Sleep disturbances are common in Alzheimer's disease. Broken sleep can affect everyone in the home so it is perhaps not surprising that often becomes a contributory factor to people being placed in a care facility. Care facilities present their own difficulties. Noise levels are often higher, there is frequent movement of objects and people during... Read more
Many years ago, when I was still a student nurse, part of the study program I had to undertake related to the work of the sociologist Erving Goffman. It didn't take long for me to appreciate just how profound and timely Goffman's insights were. What I could not appreciate was the timeless nature of his observations and how they would continue to... Read more
Because people with Alzheimer's disease are a diverse group of individuals from different backgrounds and different lifestyles, activities need to be tailored accordingly. However, there are reasons why some activities may be better than others depending on which stage of Alzheimer's the person is experiencing. A way of thinking about this is to... Read more
Intimacy with Dementia: Is There a Time to Stop Having Sex? The issue of expressed sexuality during dementia remains something of a taboo. Within residential settings the complexity of the topic is often compounded by the attitudes of caregivers or even the design and layout of the building. In this posting I fall back on just a couple of my... Read more
At one time working with older people, especially people with dementia, meant providing limited services that only made brief acknowledgement to anything but physical needs. Patients in institutional settings seemed to just exist in the present. There was little understanding of how knowledge of their biographical histories could enhance... Read more
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