4 COMMON DEMENTIA CAREGIVER MISTAKES

Dementia Careblazers
9 Aug 202018:28

Summary

TLDRIn this video, the speaker addresses common mistakes made by caregivers of dementia patients and offers strategies to avoid them. By not correcting, arguing, reasoning, or testing the memory of the loved one, caregivers can reduce stress and improve relationships. The video emphasizes learning new communication techniques tailored to the needs of those with dementia, aiming to foster a calm and supportive environment.

Takeaways

  • 😌 The video aims to help caregivers of dementia patients by discussing common mistakes and how to avoid them to reduce stress and improve relationships.
  • 🌟 The speaker emphasizes that dementia patients cannot be expected to change due to direct requests, and it's the caregivers who must adapt their approach first.
  • πŸ€” The video mentions that caregivers often interact in ways that backfire with dementia patients, highlighting the need to learn new communication techniques.
  • πŸ“’ The speaker promotes a free life care class and a private program to help reduce caregiver stress using a specific system, indicating the availability of resources for support.
  • 🚫 The first mistake highlighted is correcting the dementia patient too often, which can strain the relationship and cause unnecessary stress.
  • πŸ™…β€β™‚οΈ The second mistake is arguing with the patient, which increases defensiveness and can lead to more difficult behaviors.
  • 🀝 The third mistake is reasoning with the patient, an approach that often leads to frustration due to the patient's inability to comprehend or remember.
  • 🧠 The fourth mistake is testing the patient's memory, which can be embarrassing and counterproductive to building confidence and maintaining a good relationship.
  • πŸ‘ The speaker encourages avoiding these mistakes not just for the benefit of the dementia patient but also for the caregiver's own well-being and reduced stress.
  • πŸ”„ The process of avoiding these mistakes is acknowledged as a learning curve that requires time and patience, with the goal of progress rather than perfection.
  • πŸ—£οΈ The video concludes by summarizing the four common mistakes to avoid: arguing, correcting, reasoning, and testing, and encourages viewers to share their own experiences or additional mistakes.

Q & A

  • What is the main purpose of the video?

    -The main purpose of the video is to discuss common mistakes made by caregivers of individuals with dementia and to provide advice on how to avoid these mistakes to reduce stress and improve the relationship with the loved one.

  • Why is it suggested not to correct a loved one with dementia every time they say or do something wrong?

    -Correcting a loved one with dementia every time they say or do something wrong can add unnecessary strain on the relationship, leading to more difficult behaviors and resistance from the loved one, and it can be very energy-consuming for the caregiver.

  • What is the alternative approach to correcting when a loved one with dementia shares incorrect information?

    -The alternative approach is to let minor inaccuracies go, and if it's crucial to correct the information, do so privately or when the loved one is not around, in a respectful way that doesn't wear away at the relationship.

  • Why should caregivers avoid arguing with their loved ones who have dementia?

    -Arguing can lead to defensiveness, upset, and suspicion from the loved one with dementia, which can increase difficult behaviors and stress levels for the caregiver.

  • What is the recommended way to handle a situation where a loved one with dementia makes an untrue statement or accusation?

    -The recommended way is to acknowledge what they said, respond in a calm and short way, and then redirect them to something else, avoiding direct arguments or attempts to reason with them.

  • Why is reasoning with a loved one with dementia often ineffective?

    -Reasoning is often ineffective because the brain with dementia may not be able to comprehend or understand the situation in the same way a person without dementia can, leading to frustration for both parties.

  • What is the fourth common mistake made by caregivers of individuals with dementia, as mentioned in the video?

    -The fourth common mistake is testing the memory of the loved one with dementia, which can be embarrassing and lead to defensiveness or a lack of engagement.

  • How should caregivers provide information to their loved ones with dementia instead of testing their memory?

    -Caregivers should offer the information directly in a simple and natural way, ensuring the loved one feels at ease and maintaining their dignity.

