
possible. These include puzzles, card games, reading,
listening to music, and even keeping a diary.
Continue a good exercise routine. This not only keeps
the movement portion of PD under control, but it can aid
in cognitive processing as well.
Keep dressing as simple as possible. Buttons and snaps
can be a challenge. Slip-on clothing and even Velcro
work well.
Get a wrist or pendant ID for your loved one to wear.
The Alzheimer’s Association can provide one.
Financial Obligations:
Develop a plan for finances and how your
loved one’s assets will be used before the dementia
develops too much. Scientists have demonstrated that
each year the person with dementia loses mental
processing at more than twice the rate of a person
without dementia. You’ll want to put these arrangements
in place as soon as possible. You’ll want to consider:
Preparing a will and keeping it in a
safe place.
Consulting a financial planner to decide how assets need
to be used, dissolved, or otherwise distributed.
Deciding about long-term care options.
Deciding how bills will be paid on an ongoing basis –
especially important if the person with Parkinson’s is
not married, is widowed or lives alone (although they
may not be able to continue living alone for long).
By making these decisions in advance, you’ll save much
stress later as the disease develops further.
Many people with Parkinson’s will not
develop dementia. For those patients who do, it is
important to learn your medical options and make
adjustments to the home environment. Some of these
adjustments can transition over time, while others need
to be made more quickly. Even with dementia, the person
will have good days and days that thought processes are
not as sharp. By keeping the lines of communication open
with your doctor, the disease can be managed as
effectively as possible, despite its debilitating
effects on daily living.
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