Dressing Strategies for Alzheimer's, Part 1: Below the Belt
As my husband's Alzheimer's disease progresses, new dressing strategies and techniques have had to be learned. Mostly through trial and error - lots of error. A toddler is limp and limber and although squirmy at times, much easier to dress than an adult.
There are many occasions when Peter is uncooperative. Perhaps because he is confused and does not understand the task. Other times his mood is very sedate and he forgets to participate in what's happening. Sometimes we find ourselves struggling to find solutions and needing to tweak our processes.
On the floor
The first thing I do is have Peter sit on the bed. He's usually wrapped in a towel, fresh out of his bath. Every stitch of clothing has been laid out on the bed previously, in the order I am going to put it on him.
Alzheimer's is unpredictable and we sometimes need to move quickly. An organized pile is a helpful tool, so you don't have to leave your loved one only to find they've escaped while you were grabbing some socks. Or that they've taken off the clothes you just put on them.
Once he is firmly planted on the bed, I sit on the floor in front of him. Starting with his pull-up, bringing it only to his knees. I choose loose-fitting socks as they are easier to slip on without a struggle. Peter's socks go on next and I'm very careful not to touch the bottoms of his sensitive feet.
One leg of his sweatpants is next, then the second, again, just to his knees. Finally, before getting up off the floor, I slip on his shoes or slippers. This is helpful because it keeps the pants from slipping off his feet. Also because he is more stable with shoes than socks alone.
Get up, stand up
Peter stands up after I am on my feet. Usually, my outstretched hands will be the cue he needs to help me guide him to his feet. When he's standing, I stealthily remove his towel, directing his attention downward as we guide his pull-up and sweat pants into place.
Voila! The bottom half is done!
The not so fresh nuance
In the event we're doing a change of clothes because the pull-up is wet, it's the same technique with a twist. Peter is very modest and does not appreciate help with his pull up so when our nurse suggested this trick, I deemed her Genius!
Sitting on a towel on the bed, so the bed linens don’t get wet, simply rip the pullup at the seam on each side. Allow it to fall to the back and the front after ripping the seams. Peter's hips are much less sensitive to touch than the back or front of his pull-up. Simply add the fresh undergarment and pants, socks, and shoes in the same fashion.
When your loved one stands up you discreetly slip the wet pull up out the front and guide the new bottoms into place.
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