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The 36-Hour Day


Synopsis


With over 3.5 million copies sold, the bestselling guide to understanding and caring for people with dementia is now completely revised and updated!

For 40 years, The 36-Hour Day has been the leading work in the field for caregivers of those with dementia. Written by experts with decades of experience caring for individuals with memory loss, Alzheimer's, and other dementias, the book is widely known for its authoritativeness and compassionate approach to care. Featuring everything from the causes of dementia to managing its early stages to advice on caring for those in the later stages of the disease, it is widely considered to be the most detailed and trusted book available.

Highlighting useful takeaway messages and informed by recent research into the causes of dementia, this new edition has been completely updated. It features

 brand-new content on everything from home care aides to useful apps to promising preventative techniques and therapies
 practical advice for avoiding caregiver burnout-plus tips for when and how to get additional help
 a completely new two-column design that allows readers to quickly access what they need

The central idea underlying this indispensable book-that much can be done to improve the lives of people with dementia and of those caring for them-remains the same. The 36-Hour Day is the definitive dementia care guide.

Nancy L. Mace, Peter V. Rabins

Summary

Chapter 1: The Alzheimer's Journey: A Roadmap for Caregivers

* Summary: Provides an overview of Alzheimer's disease, its symptoms, and the challenges faced by caregivers.
* Example: Mary's mother, Elise, is diagnosed with Alzheimer's. Mary must confront the reality of her mother's declining health and the need to make difficult decisions.

Chapter 2: The Early Stages of Alzheimer's: Subtle Changes and First Doubts

* Summary: Discusses the early signs of Alzheimer's, including memory loss, confusion, and difficulty with language.
* Example: John's father, Bob, starts forgetting appointments and hiding things. John notices these changes but initially dismisses them as normal aging.

Chapter 3: A Slow, Gradual Decline: Dealing with Changes in Memory and Thinking

* Summary: Explores the progression of Alzheimer's, focusing on memory loss, disorientation, and impaired judgment.
* Example: Mary's mother, Elise, becomes increasingly forgetful and confused. She struggles to remember the names of her grandchildren and gets lost in her own neighborhood.

Chapter 4: Wandering and Restlessness: Keeping Your Loved One Safe

* Summary: Addresses the common problem of wandering and restlessness in people with Alzheimer's.
* Example: John's father, Bob, starts wandering out of the house at night. John installs a door alarm and enrolls Bob in a day program to provide stimulation and supervision.

Chapter 5: Agitation and Aggression: Understanding the Triggers and Finding Solutions

* Summary: Examines the causes and management of agitation and aggression in Alzheimer's.
* Example: Mary's mother, Elise, becomes agitated and aggressive when she is overwhelmed or anxious. Mary learns to identify her mother's triggers and develops strategies to calm her down.

Chapter 6: Communication and Connecting: Making the Most of Every Interaction

* Summary: Explores the challenges and importance of communication with people with Alzheimer's.
* Example: John's father, Bob, struggles to find words and has difficulty following conversations. John learns to use simpler language, repetition, and nonverbal cues to connect with him.

Chapter 7: Maintaining Safety and Health: Nutrition, Exercise, and Preventing Accidents

* Summary: Discusses the importance of maintaining safety and health for people with Alzheimer's, including nutrition, exercise, and accident prevention.
* Example: Mary ensures that her mother, Elise, gets a balanced diet and regular exercise. She also installs safety features in her home to prevent falls and accidents.

Chapter 8: Caregiving Through the Later Stages: Embracing the Moments and Finding Meaning

* Summary: Focuses on the challenges and rewards of caring for a loved one in the later stages of Alzheimer's.
* Example: John's father, Bob, requires 24-hour care. John hires a home aide and learns to provide comfort and support to his father, even though he no longer recognizes him.