Fake Bus stop keeps Alzheimer's patients from wandering off

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Ender
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Fake Bus stop keeps Alzheimer's patients from wandering off

Post by Ender »

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German nursing homes are using a novel strategy to stop Alzheimer's patients from wandering off: phantom bus stops.

The idea was first tried at Benrath Senior Centre in Düsseldorf, which pitched an exact replica of a standard stop outside, with one small difference: buses do not use it.

The centre had been forced to rely on police to retrieve patients who wanted to return to their often non-existent homes and families.

Then Benrath teamed up with a local care association called the "Old Lions". They went to the Rheinbahn transport network which supplied the bus stop.

"It sounds funny but it helps," said Franz-Josef Goebel, the chairman of the "Old Lions" association.

"Our members are 84 years old on average. Their short-term memory hardly works, but the long-term memory is still active.

"They know the green and yellow bus sign and remember that waiting there means they will go home."

The result is that errant patients now wait for their trip home at the bus stop, before quickly forgetting why they were there in the first place.

"We will approach them and say that the bus is coming later and invite them in for a coffee," said Richard Neureither, Benrath's director. "Five minutes later they have completely forgotten they wanted to leave."

The idea has proved so successful that it has now been adopted by several other homes across Germany.
It works, it is safe, it keeps them from being a danger to themselves or others, and it is much more humane then restraining them.

Yet it makes me incredibly sad.
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Post by cosmicalstorm »

Yeah thats the kind of thing that makes you laugh and cry at the same time.
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Post by DPDarkPrimus »

They should do that for nursing homes in America.
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Post by LadyTevar »

DPDarkPrimus wrote:They should do that for nursing homes in America.
Most nursing homes aren't on Bus Lines. We don't have the kind of public-transit that Europe does.
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Post by CaptainZoidberg »

When I was little (7-13 or so), my Grandma who had Alzheimer's lived with me.

Because she didn't have any memory of my Dad as an adult, she always just figured that I was my Dad and that my sister was my aunt. We usually just went along with it since she didn't seem to be able to remember anything beyond a few minutes (later on in the disease it got significantly worse).

It's kind of disturbing when you think about it. One day, you're completely normal. The next day, the people who you see that you think are your kids are really people who you've never met before. Everyone says they're someone you know, but they're really complete strangers. I can't even imagine it.

I wonder if the nursing home people just say that they're the person's brother/sister/etc to make things go along smoother.
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Post by Ritterin Sophia »

My great grandmother had it, thankfully my sister, cousin, and I had already been committed to longterm memory, but she used to repeat the same stories of her childhood to us, often within minutes of finishing the same story, plus we were always more than happy to listen since she and our great grandfather pretty much had us every weekend, holiday, and summer vacation.
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Re: Fake Bus stop keeps Alzheimer's patients from wandering

Post by Knife »

Ender wrote:

It works, it is safe, it keeps them from being a danger to themselves or others, and it is much more humane then restraining them.
Can't restrain them without a doctor's order, so most dementia patients don't have restraints unless their health and safety is affected.

DarkPrimus wrote:They should do that for nursing homes in America.
I don't know, the amount of people in the US of that generation that relied on the bus system to such a degree that their long term memory would instantly go from 'got to go home' to 'ah, there's a bus stop to my house' might be pretty low.

Perhaps the US version of this article would be an old '57 chev sitting just outside of the door that had no engine or transmission. Though a simple personal alarm is way easier and probably cheaper.
Captain Z wrote:When I was little (7-13 or so), my Grandma who had Alzheimer's lived with me.

Because she didn't have any memory of my Dad as an adult, she always just figured that I was my Dad and that my sister was my aunt. We usually just went along with it since she didn't seem to be able to remember anything beyond a few minutes (later on in the disease it got significantly worse).
Reality orientation. Letting them stay in la-la land isn't conducive, while gentle correcting helps a lot. Its a horrible fucking disease.
It's kind of disturbing when you think about it. One day, you're completely normal. The next day, the people who you see that you think are your kids are really people who you've never met before. Everyone says they're someone you know, but they're really complete strangers. I can't even imagine it.
Yes, it's sad. Happens every once in a while to younger people too. Makes it even sadder, at least the older people had a life.
I wonder if the nursing home people just say that they're the person's brother/sister/etc to make things go along smoother.
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Post by Wicked Pilot »

DPDarkPrimus wrote:They should do that for nursing homes in America.
With our greater reliance on cars I'm not sure that would work. Well it'd probably work, but not as successfully as the case above.


