Last month we mentioned how using strategic little cues for a loved one with memory impairment can make a big difference in keeping a greater sense of independence. When determining what cues to put in place, first identify where, when and how your loved one is struggling and the resulting impact from it.
Perhaps she is having trouble with her morning routine. Her usual routine had always included getting up, making the bed, picking out and then changing into daytime clothes, washing her face and then brushing her hair. The steps are in a reasonable order and the routine is very relatable. I’ll bet you do them without even paying attention to it –it’s just what you do every morning! Each step builds on the last to arrive at an expected outcome –being dressed and ready for the day ahead. An individual with memory impairment may need the use of cues to help her along the process. Let’s say this lady gets stuck at the clothes part and you find that she is wearing the same clothes day after day. Because you know her and her preferences, this is something she would never do. This is the impact of a failing routine. [Now keep in mind when looking at the impact of a failing routine, you would also factor in the level of risk it has to the person. In this example, not changing her clothes as frequent as she did before is not life threatening. Knowing her preferences and personality and yes, if left long enough this failed routine would interfere with a healthy lifestyle not to mention be very hard on her clothes, so additional support is needed.]
Consider her personality. Has she always been a list maker? Would she benefit from a well-placed list entitled “Morning Routine” with the steps laid out in point form? Perhaps her hamper is changed to one with a lid. On the lid is a label that says, “dirty clothes” or “Needs to be washed”. The label and the lid are additional barriers to what she doesn’t want. Perhaps the Morning Routine List includes another strategic step such as “pick out clothes from your dresser” to also help direct her. The list would be posted in an appropriate place where it won’t be moved or in the way of the process itself. Make it attention grabbing without interfering with the message. It must be clear. The writing is large enough even without glasses. Test it out over a few days and track the results. Tweak as needed. Make sure everyone who comes in contact with her is aware of your cues, so they are not tampered with.
Having little cues in the right places will help maintain her routine and maintain a sense of comfort and independence in her life. You and your loved one will feel happier for it.