Caregiver Support

Caregivers often have to help move, or transfer, their loved one. They may need help getting in and out of their bed or chair, into the bath or shower, or going to the toilet. Here are safe transfer techniques to make the process safer and more efficient for everyone involved:

• Make sure the surrounding area does not have clutter or fall hazards.
• Transfer on the strong side of the person receiving assistance.
• When moving or repositioning your loved one, always face them and keep them close to your body.
• Bend your knees. Kneel or squat to lower your body to the height where you are working. Keep your back straight and distribute weight to your thighs and buttocks rather than your back.
• Do not twist when turning. Pick up your feet and pivot your whole body in the direction of the move.
• A gait belt may also help prevent injury during walks. When walking with a loved one who uses a walker, stay a step behind on their strong side. If your loved one stumbles or needs help, you can grab the gait belt to keep them from falling.

Bathing is a personal activity. Your loved one may feel frustrated to receive your help. Here are a few tips to help with bathing your elderly loved one:

• Make sure you have everything ready before the bath. Have shampoo, soap, sponges, and washcloths ready.
• Use necessary equipment like a bath lift chair, handheld showerheads, and shower chairs.
• Communicate. Talk about the importance of bathing. Ask about their preferences.
• Have a routine. Ask if they would prefer bathing in morning or evening. Respect their preferences and their privacy.

Good nutrition is an important part of overall health. Here are some feeding tips for caregivers:

• Offer one food at a time. Too much food on a plate can be confusing and overwhelming.
• Eat with your loved one. Model eating behavior and have conversations during meals.
• Talk about the smell and enjoyment of each food. If chewing or swallowing is a problem, prepare soft, chopped, or bite-sized foods.
• Be aware of food that may cause choking hazards.
• Make sure dentures are in place and fit well.
• Keep table settings simple to avoid distractions.
• Don’t worry about messy eating.
• Follow the healthcare provider’s nutritional guidance. 

Elderly people, especially those with Alzheimer’s disease, may become agitated or aggressive. They may pace a lot, not be able to sleep, or act aggressively toward others. They may verbally lash out or try to hit or hurt someone. To help cope with agitation or aggression, caregivers should:

• Be patient and try not to show frustration. Listen and speak calmly.
• Acknowledge what they’re going through. Do not dismiss or ignore their anger.
• Try to keep to a routine for bathing, dressing, and eating at the same times each day.
• Reduce noise and clutter. 
• Try focusing on an object or activity. Listen to music, watch a TV show, or go for a walk to diffuse the situation.
• Avoid talking to an older adult in a way that makes them feel helpless, which can trigger more aggression. Try not to patronize or assist them in behaviors they can do on their own.

If your elderly loved one’s aggressive behavior is seemingly out-of-the-blue and becomes more consistent, seek professional help. Talk to a healthcare provider if aggressive behaviors worsen and consider medications that may help.

Respite care provides short-term relief for caregivers, giving them time to rest. Visit New York State Caregiving & Respite Coalition (NYSCRC) to learn more about respite care.