  • What is the 'Care Blazer Map System' mentioned in the video?

    -The 'Care Blazer Map System' is a method created by the video's presenter to help caregivers reduce stress and improve their caregiving approach, though the specific details of the system are not provided in the transcript.

  • How can caregivers benefit from the strategies discussed in the video?

    -By avoiding the common mistakes of correcting, arguing, reasoning, and testing, caregivers can reduce their stress, improve their relationship with their loved one, and create a more calm and supportive environment.

  • What is the importance of acknowledging, responding, and redirecting when dealing with a loved one's untrue statements or accusations?

    -This approach is important as it validates the loved one's feelings, provides a calm response that doesn't escalate the situation, and redirects their focus to a more positive or neutral activity, thus maintaining peace and reducing stress.

Outlines

00:00

😌 Reducing Caregiver Stress Through Avoiding Common Mistakes

The speaker introduces the topic of common mistakes made by caregivers of individuals with dementia and emphasizes the importance of avoiding these to reduce stress and improve relationships. They highlight that dementia patients cannot change their behaviors simply because they are told to, and caregivers must adapt their approach instead. The speaker also mentions a free life care class and a private program for further support, encouraging viewers to learn new ways of interacting with their loved ones to foster positive change.

05:01

🚫 Avoiding the Mistake of Constantly Correcting

The speaker discusses the first common mistake of constantly correcting individuals with dementia, which can strain the relationship and increase the likelihood of difficult behaviors. They suggest that unless there is an imminent safety risk, it is better to let minor inaccuracies go uncorrected to preserve the relationship and reduce unnecessary stress. The speaker also provides examples of how to handle situations where correction might be tempting, advising to let comments pass unless they pose a real risk.

10:03

πŸ™…β€β™‚οΈ Steering Clear of Arguing with Dementia Patients

The second mistake highlighted is arguing with dementia patients over their false beliefs or statements. The speaker explains that arguing can lead to defensiveness, increased stress, and more difficult behaviors. Instead of arguing, the speaker recommends acknowledging the patient's statement, responding calmly, and redirecting their focus to something else. This approach is aimed at maintaining peace and reducing stress, rather than trying to convince the patient of the truth.

15:03

πŸ€” The Frustration of Reasoning with Dementia Patients

The third common mistake is attempting to reason with dementia patients, which often leads to frustration due to their impaired reasoning abilities. The speaker compares this to trying to get someone who is blind to see, illustrating the futility of expecting someone with dementia to understand or remember things as others do. Instead of reasoning, the speaker advises focusing on calming and reassuring the patient, using responses that make sense in their current cognitive state.

πŸ“š Avoiding the Pitfall of Memory Testing

The final mistake discussed is testing the memory of dementia patients, which can be embarrassing and lead to defensiveness. The speaker advises against asking questions that may expose the patient's memory deficits and instead suggests providing information directly to ease their uncertainty and maintain dignity. The goal is to offer reassurance and support, helping the patient feel at ease without adding unnecessary challenges.

πŸ“ Recap and Encouragement for Caregivers

The speaker recaps the four common mistakes to avoid: arguing, correcting, reasoning, and testing. They acknowledge the difficulty of changing established interaction patterns and encourage caregivers to be patient with themselves as they learn new ways to interact with their loved ones with dementia. The speaker emphasizes that even small reductions in these mistakes can lead to significant benefits for both the caregiver and the dementia patient, and they look forward to helping viewers in their live class and private program.

Mindmap

Keywords

πŸ’‘Caregivers

Caregivers are individuals who provide care and support to those who are unable to care for themselves, often due to illness or disability. In the context of this video, caregivers are referred to as 'Care Blazers' and are specifically caring for loved ones with dementia. The script emphasizes the importance of avoiding certain behaviors to reduce stress and improve the relationship with the person with dementia.

