As a caregiver, you can do many things to make the person’s home a safer place. Think prevention—help avoid accidents by controlling possible problems.
While some Alzheimer’s behaviors can be managed medically, many, such as wandering and agitation, cannot. It is more effective to change the person’s surroundings—for example, to remove dangerous items—than to try to change behaviors. Changing the home environment can give the person more freedom to move around independently and safely.
Moving Around the House
Try these tips to prevent falls and injuries:
- Simplify the home. Too much furniture can make it hard to move around freely.
- Get rid of clutter, such as piles of newspapers and magazines.
- Have a sturdy handrail on stairways.
- Put carpet on stairs, or mark the edges of steps with brightly colored tape so the person can see them more easily.
- Put a gate across the stairs if the person has balance problems.
- Remove small throw rugs. Use rugs with nonskid backing instead.
- Make sure cords to electrical outlets are out of the way or tacked to baseboards.
- Clean up spills right away.
People with Alzheimer’s disease may not see, smell, touch, hear, and/or taste things as they used to. You can do things around the house to make life safer and easier for the person.
Although there may be nothing physically wrong with their eyes, people with Alzheimer’s may no longer be able to interpret accurately what they see. Their sense of perception and depth may be altered, too. These changes can cause safety concerns.
- Make floors and walls different colors. This creates contrast and makes it easier for the person to see.
- Remove curtains and rugs with busy patterns that may confuse the person.
- Mark the edges of steps with brightly colored tape so people can see the steps as they go up or down stairs.
- Use brightly colored signs or simple pictures to label the bathroom, bedroom, and kitchen.
- Be careful about small pets. The person with Alzheimer’s may not see the pet and trip over it.
- Limit the size and number of mirrors in your home, and think about where to put them. Mirror images may confuse the person with Alzheimer’s disease.
- Use dishes and placemats in contrasting colors for easier identification.
People with Alzheimer’s may experience loss of sensation or may no longer be able to interpret feelings of heat, cold, or discomfort.
- Reset your water heater to 120°F to prevent burns.
- Label hot-water faucets red and cold-water faucets blue or write the words “hot” and “cold” near them.
- Put signs near the oven, toaster, iron, and other things that get hot. The sign could say, “Stop!” or “Don’t Touch—Very Hot!” Be sure the sign is not so close that it could catch on fire. The person with Alzheimer’s should not use appliances without supervision. Unplug appliances when not in use.
- Pad any sharp corners on your furniture, or replace or remove furniture with sharp corners.
- Test the water to make sure it is a comfortable temperature before the person gets into the bath or shower.
A loss of or decrease in smell is common in people with Alzheimer’s disease.
- Use good smoke detectors. People with Alzheimer’s may not be able to smell smoke.
- Check foods in your refrigerator often. Throw out any that have gone bad.
People with Alzheimer’s may not taste as well as before. They also may place dangerous or inappropriate things in their mouths.
- Keep foods like salt, sugar, and spices away from the person if you see him or her using too much.
- Put away or lock up things like toothpaste, lotions, shampoos, rubbing alcohol, soap, perfume, or laundry detergent pods. They may look and smell like food to a person with Alzheimer’s disease.
- Keep the poison control number (1-800-222-1222) by the phone.
- Learn what to do if the person chokes on something. Check with your local Red Cross chapter about health or safety classes.
People with Alzheimer’s disease may have normal hearing, but they may lose their ability to interpret what they hear accurately. This loss may result in confusion or overstimulation.
- Don’t play the TV, CD player, or radio too loudly, and don’t play them at the same time. Loud music or too many different sounds may be too much for the person with Alzheimer’s to handle.
- Limit the number of people who visit at any one time. If there is a party, settle the person with Alzheimer’s in an area with fewer people.
- Shut the windows if it’s very noisy outside.
- If the person wears a hearing aid, check the batteries and settings often.