Everyday Changes That Can Improve Life with an Alzheimer’s Patient

Receiving news that a loved one has been diagnosed with Alzheimer’s can be overwhelming and life changing. While there is currently no cure, treatment focuses on managing symptoms and slowing the progression of the disease. As a caregiver, you may find yourself asking, “What should I do next?”

One meaningful step is to make simple, everyday adjustments that can bring comfort, safety, and joy to your loved one’s life at home. This article offers a practical guide within Singapore’s context to help you provide thoughtful and effective care for someone living with Alzheimer’s. Each patient and family is different, so it is important to adapt these suggestions to best fit your loved one’s needs and your household comfort.

1.  Create a safe and calm space

In Singapore’s housing structure and community setting, clutter can accumulate quickly. Adopt healthy habits to declutter and not hoard items around the house. These can include removing loose rugs, wires, or small furniture to reduce fall risks. You may also consider making the following improvements:

• Install grab bars that are HDB and URA-approved designs in bathrooms
• Install motion-sensor night-lights for corridors and toilets
• Create a calm space by playing soft background music that are familiar to patients

2.  Use visual cues

Visual cues compensate for memory loss by externalising information. Pictures, colour-coded labels, or symbols can act as a reminder of people, objects, or tasks when verbal memory is impaired. You may consider labelling drawers and items, or even signage with simple icons to help reduce directional confusion.

3.  Establish a consistent routine

Singaporeans often rely on helpers or daycare centres when caring for these individuals. Incorporate familiar activities such as keeping mealtimes or tea breaks consistent. You may consider setting up a specific timetable to do certain activities at a fixed timing. This helps patients get used to a routine when they are unable to rely on their memory.

4.  Break task into simple steps

Instead of giving direct instructions, break the task down into simple steps that are easy to interpret and carry out. Encourage independence but offer hands-on assistance when needed. Domestic helpers should also be trained to use short, simple instructions. For example, instead of saying “eat your dinner”, give them the steps such as “pick up your fork” and “scoop the food”.

5.  Personalise their space

Display familiar objects such as photos or childhood items that triggers happy memories. Keep a memory box of small personal items that can spark conversations and remind them of their old memories.

6.  Minimalise decision fatigue

Offer two clear options instead of open-ended questions. When nudging them to make decisions, provide them with clear-cut choices. For example, “Do you want kaya toast or peanut butter toast?” You may also consider to simplify wardrobe choices such as setting out one or two outfits daily.

7.  Minimalise overstimulation

Singapore homes are often multi-generational and lively. Ensure your loved one has a quiet corner to rest. Avoid crowded environments like wet markets at peak hours or choose quieter times of the day. Switch off blaring TV news or loud variety shows if they cause agitation.

8.  Communicate effectively

Use simple and short sentences. Avoid medical jargon or having a scolding tone. Speak slowly while maintaining eye contact, and give them time to respond. Many seniors in Singapore are bilingual or dialect-speaking, hence use the language they are most comfortable with.

Conclusion

Caring for a loved one with Alzheimer’s is not easy, but small, everyday changes can make a big difference. When required, seek support from community resources and the people around you. Remember, you do not have to do this alone. With patience and community support, it is possible to live a safe and fulfilling life with your loved one at home.