πŸ’‘Dementia

Dementia is a general term for a decline in cognitive ability severe enough to interfere with daily life. It is a progressive disease that affects memory, thinking, and social abilities. The video discusses the unique challenges of caring for someone with dementia and the need for caregivers to adapt their communication and approach to avoid exacerbating the condition.

πŸ’‘Stress

Stress is a state of mental or emotional strain or tension resulting from demanding circumstances. The video script frequently mentions stress, particularly caregiver stress, which is the stress experienced by those caring for a loved one with a chronic or serious condition like dementia. The video aims to provide strategies to reduce this stress.

πŸ’‘Behavioral Changes

Behavioral changes refer to shifts in a person's actions or responses, which can be a common symptom of dementia as the disease progresses. The script discusses how avoiding certain mistakes can lead to fewer difficult dementia behaviors, highlighting the importance of understanding and adapting to these changes.

πŸ’‘Correcting

Correcting involves pointing out errors or mistakes with the intention of bringing them to someone's attention. The video emphasizes that constantly correcting a person with dementia can strain the relationship and cause unnecessary stress. Instead, it suggests allowing minor inaccuracies to pass without comment.

πŸ’‘Arguing

Arguing is a process of expressing disagreements or differences of opinion, often in a heated or confrontational manner. The script advises against arguing with a person with dementia, as it can lead to defensiveness and increased stress, which can exacerbate dementia behaviors.

πŸ’‘Reasoning

Reasoning is the process of forming conclusions, judgments, or inferences from facts or premises. The video explains that reasoning with a person with dementia can be futile and frustrating, as their cognitive abilities may not allow them to understand or accept logical explanations.

πŸ’‘Testing

Testing, in this context, refers to questioning a person with dementia to assess their memory or cognitive abilities. The script discourages this practice, as it can be embarrassing and lead to defensiveness, instead advocating for providing information in a natural and non-confrontational manner.

πŸ’‘Redirecting

Redirecting is the act of changing the focus of attention or the course of action. The video suggests using redirection as a strategy when dealing with a person with dementia, especially when they express incorrect beliefs or statements, to avoid conflict and maintain a calm environment.

πŸ’‘Care Blazer Map System

The Care Blazer Map System is a specific method or program mentioned in the video that is designed to help caregivers reduce stress. The script promotes a free class that teaches this system, indicating it as a tool for caregivers to better manage their caregiving responsibilities and stress.

πŸ’‘Relationship

Relationship, in the context of the video, refers to the bond or connection between the caregiver and the person with dementia. The script highlights that the way caregivers interact with their loved ones can significantly impact this relationship, with the goal of maintaining a positive and calm connection despite the challenges of dementia.

Highlights

The video discusses common mistakes made by caregivers of dementia patients and how to avoid them for better relationships and less stress.

Dementia patients cannot change their behavior based on requests or demands due to the nature of their condition.

Caregivers must change their approach to see positive changes in their loved ones with dementia.

There's a lack of information on how to interact with dementia patients, which this video aims to address.

Learning to interact with dementia patients is like learning a new language.

The presenter offers a free life care class and a private program to reduce caregiver stress.

Avoiding common mistakes benefits both the caregiver and the dementia patient.

Correcting dementia patients every time they are wrong can strain the relationship.

It's recommended not to correct minor inaccuracies to preserve the relationship and reduce stress.

Arguing with dementia patients over incorrect statements can lead to defensiveness and stress.

Disagreeing with dementia patients without arguing helps maintain peace and a positive relationship.

Reasoning with dementia patients can be futile and lead to frustration due to their impaired cognitive abilities.

The goal is to reassure and calm dementia patients rather than trying to make them understand through reasoning.

Testing a dementia patient's memory can be harmful to their dignity and self-esteem.

Providing information directly helps maintain a good relationship and avoids unnecessary stress for the dementia patient.

A recap of the four common mistakes to avoid: arguing, correcting, reasoning, and testing.

The process of avoiding these mistakes takes time and requires learning new ways of interaction.

