Today’s world is aging fast, and with it, the need is growing for social workers who help vulnerable people. Technology, especially Artificial Intelligence (AI)—which is when computers are taught to do tasks we think of as requiring human intelligence—holds promise in supporting social work. Imagine AI tools helping social workers handle big workloads, managing case details efficiently without losing the personal touch. In this article, we’ll take a journey from the early days of social work to today’s challenges and explore how AI could shape its future for the better.
Why Use AI in Social Work?
Social work is a critical profession that aims to improve lives, yet the need is often much greater than the number of available social workers. AI tools could help lighten their load by managing time-consuming tasks, analyzing cases, and even personalizing support. For example, AI-driven assistants could track client histories, flag needs, and help social workers focus on one-on-one interactions rather than being tied up in administrative work.
Imagine a social worker with an AI assistant that can summarize case notes, flag urgent issues, and even connect them to valuable resources. This isn’t a dream or a “what if” scenario—companies, including Happy Seniors, are actively working to bring these technologies to life, turning them into real, practical tools that could transform social work. With this kind of AI support, social workers will be able to give more time and focused care to the people they serve…
A Look Back: The Role of Social Workers
Social work as a profession developed to support individuals and families in times of need. These professionals help vulnerable groups—from children and families to the elderly—improve their quality of life. Over time, social work has become an essential part of communities, though it has often relied on traditional methods. Social workers today are facing a new challenge: as populations age, the need for social support is growing fast, and there aren’t enough social workers to keep up.
Today’s Challenges: An Overwhelmed Profession
Social workers today are in high demand, especially with the growing elderly population. However, the tools available to social workers have often lagged behind, relying on limited technology. This lack of modern technology is partly due to budget constraints and the challenge of adapting social work to systems that automate routine tasks.
A recent study, “Automating Social Assistance,” sheds light on how AI is slowly entering this field. The article examines the use of Robotic Process Automation (RPA)—a type of technology that automates simple, rule-based tasks—in Sweden’s social services. This experiment in automation applied RPA to straightforward tasks, such as entering data and suggesting basic benefit amounts, but it couldn’t handle more complex cases that need human understanding. The RPA system also relied on strict rules, so if a client’s case didn’t fit the template, it required manual intervention.
The experiment showed that while RPA could handle repetitive tasks, it’s not the same as true AI, which can learn, adapt, and make nuanced decisions. Unlike RPA’s rule-based logic, newer AI technologies can interpret context and even predict needs.
Large Language Models (LLMs), such as ChatGPT, are examples of advanced AI that can understand and generate human language, making them well-suited for more complex social work tasks. Intuition Robotics, For instance, they developed ElliQ, a companion robot for seniors that uses Natural Language Processing (NLP)—a type of AI that helps computers understand and respond to human language—and advanced language models (LLMs) to engage in conversations, remember personal details, and respond to mood changes. This level of adaptability is something that rule-based RPA systems alone could never achieve.
The Future: Transforming Social Work with AI and LLMs
With the development of LLMs—advanced AI that can understand and generate human-like responses—the future of social work technology looks promising. Tools like Retrieval-Augmented Generation (RAG), which combines AI’s conversational abilities with up-to-date, personalized information retrieval, could give social workers real-time insights. Imagine an AI that not only knows a client’s history but can retrieve new resources or services they might need, all within seconds.
A great example of this forward-thinking approach is MagicNotes, a system being used in the UK that assists social workers by documenting case notes, summarizing client histories, and providing real-time insights. MagicNotes uses AI in social work that learns from past cases and interprets complex situations to offer meaningful, actionable insights. This type of AI doesn’t replace social workers; instead, it acts as an assistant, helping them make quicker, better-informed decisions.
Here at Happy Seniors, we’re taking these advancements a step further with our Nightingale Platform. Nightingale is an AI-powered case management system created for senior care. Using LLMs, Nightingale assists social workers and caregivers by learning each client’s specific needs and adjusting over time. Nightingale can handle everything from coordinating caregiver schedules to helping seniors navigate complex healthcare options. With a user-friendly interface and 24/7 availability, Nightingale is more than just an assistant; it’s a trusted partner for social workers and families alike.
