News from Alzheimer Week of Nov. 30, 2003 / Vol. 3 No. 48

Expert Offers Tips to Make Holidays More Enjoyable for Memory-Impaired Individuals

Elderly people suffering from impaired memories may be uncomfortable in large holiday family gatherings, but there are ways to help them cope and increase their enjoyment, according to a gerontology expert at the University of California at San Diego Medical Center.

Dr. Daniel Sewell, director of the university's Senior Behavioral Health Unit, offers the following suggestions to loved ones of those with impaired memories:

  • Plan ahead. If the individual is vulnerable to over-stimulation, limit the activities or length of time in which he or she is included. For example, don't let dinner continue on for hours.
  • Establish a quiet room in the home, so that the family member can step out of the hustle and bustle for a calm moment.
  • Budget in naptime, especially if the loved one is accustomed to daily naps.
  • Assign a family member to be that day's companion to the elderly member, to monitor how he or she is doing and to make sure the person feels comfortable.
  • If the get-together is in the home of the person with memory impairment or behavioral problems, don't rearrange the furniture. This could be a source of confusion and anxiety.
  • Don't put out a lot of finger foods, like sweets, especially if the individual has a problem with impulse control. This could lead to sugar-induced hyperactivity or an upset stomach.
  • Limit or eliminate alcohol consumption, which can provoke bad behavior or interfere with medications.
  • Break down complicated tasks and involve the individual in a simple, helpful preparation task, such as greasing one of the cooking pans or peeling potatoes. This aids self-esteem and helps him or her feel a sense of contribution to the day's celebrations.
  • Engage everyone, including the memory-impaired, with reminiscing. Often, individuals with memory problems can recall the past but forget recent events or conversations. By getting them to talk about the past, younger family members can be exposed to their roots and the memory-impaired will feel validated for their perspective on family history.
  • Avoid criticism that can embarrass or shame the older person. For example, when they forget a recent conversation, refrain from saying "don't you remember?"

"All of these suggestions need to be individualized for each person and their specific needs," Sewell said. "These folks can get lost in the shuffle and chaos of happy family gatherings. So, just be sensitive and loving. And plan ahead."

Other sources: University of California at San Diego Medical Center