The 2012 holiday season is upon us. Many family members that you may not see on a regular basis are now in your home for an extended period to celebrate. A loved one may already have a dementia diagnosis which has noticeably progressed since a previous visit. Or, you may witness early warning signs of dementia which have gone undiagnosed. Dementia is a brain disease with the most common cause being Alzheimer’s disease.

November is recognized as National Alzheimer’s Disease Awareness Month. This is an appropriate month for bringing awareness to the disease since many families may initially recognize early symptoms during this holiday season. Symptoms may include: progressive forgetfulness, confusion, language difficulties, errors in judgment, and difficulty doing familiar tasks. Dementia is not part of our normal aging process as some may tell you.

Some dementias can be reversed if caused by depression, vitamin deficiency, thyroid malfunction, or hydrocephalus (water on the brain). The most common reason that you may have an irreversible dementia is if you have Alzheimer’s disease. Approximately 10 million baby boomers will develop what is now being called the defining disease of the baby boomer generation.

Here are some suggestions for coping with dementia during the holiday season.

• Try to maintain the same daily routine as much as possible to reduce stress and anxiety.
• Family holiday traditions are important. However, if a tradition is not practical for someone dealing with dementia, then substitute with a newly, created tradition.
• A  holiday dinner may need to become a holiday lunch since many living with dementia perform better earlier in the day.
• Use gift bags instead of wrapping paper. They can participate more easily in the gift wrapping/unwrapping process if bags are used.
• Notify all holiday guests prior to their arrival that a loved one is dealing with dementia. Provide suggestions to guests on how to detect increased anxiety or frustration as well as tips for calming your loved one down.
• Keep rooms well lit and turn off the TV. Make sure music is not too loud.
• Identify yourself when greeting. If name recognition is a problem, make a game out of having everyone wear name tags.
• Ask one question at a time.
• Don’t argue. Be calm and supportive. Speak slowly and clearly.
• Be patient and flexible.
• Simplify your gatherings. Perhaps have several gatherings with fewer guests instead of one large gathering of family and friends.
• Watch for signs of fatigue and provide a safe, quiet area to rest.
• Gifts for the caregiver? Respite care! Offer your time to relieve the care partner from their daily duties. Even better, offer your time to stay a few hours with the individual living with dementia and provide a gift certificate to the care partner to receive a massage or go to a movie.

I wish for all a safe and loving holiday season with your family and friends! Treasure this precious time together.