What’s Next?
Integrating AI in social work will require careful planning. Privacy and data security are paramount, and AI models need to avoid any biases in their suggestions. Nightingale’s AI in social work uses privacy-preserving technology to ensure sensitive data remains secure. It also employs ongoing feedback from users to continually improve its suggestions and interactions.
Combining human compassion with AI-driven assistance could reshape social work as we know it. Social workers will still be the heart of the profession, but AI will provide them with the support they need to better serve communities and meet the growing demands of our aging world.
At Happy Seniors, we’re committed to this future. With Nightingale, we aim to equip social workers and caregivers with AI-driven tools that support the compassionate, personalized care that is essential to improving lives.
How We Can Help You: Compassionate Support During Challenging Times
At Happy Seniors, we know that crises like the current situation in Israel bring unique emotional and physical challenges for seniors. Our services are designed to provide reliable support, helping seniors and their families cope with these difficult times:
Emotional Support
We offer regular check-ins and compassionate conversations to ease feelings of anxiety and loneliness, ensuring that seniors feel cared for and connected.
Physical Assistance
Our trained social workers can visit seniors in person, providing hands-on help and a comforting presence.
Customized Care Plans
Every senior has unique needs. From assistance with daily tasks to companionship, we tailor our services to fit individual circumstances, ensuring comfort and support.
If you or a loved one needs assistance, we’re here to help.
By staying informed and accessing the support you need, seniors and their families can navigate these trying times with greater security and peace of mind. Remember, help is just a phone call away—you are not alone.
Many people in Israel are unaware of the full range of benefits and subsidies they are entitled to when it comes to Medical Accessories in Israel and assistive products. As a result, individuals often leave significant amounts of money and benefits “on the table” or pay out of pocket for products that could have been covered by government programs or insurance.
A 2019 study by the Taub Center for Social Policy Studies in Israel found that nearly 30% of eligible individuals do not fully utilize their healthcare benefits due to lack of awareness or difficulty navigating the system. Furthermore, a 2020 report by the Israeli Ministry of Health estimated that up to 40% of seniors and disabled individuals may be missing out on some form of assistance they’re entitled to, potentially leaving thousands of shekels unclaimed.
This comprehensive guide aims to help senior citizens, people with disabilities, soldiers, and war victims understand and access the resources available to them, potentially saving thousands of shekels annually and improving their quality of life.
Most Sought-After Medical Accessories in Israel
The following medical Accessories in Israel are commonly subsidized for seniors, disabled individuals, and veterans in Israel:
Hearing aids: Critical for individuals with hearing loss.
Mobility devices: Wheelchairs, walkers, scooters, and crutches.
Prosthetics and orthotics: Prosthetic limbs and orthopedic braces.
Vision aids: Magnifiers and specialized glasses.
Communication devices: Tools for speech-impaired individuals.
Rehabilitation equipment: Electric beds, lifts, and pressure-relief mattresses.
Eligibility Criteria
Eligible Groups:
The following groups are typically eligible for subsidized Medical Accessories in Israel:
Senior citizens (usually 65+): Individuals who have reached retirement age and may require additional medical support. Those registered with the National Insurance Institute (Bituach Leumi) are often eligible for assistance with products like hearing aids, wheelchairs, and other assistive devices
Individuals with recognized permanent disabilities: Those with long-term physical, mental, intellectual, or sensory impairments that affect their daily activities. Eligibility is typically verified by medical documentation and government certifications from the Ministry of Health or National Insurance.
Soldiers and veterans (injured during service): Current and former military personnel who sustained injuries while serving in the Israel Defense Forces (IDF). They are often eligible for full assistance, including advanced rehabilitation equipment.
Victims of war and terror attacks: Civilians who have been injured or affected by acts of war or terrorism may receive special aid through various government programs.