The presenter encourages progress over perfection and acknowledges the challenges of changing established interaction patterns.

Transcripts

play00:00

welcome back care blazer in today's

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video i want to talk about some of the

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most

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common mistakes i see care blazers make

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and what you can do to avoid them by

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avoiding these mistakes

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you are going to be less stressed

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more calm and you're going to have a

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better relationship with your loved one

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and when all of those things are

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happening it's much less likely that

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your loved one is going to have as many

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difficult dementia behaviors that's one

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of the hardest parts about this disease

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we

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can't just get our loved ones to change

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because we

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tell them to change or because we ask

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them to change

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their brains are not able to respond

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that way most of the time

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we have to change first we have to

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change our approach

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when we change our approach to our loved

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ones with dementia

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we start to see positive change the

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challenge is there's hardly anybody

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talking about this this is not

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information that's usually delivered

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in a short doctor's visit where all the

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healthcare providers are just focusing

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on the disease

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so this is what i hope that this video

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can provide for you

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is just to go over some of the common

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mistakes

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i see caregivers make because the

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mistakes that i'm referring to are ways

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that we would regularly

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interact with people in our day-to-day

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lives but it's backfiring

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what to us when it comes to dealing with

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our loved ones with dementia

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so i really do hope this video will help

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you

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[Music]

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it's not that you're doing anything

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wrong it's

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that when you start to

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care for somebody with dementia it's

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almost like learning a new language to

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be the most

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effective we have to learn how to

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interact

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with that person in a way that's so

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different

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than the way we've been interacting with

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people our entire lives

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before i share these four mistakes with

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you i want to let you know

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that today and tomorrow are the very

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last days

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of my free life care class on how you

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can reduce

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your caregiver stress using my care

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blazer map system

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so if you're watching this on the day at

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release sunday august 9th

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or even the next day sunday august 10th

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look below this video there's a link you

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can sign up to attend my free class it's

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live i'll be answering your questions

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and i'll be sharing specific ways

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you can use my care blazer map to reduce

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your caregiver stress

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also if you're watching this before

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august 17th

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it's not too late for you to join my

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private program where i work with you

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personally

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on helping make sure we can reduce your

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caregiver stress and we go over weekly

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live question and answer sessions

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it's a really great program uh you can

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check it out at the link below this

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video

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i want you to know that by avoiding

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these four

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mistakes which i'm just about to share

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it's

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not just your loved one that benefits

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from this

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you get to benefit from this you benefit

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by

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from avoiding these four mistakes

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because it allows you

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to avoid unnecessary or excess

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stress and upset the brain likes to

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think that

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when we start to make some of these

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changes it's all for our loved one with

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dementia it's all

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to somehow make their life easier at an

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expense to us but that's not the case

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reducing how often you do these four

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behaviors is going to benefit your loved

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one with dementia but it's also going to

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benefit you

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sometimes care blazers will talk to me

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and they'll say things like well this

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means my loved one wins or this means

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that

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it's just letting them get away with

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things those are not helpful ways to

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think about this

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and as i go through the four common

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mistakes you'll start to see why

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so the first common mistake i see happen

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a lot is

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correcting you do not have to correct

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your loved one every time they say

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or do something wrong this is one of the

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quickest ways to add

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a necessary strain on your relationship

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with your loved one and the more that

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strain that's added on that relationship

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the more difficult it's going to be in

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the future for you to be able to provide

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care that you want not to mention how

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much energy

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it would take from you to continue to

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correct

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all the things that they do wrong or all

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the things that they say

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that's incorrect let's say your loved

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one's talking to somebody and your loved

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one tells them that

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they went out to lunch earlier that day

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with you

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and you didn't go out to lunch with your

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loved one maybe you went out to lunch

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with your loved one last week

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or yesterday or maybe you haven't even

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gone out to lunch with them in a long

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time

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these are situations where it might be

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easy or just a reflex for the care

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blazer to say oh we didn't go out to

