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Activities for the Confused Elderly

Confusion in the elderly is sometimes acute and other times chronic. Finding ways to soothe someone through their confusion is challenging and at times heart wrenching. There are options that help the elderly retain their sense of individuality and humanity while going through this excruciating process.

  1. Confusion

    • Confusion is described as the thought process being cloudy and not focused, thereby altering the ability to be consciously present. A person who is confused, though, might not have dementia. Confusion can also be drug induced---and a urinary tract infection in the elderly can present a confusion-like symptom. There are ways, though, to try soothing the confused elder.

    Challenges and Opportunity

    • During the natural process of aging, functionality of systems do not respond as well. For instance, should the renal system not be working at an optimal level, drugs in the system will accumulate, causing the possibility of confusion. Also, loss of hearing and vision add to isolation, confusion, and frustration---for the caretakers as well as the patient. If the elder has been housebound and isolated, she might be angry, or not be able to communicate well.

      Easing the confused person into a schedule helps to ease the sense of disorientation. Using gentle voices and reassuring hugs reinforces the comforting sense of human touch and humanity. Do not expect multitasking. Simple chores and simple decisions relieve anxiety. If she is needing to go to a doctor's appointment, explain that in simple words---for instance, "We are going to see your doctor and then come home."

    Activities

    • One aspect of confusion is the need for soothing. Music can be that salve. Playing her favorite music allows her to go back to a time when things made sense. You might be surprised to hear her singing, and not missing a note or lyric. It is also important to make sure that the activity is appropriate for her needs.

      It is vital to ensure that activities do not result in a sense of failure or frustration.

      Arts and crafts bring back the sense of tactile and can be used for any level of capability. Using clay or molding fabric enhances the use of motor coordination. Baking bread heightens the sense of camaraderie and the remembrance of cooking for family. Sometimes just the act of folding clothes provides comfort.

      If she can participate in meal time, specify a chore such as clearing the table or setting it. The joy of taking a walk with your loved one is precious time to talk, or listen to birds---or just feel the wind. If she was ever a gardener, having a couple of pots to tend brings a sense of accomplishment and the joy of just being alive.

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