Who is Not Eligible (covered under other programs) to Medical Accessories in Israel:
While many groups receive comprehensive coverage, certain individuals are covered by alternative programs. These include:
Work accident victims: Those injured at work are typically covered under work accident insurance, and should apply for benefits via Bituach Leumi’s work injury program(work injury benefits).
Disabled IDF veterans: Veterans with service-related disabilities are covered by the Ministry of Defense’s Rehabilitation Division (Rehabilitation Division).
Holocaust survivors: Individuals receiving compensation through the Ministry of Finance for Holocaust-related disabilities, including allowances for camp or ghetto survivors, may not be eligible for additional subsidies under other programs.
Each of these specialized groups has access to specific programs that provide benefits tailored to their circumstances.
Organizations Providing Subsidies and Funding Assistance
The amount of funding available for assistive products varies depending on the program and individual eligibility. Below are state-mandated health services, non-profits, and government agencies that provide subsidies for Medical Accessories in Israel.
State-Mandated Health Funds (HMOs):
Supplementary health insurance plans within Israel’s health funds (Clalit, Maccabi, Meuhedet, Leumit) often reimburse a large portion of costs, with up to 75% coverage for devices like hearing aids and mobility aids, though caps apply to the reimbursement amounts.
Example: For hearing aids, a referral from a Clalit doctor is needed. Reimbursement of up to 75% of the cost (max NIS 1,100 per year) can be applied for after purchasing from an approved list.
Example: Vision aids such as specialized glasses are covered for seniors and those with visual impairments.
Non-Profit Organizations:
Yad Sarah (website) – Provides free or low-cost equipment loans (e.g., wheelchairs, oxygen machines). Simple application through any of their 100 branches.
Milbat (website) – Specializes in technological solutions for disabled individuals. Offers customization based on individual needs after consultation.
Ezer Mizion (website) – Provides medical equipment, specifically for low-income families. Application is done through social workers and requires medical records.
Ezra Lemarpeh (website) – Offers rehabilitation equipment and loans. Applications are evaluated based on medical necessity.
Ilan – Israel Foundation for Handicapped Children (website) – Assists children and young adults with physical disabilities in obtaining accessories like mobility devices.
Government Agencies:
Ministry of Health (website) – Offers up to 75-90% funding for necessary devices like mobility aids, prosthetics, and specialized equipment. The funding is determined by the type of product and the individual’s financial and medical status.
National Insurance Institute (Bituach Leumi) (website) – For home-based care and medical equipment, subsidies can range from partial to full coverage depending on the type of equipment and financial status of the applicant. For instance, those receiving a Gmila B’Kesef (cash benefit) may apply their benefit towards purchasing assistive products.
Ministry of Defense (website) – Covers 100% of rehabilitation equipment costs for soldiers and veterans. Requires medical evaluation through the Rehabilitation Division.
Application Processes: Specific Examples
Clalit Health Services (Hearing Aids):
Obtain a referral from a Clalit doctor.
Purchase the hearing aid from a pre-approved supplier.
Submit the original invoice and doctor’s referral for reimbursement.
Receive up to 75% reimbursement, capped at NIS 1,100 annually.
Ministry of Health (Mobility Devices):
Get a specialist’s recommendation.
Submit documents through your local health office.
Choose a supplier from an approved list.
The equipment will be inspected after delivery to ensure it meets your needs.
Yad Sarah (Wheelchairs):
Visit a Yad Sarah branch with ID and medical documentation.
Loan a wheelchair for a limited period, with the option to extend.
Funding Assistance
Bituach Leumi offers Gmila B’Kesef (Cash Benefit) to cover home-based care and Medical Accessories in Israel. The amount varies based on the level of assistance required, ranging from approximately 1,000 to 5,000 NIS per month for severe cases.
Ministry of Health provides up to 75-90% coverage for necessary devices like mobility aids, prosthetics, and specialized equipment. For those with financial difficulties, coverage can be up to 90%. For example, they may cover up to 4,000 NIS for a standard wheelchair or up to 20,000 NIS for a high-end electric wheelchair, depending on the individual’s needs and financial situation.
