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Living Alone With Alzheimer's

by Christine Kennard
for About.com

Updated: May 24, 2006

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

A diagnosis of Alzheimer's disease comes as a shock. With people who live alone one of their first fears is that some form of incarceration in a hospital or nursing home will quickly follow. The facts however suggest otherwise and even people in fairly advanced states of dementia can continue to live alone so long as they are prepared.

Preparing to Live Alone with Alzheimer's
The better and more organized the system of support the more likely it is for an individual to live an independent life. With this in mind the relative/caregiver can prepare in the following ways:

Finances

  • Set up as many systems for direct payment as you can. If this is not possible then the companies affected should be informed so that services are not cut off.

  • Consider joint access to bank accounts, check insurance and wills. This is all part of financial caregiving.

  • If someone helps with shopping or deals with cash it is very important to keep a careful account of what is being spent. This can help to avoid uncomfortable situations if questions are asked about where money is being spent.

    Inform Others
    If people in the local area know what is happening they are more likely to be supportive and keep a watchful eye out for any changes of routine or for example, if they find the person wandering. Only people who are likely to have direct regular contact need be informed, such as the local store, the library, the church, etc.

    Involve the Family
    Very often one person is lead caregiver - whether they want the job or not. Family members need to be recruited as part of the deal to help keep their relative independent. Depending on the family structure this may be easier said than done. It remains the case that caregivers need to look after themselves and so it can be time well spent building a support network.

    Involving Others
    Outside the family there are a number of places you might turn for support. This can vary from place to place as some charitable organisations provide for local needs. Get to know what is around. One place to start is to locate your local Alzheimer chapter; they can usually provide good intelligence about things like domestic help, volunteer services, etc.

    Home and Person Safety
    As dementia progresses home safety issues become more of a priority and need more careful consideration. Identity bracelets should be considered in case of wandering. Dangerous items such as bleach may be mistaken and accidentally swallowed; these and other caustic substances should be locked away.

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