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lunch today or that was last week that

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wasn't today

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but that is those little things start to

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wear away at the relationship

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it is okay to just let that comment past

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we don't have to correct every single

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incorrect thing that they say

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and if it is something by chance that is

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super important that you want to make

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sure

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that's actually maybe harmful or has

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some really negative consequences

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if that inc incorrect information stayed

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out there

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that's just the situation where you pull

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the other person to the side at some

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point or you wait till your loved ones

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engage in activity

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or is no longer around or is no longer

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listening and you tell that person

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hey you know what we actually didn't go

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out to lunch today we actually went out

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to lunch

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last week right so or you know if

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they're talking to a doctor and they're

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saying everything's fine nothing's going

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on

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you find your way when your loved one is

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not

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listening or you find your way to slip

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the note to the doctor or you find a way

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to do it in a respectful way where

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you're not

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constantly correcting actually you're

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not doing fine actually you're having a

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lot of trouble

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again the correction is going to wear

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away at your relationship

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which is just going to make it more

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likely that they're going to have

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difficult behaviors or more resistance

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towards you

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more suspicion of you and so we want to

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just

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avoid it at all costs if you can same

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thing with

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if your loved one does something

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incorrectly for instance they're

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putting together a puzzle and the pieces

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aren't put together the correct way but

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they don't notice it and they continue

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to go about putting

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together the puzzle there's no harm in

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that let them continue to put together

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the puzzle

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in the way that they're putting it

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together if you're playing a game and

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they've got some other rules going on

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it's okay to just go with the flow it

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saves you energy it saves the

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relationship

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the general rule of thumb here is that

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if there is no

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imminent safety risk don't correct it

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just let it go

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it is not worth the risk to your

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relationship it's not worth the added

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strain

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it's not worth all the energy it takes

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if there is no danger or risk

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let it go care blazer alright so the

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second common mistake i often see

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is arguing so if you're caring for

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somebody with dementia

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chances are they're going to come up

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with

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beliefs and statements that are totally

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not true

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and their brain is trying to make sense

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of things they can't remember

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or make sense of things they just can't

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make sense of anymore when you disagree

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with your loved one it increases the

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chances

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of them becoming defensive upset

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suspicious of you again leading to more

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difficult dementia behaviors which again

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is just going to add to your stress

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level

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that's the opposite of what you want to

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happen it's important to know that just

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because you don't

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disagree with them you don't voice your

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disagreement

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it doesn't mean that you agree with them

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it just means that you're valuing the

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peace

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and the calm and the less stress and the

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relationship

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more than you're valuing whether or not

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what they're saying

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is especially correct so rather than

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engaging in an argument about something

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that's untrue

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you'll want to try to follow these three

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steps acknowledge what they said

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respond in a calm short way and redirect

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them to something else

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so here's an example let's say your

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loved one accuses you of stealing their

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money

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it would be really easy for you to

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respond with something like i'm not

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stealing your money

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how many times do i have to tell you

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that remember we talked about where all

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your money

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is going this type of approach not only

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one disagrees with what your loved one

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is saying

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it reminds them that you've had this

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discussion before

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something they probably don't remember

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and it also asks them to remember a

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time when you reviewed the money

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something again they probably don't

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remember

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while this approach makes complete

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logical sense

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for somebody who has um intact memory

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for somebody whose

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memory is solid and their judgment is

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solid and their reasoning is

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solid this approach doesn't work for

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somebody with dementia it tends to lead

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to more stress

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and frustration so instead what you can

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do in this kind of situation

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where your loved one is accusing you of

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stealing their money you can try

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one acknowledging what they said

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something like you're worried i'm taking

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your money

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two responding in a short calm way i'm

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going to make sure all your money is

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safe so you have all you need and then

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three

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redirecting them to something else and

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then you can redirect their attention

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and kind of a natural transition so you

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can say something like

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i remember i bought this coloring book

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last week so that we would have

