Words of Wisdom

Caring for individuals with dementia often requires home modifications that support physical as well as cognitive limitations.

Research shows that approximately 17% of American adults age 60 and over misuse alcohol and prescription drugs, but substance use disorders in this population are often undiagnosed and untreated. Symptoms of substance abuse may go unrecognized because they mimic the symptoms of other medical and behavioral disorders, such as diabetes, depression, and dementia. In addition, older adults who are no longer employed, are perhaps socially isolated, and drive less (or not at all), can more easily conceal the signs and symptoms of alcohol or drug dependence, such as cravings, blackouts, physical signs of withdrawal, and neglecting responsibilities.

Sometimes hoarding starts after the person has experienced trauma or a stressful life event, such as divorce or the death of a spouse. It is more common in older adults, and sometimes develops when a person has Alzheimer’s disease or other forms of dementia. Many people who hoard are socially isolated, or become isolated from family members out of shame and embarrassment at the condition of their homes.

Care managers can guide families and caregivers through the realities of aging and chronic illness by preparing them for what to expect, and helping them locate the resources that may be needed down the line.

Care managers, who have often “walked the walk” of caregiving themselves, are familiar with the struggles families face. They know that caregiving has its rewards but also, can take a serious emotional and physical toll. Without frequent respite from relentless pressures and responsibilities, caregivers can wind up suffering from depression, anxiety, and physical illnesses. Care managers can set a positive tone by helping caregivers understand what to expect with their loved one, focus on the positives, and learn to accept a new reality.