Private Insurance may help reduce co-payment costs for certain accessories. Coverage can range from 50% to 80% of the cost, depending on the policy and the specific accessory.
The exact amount of funding varies greatly depending on the individual’s circumstances, the specific accessory needed, and the organization providing the assistance. It’s crucial to check with each relevant organization for the most up-to-date information on funding amounts.
Role of Insurance
In Israel, supplementary health insurance through your HMO can significantly reduce out-of-pocket expenses for Medical Accessories in Israel. Here’s how to maximize your insurance benefits:
Review your policy: Carefully read your supplementary insurance policy to understand what’s covered and to what extent.
Pre-approval: Many insurers require pre-approval for coverage of Medical Accessories in Israel. Contact your insurance provider before making a purchase to ensure you follow the correct procedures.
Network providers: Some insurers have agreements with specific suppliers. Using these network providers can often result in higher coverage or lower co-payments.
Combine benefits: In some cases, you can combine benefits from your HMO’s supplementary insurance with government subsidies to minimize your out-of-pocket expenses.
Annual limits: Be aware of any annual limits on coverage for Medical Accessories in Israel. Plan your purchases accordingly to maximize your benefits.
Appeals process: If a claim is denied, don’t hesitate to appeal the decision. Provide additional medical documentation to support your need for the accessory.
Waiting periods: Some plans may require a waiting period before benefits can be utilized. Be sure to understand these restrictions when planning your purchases.
Many insurers offer extended coverage for high-cost items like electric beds, hearing aids, and customized prosthetics. For example, some policies may cover up to 80% of the cost of hearing aids every three years, or provide allowances of 10,000-20,000 NIS for major mobility devices.
Some private insurance plans go beyond what state-provided supplementary insurance offers, covering advanced assistive technologies like motorized wheelchairs or specialized communication devices for people with disabilities.
Remember, insurance policies can be complex. Don’t hesitate to ask your insurance provider for clarification or seek assistance from patient advocacy organizations.
Summary Table of Key Organizations
Organization
Pros
Cons
Application Process Summary
Clalit Health
Extensive coverage; easy application
Co-payment required for most accessories
Doctor referral → Purchase → Reimbursement request
Maccabi Health
Competitive rates; good customer service
Limited to HMO network; some co-payments
Specialist referral → Submit documents for subsidy
Yad Sarah
Free/low-cost equipment loans; large network
Equipment must be returned after use
Visit branch with medical documents → Loan for limited time
Ezra Lemarpeh
Good range of rehabilitation equipment
Resources may be limited for some items
Contact directly with medical documentation
Milbat
Customized technological solutions
Consultation required; can take time
Apply online → Assessment → Customization and delivery
Ministry of Health
Wide range of devices covered
Process can be bureaucratic; long approval times
Specialist recommendation → Local health office → Approval
Conclusion
Navigating the system of subsidies and assistance for medical accessories in Israel can be complex and time-consuming. Unfortunately, this complexity often results in many eligible individuals not fully utilizing their benefits. Studies show that this lack of awareness leads to unnecessary financial strain for many families, and better knowledge of available benefits could save them thousands of shekels annually.
This underutilization can have significant impacts on quality of life. For instance, a person who needs a high-quality hearing aid but is unaware of available subsidies might opt for a lower-quality device or go without, potentially affecting their social interactions and overall well-being.
At Happy Seniors, we understand these challenges and are committed to helping you optimize your benefits. Our team of experts can assist you in:
Determining your eligibility for various subsidies and assistance programs
Navigating the application processes for different organizations
Appealing denied claims or rejected applications
Maximizing your insurance benefits
Finding the most cost-effective solutions for your Medical Accessories in Israel needs
Happy Seniors provides a comprehensive range of services to support every step of your journey. These services include:
Assistance in finding qualified nursing caregivers
Managing medical monitoring and personal care
Addressing daily challenges
Offering cutting-edge technological solutions that keep the elderly connected with their families and engaged with their communities
Our goal is to help seniors age in a familiar, comfortable environment. By combining personalized care with advanced technology, Happy Seniors ensures that seniors receive the support they need to live comfortably and independently, greatly improving their overall well-being.