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something to do together

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let's give let's try coloring right now

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or you could say something like

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i remember when we bought this coffee

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mug

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i really liked the the colors on it

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let's have a cup of coffee together

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or you know what speaking of money i

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went to the grocery store yesterday and

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i bought some fruit

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let's have some fruit so you're just

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acknowledging what they say

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you come up with a short concise way to

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respond and then you try to look for

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your opportunity for redirection

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the exact way you respond the exact

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statement you say

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that'll change depending you know from

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situation to situation

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and at first it can be a little bit

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difficult trying to figure out what do i

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say now because we want to get sucked

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into

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just providing very rational correction

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letting them know

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that's actually not i'm actually not

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stealing your money this is what i'm

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doing with it we get so

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pulled into wanting to communicate with

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them of course the way we've been

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communicating with everybody our whole

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lives it's kind of hard to break that

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pattern

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but the more you experiment the more you

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try the more you come up with different

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ways to respond

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the easier and more natural it will get

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for you another mistake

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uh mistake number three i see a lot is

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reasoning

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a lot of care blazers want to try to

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reason with their loved one with

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dementia

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when we attempt to reason with somebody

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with dementia it can lead to extreme

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frustration on your part

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and of course it makes it more likely

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that your loved one is going to show

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some difficult behaviors

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many times the brain with dementia is

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just simply not able to reason

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and when you're trying to reason with

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somebody with dementia it's as if you

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believe

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if you talked about something in a

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certain way

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if you tried to explain it in a

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different way if you tried to repeat

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yourself multiple

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times you it's like you believe somehow

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it's going to sink in and that your

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loved one's going to get it

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but many times that never happens and

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it's just this constant

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going head to head where both of you end

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up frustrated i sometimes

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kind of compare this to trying to get

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somebody who's blind to see

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it doesn't matter how much you describe

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what you're seeing it doesn't

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matter how detailed you are it doesn't

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matter

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if you're the most wonderful if you use

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your words in the most wonderful

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way the blind person is still not going

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to be able to see

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whatever it is no matter what you can

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just say open your eyes wider

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you know you should be able to see just

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like i can see

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it doesn't make logical sense the same

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is true for somebody with dementia we're

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trying to get them

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to understand something to be able to

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have the reasoning ability

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that they no longer have no matter how

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many times you try to do get them to

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have the reasoning ability and no matter

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how many different ways

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you try to make them understand so if we

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just use one of the examples i used

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earlier about your loved one accusing

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you of stealing their money

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trying to reason with them would sound

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something like i need access to your

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bank account to pay the bills

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here are your bills see here's what i

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paid it costs money to live here

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pay for the phone the electricity the

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internet and food

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i have to take money out to pay for

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these things

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or any variety of these statements now

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you can

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always use an attempt a simple rational

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response first

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like you can simply just try and say i

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use the money to pay the bills

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and if they accept that and they don't

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push back

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great you're golden you can move on but

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if they continue to press or they

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continue to question

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or your loved one pushes back in any way

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that's a sign that their brain is not

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fully able to comprehend and understand

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the situation

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so continuing to go down the path of

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reasoning is not going to work

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the goal when it when you find yourself

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trying to reason

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with your loved one with dementia the

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goal that you should have is

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actually how can you help your loved one

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feel

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calm and reassured about whatever it is

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that they're questioning

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right that's the goal calm reassurance

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so remember whenever you're trying to

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come up with responses

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that calm or reassure your loved one you

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have to come up with sentences that make

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sense in their world

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not necessarily in your world they're

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unable to grasp

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the situation as you and i can grasp the

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situation

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that means you're not going to be able

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to explain the situation to them in the

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same way

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that you would explain the situation to

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me we have to come up with different

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ways to engage and those ways that we

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engage with them

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might not make a lot of sense in our

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world but that's okay

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all we need to focus on is what would

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make sense in their brain right now

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what would make sense in their world

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right now what could i say to calm and