Speaking of which, my grandfather who suffered horribly with Alzheimer's once managed to get the keys to his truck and take off. My grandmother called my mother who called the police and took off looking for him. A few minutes later she found him driving aimlessly around the subdivision so she pulled up along side and asked him to follow her back to his house. He brought the vehicle back just fine and all was well for that day.
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Re: Fake Bus stop keeps Alzheimer's patients from wandering

Post by The Duchess of Zeon »

Knife wrote:
Perhaps the US version of this article would be an old '57 chev sitting just outside of the door that had no engine or transmission. Though a simple personal alarm is way easier and probably cheaper.
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Post by PeZook »

Ugh. The human brain: a brillian tool and a horribly squishy, faulty device at the same time.

By the time somebody is that deranged, there is little of an actual person left in them. Le sigh. :cry:
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Re: Fake Bus stop keeps Alzheimer's patients from wandering

Post by CaptainZoidberg »

Knife wrote:
Reality orientation. Letting them stay in la-la land isn't conducive, while gentle correcting helps a lot. Its a horrible fucking disease.
Come to think of it my parents would remind her that I was her grandson, and my Dad her son.

But it seems like she'd say "Oh wow you've grown up so much since last time I saw you!" and then forget the whole thing and start calling me by my Dad's name again.

So I understand the value to telling them the truth, but sometimes that's not even possible considering how short their memory.

Yes, it's sad. Happens every once in a while to younger people too. Makes it even sadder, at least the older people had a life.
I wonder how well they end up recognizing their spouse as they get older.

No, they don't.
Then I'm curious, if they say something like "I want to go home", they'd say something like "Your brother will be here any minute now".

I really just don't know quite how nursing homes deal with Alzheimer's Patients. I mean, you do want to generally correct them, but it's not like you can tell them everything that's happened in the past 20 years if they ask where they are.
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Post by Knife »

Then I'm curious, if they say something like "I want to go home", they'd say something like "Your brother will be here any minute now".

Well I'd like to say that aides and nurses never do this, but it happens. Not everyone can be a super great employee all the time. But your not supposed to pander to their delusions or to their low LOC. The accepted methods are to tell them the truth, or change the subject to something you can tell them the truth about.
I really just don't know quite how nursing homes deal with Alzheimer's Patients. I mean, you do want to generally correct them, but it's not like you can tell them everything that's happened in the past 20 years if they ask where they are.
Honestly, a lot of it is routine both for the worker and for the patient. Once they are used to what happens in the nursing home life is usually pretty smooth, especially when the employee's get logged into long term memory.

As fucked up as it sounds, it's the sparodic events that introduce anxiety into the patients life. Family that shows up once or twice a week at different days or times usually makes patients anxious as hell, plus more anxiety when the family member leaves.
They say, "the tree of liberty must be watered with the blood of tyrants and patriots." I suppose it never occurred to them that they are the tyrants, not the patriots. Those weapons are not being used to fight some kind of tyranny; they are bringing them to an event where people are getting together to talk. -Mike Wong

But as far as board culture in general, I do think that young male overaggression is a contributing factor to the general atmosphere of hostility. It's not SOS and the Mess throwing hand grenades all over the forum- Red
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Post by CaptainZoidberg »

Knife wrote: Well I'd like to say that aides and nurses never do this, but it happens. Not everyone can be a super great employee all the time. But your not supposed to pander to their delusions or to their low LOC. The accepted methods are to tell them the truth, or change the subject to something you can tell them the truth about.
That makes sense. Changing the subject would probably work pretty well.

Honestly, a lot of it is routine both for the worker and for the patient. Once they are used to what happens in the nursing home life is usually pretty smooth, especially when the employee's get logged into long term memory.
They can log new long term memory? I wasn't aware of that.

Well, actually, come to think of it she did eventually remember that my aunt was her daughter, although I guess she never saw my Dad enough to realize that he, and not I, was her son.
As fucked up as it sounds, it's the sparodic events that introduce anxiety into the patients life. Family that shows up once or twice a week at different days or times usually makes patients anxious as hell, plus more anxiety when the family member leaves.
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