Remember, these subsidies and assistance programs exist to improve your quality of life. Don’t leave your benefits unclaimed. Whether through state health funds, non-profits like Yad Sarah, or government programs, there are numerous options to help seniors, people with disabilities, and veterans access necessary equipment.
Always check current policies and procedures to ensure you receive the full benefits available to you. And if you need help, don’t hesitate to reach out to Happy Seniors. We’re here to ensure you get the support you deserve, simplifying the process and helping you save both time and money.
Contact Happy Seniors today and let us assist you in navigating the complex world of Medical Accessories in Israel subsidies and benefits in Israel!
Israel, like many countries worldwide, faces a significant challenge: the aging of its population. Those challenge of optimal aging in Israel, are not just a demographic issue, but also a social, economic, and health challenge of the highest order. In 2021, the Israeli government made an important decision (Government Decision 127) outlining the way to address this challenge, with an emphasis on optimal aging. This article will review the current situation, the challenges we face, and the strategies Israel is adopting to ensure a better future for its elderly citizens.
Current Situation
Demographic Overview According to current data, the elderly population in the world currently constitutes about 10% of the total world population. However, projections indicate that by 2050, the proportion of those aged 65 and over will rise to about 17% of the world’s population. In Israel, the picture is even more dramatic: within 50 years, the elderly population is expected to grow from about one million to about three million.
Characteristics of Optimal Aging in Israel
Studies show that about 80% of the elderly in Israel function at a high level, while 17% are in significant functional decline. Another interesting statistic is that 98% of the elderly live in the community, and only 2% in institutions.
The Health and Functioning Challenge
One of the central challenges in population aging is maintaining health and function. While life expectancy in Israel is among the highest in the world, the gap between life expectancy and healthy life years is growing.
Basic Assumptions for Addressing the Aging Challenge
To address the aging challenge, Israel has adopted several basic assumptions, including a holistic view, shared responsibility between the individual and the state, a common language, and an emphasis on prevention.
National Metrics Map for Optimal Aging
One of the central tools developed to deal with the aging challenge is the National Metrics Map for Optimal Aging. This map includes metrics in various areas such as quality of life and loneliness, healthy life years, functioning, economic resilience, health management, healthy lifestyle, active lifestyle, and digital literacy.
Government Decision 127
A Significant Step Forward In 2021, the Israeli government adopted Decision 127, which marks a significant milestone in dealing with the aging challenge. The decision includes several key components, including adopting the National Metrics Map for Optimal Aging and publishing a national report on the state of optimal aging in Israel every two years.
Strategies for Dealing with the Aging Challenge
Based on the data and insights that emerge from the metrics map and the national report, Israel is developing several central strategies to deal with the aging challenge. These include focusing on prevention, promoting a healthy lifestyle, strengthening social connections, economic preparation for old age, integrating technology, adapting the health system, and age-friendly urban planning.
The Budgetary Challenge
One of the significant challenges in dealing with population aging is the budgetary challenge. However, studies show that investing in prevention and early intervention programs can save many resources in the long run.
Inter-sectoral Collaboration
Dealing with the aging challenge requires cooperation between different sectors of society, including government ministries, local authorities, civil society organizations, the business sector, and academia.
Unique Challenges in Israel
While the aging challenge is global, Israel faces several unique challenges, including cultural diversity, geographical gaps, immigration, and security issues.
Innovation and Technology
Israel, known as the “Start-up Nation,” is also leveraging its technological capabilities in the field of aging. Innovative technological developments include home monitoring systems, adapted social platforms, technologies for cognitive improvement, and assistive robotics.
Preparing for the Future
One of the central issues in the concept of optimal aging is preparing for the future. This includes financial planning, career planning, healthy lifestyle, and housing planning.
Summary and Future Outlook
The challenge of optimal aging in Israel is complex and multidimensional. It requires rethinking the concept of old age, the place of the elderly in society, and the shared responsibility of the individual and society in ensuring a good quality of life in old age. The success in dealing with this challenge will be measured not only in numbers and statistics but also – and perhaps mainly – in the quality of life of the elderly in Israel, their integration into society, and their sense of value and meaning.