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reassure them

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even though that response would not work

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if you were talking to somebody else

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without dementia

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this leads me to the fourth and final

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common mistake i often see

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and that is testing a lot of times

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care blazers want to test their loved

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one's memory

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what this look looks like are asking

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questions like

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do you remember who this is do you

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remember what we talked about yesterday

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what did you have for breakfast today do

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you know what today's date

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is they seem like simple innocent

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questions

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but for somebody with dementia who's

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having problems with their memory

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it can be embarrassing it can lead them

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to feel defensive

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it could lead them to not want to engage

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and interact with you as much

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because it tends to call out answers

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they don't know

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or if somebody with dementia is

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completely unaware

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of their deficits and how much

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impairment they have

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some people with dementia can just make

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up something that's not true at all

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and in those cases then you're likely to

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fall into the common mistake of

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correcting them

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well no actually it's saturday it's not

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tuesday

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right so for the most part we don't want

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to

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test our loved ones memory we want to

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just offer them the information

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so it can help put them at ease and help

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build their confidence

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and help maintain a good relationship

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between you and your loved one

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so i would encourage you to just skip

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the testing piece and give them the

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information right away

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so for example if your son is going to

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come visit

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you and your husband who has dementia

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and your son comes over

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you can easily say look honey it's jim

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our son

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he hasn't been here in a while so nice

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that he visited

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in that nice simple natural way you

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didn't ask him do you remember who this

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is

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you didn't leave it to the sun to say do

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you remember who i am you just

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immediately took care of any uncertainty

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or anxiety

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that your loved one may experience by

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trying to figure out who is this person

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am i supposed to know this person i feel

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really bad

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right so you just you just take care of

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it for them

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if you want them to know what day it is

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you can just simply say

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ah today's monday august 31st i can't

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believe the summer's almost over

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right you just you just give them the

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information a lot of care blazers want

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to test their loved one's memory because

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they want to see where they're at and

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how they're doing

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i promise and i'm sure you can attest to

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this there's

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no shortage of opportunities you're

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going to come across that's going to

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reveal to you

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how your loved one's doing cognitively

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we don't need to

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add extra challenges and extra tests to

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be able to figure that out

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just them going through their days

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you're going to start to see some of

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that happen

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so just find simple and natural ways to

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give your loved one information that

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they may not know

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and that you want them to have this not

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only helps your relationship but it

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helps keep their dignity

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all right care blazer so a quick recap

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on the four common mistakes

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we want to try to avoid arguing

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correcting

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reasoning and testing care blazer

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the practice of avoiding these mistakes

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takes time it especially takes time

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because these are common things we would

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do

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probably without much thought to the

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majority of people we

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interact with and it doesn't have

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many times it doesn't have the negative

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detriment effects that it would have

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with your loved one with dementia

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so you truly are learning an entire new

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way

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to interact and it takes some time so be

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kind to yourself

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we are not looking for perfection that

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is not attainable

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we're just looking for some progress if

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you could just reduce

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one of these mistakes that you're making

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just reduce how often it happens

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you're gonna start to see some benefits

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for yourself

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for your loved one for your relationship

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with your loved one

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and it's going to get easier and easier

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and more natural

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for you to reduce them either even

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further care blazer i really do hope

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this video has been helpful to you feel

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free to leave a comment below if you

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have another common mistake

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you'd like to add to this list and i

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sure do hope to see some of you

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later today in just a few hours or even

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tomorrow for my last

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free live care class where i'll be

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sharing how you can reduce your

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caregiver stress

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using my care blazer map system and for

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some of you i look forward to really

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getting to know you and helping you in

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my private program

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all right care blazer i'll be back with

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another video next sunday

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[Music]

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bye

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Related Tags
Caregiver TipsDementia CareStress ReductionRelationship BuildingCare Blazer MapAvoid MistakesElderly CareCognitive HealthHealthcare SupportEmotional Wellbeing