Happy Seniors Services
Happy Seniors offers a wide range of services to help elderly people living at home and their families. The services include assistance in finding suitable nursing caregivers, managing medical monitoring and personal care, and supporting daily challenges. The company also offers technological solutions that allow the elderly to stay connected with their families and enjoy community support, all with the goal of improving their quality of life and allowing them to age in a familiar and comfortable environment. Happy Seniors helps the elderly enjoy maximum support and advanced technology, thereby significantly improving their quality of life.
Alzheimer’s – one of the most common diseases in the world, and still incurable. Despite the emergence of new technologies in a wide range of medical fields; We are far from finding the solution that can detect Alzheimer’s in the pre-clinical stage or get rid of the disease. But, there is a wide variety of technological innovations in the treatment of Alzheimer’s;
Innovations that help patients and make their lives easier. This time we will talk about the most useful innovations that can help your loved ones live a better life.
1. Photo phone – one of the simplest, but most exciting innovations in Alzheimer’s treatment.
Alzheimer’s patients face memory loss that increases over time; Phone numbers are among the first things that become confusing for them. A photo phone, like the one in the Alzheimer’s store can be very helpful in these situations.
This useful technology is like the smartphone version of Alzheimer’s patients. Many of the models include the option to save a large number of dialing numbers for emergency services and the numbers of loved ones.
In the case of the phone the memory photos; The numbers have been replaced by large buttons where you can save small pictures of the nearest contacts. The patient can easily make a phone call to the desired number with one click on the picture of the person with whom they want to communicate.
2. Devices for detecting wandering
Alzheimer’s patients develop a tendency to wander in public places; There is a danger that they will get lost if they are not looked after properly.
Devices like Jiobit can be a real help when you need to locate your loved ones; To the extent that they forget their surroundings and get lost. Jiobit is a secure clip device with Bluetooth, GPS and WIFI connection that allows you to keep your loved one at home and outside the home.
This device also allows you to set a geographic limit (GEOFENCE) around a certain location so that you will receive an alert if the wearer of the device crosses this area. Jiobit also remembers the patient’s movement patterns and alerts when there is a change in them.
3. The Alzheimer Master – one of the social innovations for the treatment of Alzheimer’s.
Alzheimer’s Master is actually an application with the help of which you can record the voice of a familiar and loved person.
By recording your voice you can create a reminder to take medicine, drink water, eat, etc. You can also use these recordings as an alarm clock, so you will prevent your loved ones from a lot of anxiety that can be caused by a normal alarm sound. Hearing the voice of a familiar person can be much more soothing than the sound of an alarm.
Furthermore, the application can record the user’s responses so that you can understand how he is doing by examining the data. Alzheimer’s Master is available for all Android devices at a cost of $10 for full use. You can also download for a free trial period.
4. Amazon’s Alexa (voice activated assistant)
Alzheimer’s patients may reach a point where they feel like a burden on their caregiver or family. Sometimes even simple things like today’s date or time can be regularly forgotten. Dealing with this forgetfulness can create a stressful situation for both the patient and the caregiver.
A voice-activated assistant like Amazon’s Alexa can be very helpful in this regard. A voice-activated assistant can be used for alerts and reminders, playing music, telling jokes and just having an interactive conversation with the patient.
These devices can answer questions non-stop and the questions can be repeated as many times as the patient wants. These advanced technologies can help Alzheimer’s patients feel less alone, and experience more control over their condition.
They can also be used to control things like the temperature in the room and the intensity of the light according to the needs of the patient.
5. Silver Mother (The Silver Mother) – an innovative home sensor for treating Alzheimer’s.
when one of the family members is diagnosed with Alzheimer’s disease; These are the loved ones who find themselves on the standard of caregivers. They soon discover that caring for an Alzheimer’s patient is a full-time job.
You have to monitor the patient’s activity, keep them busy, take care of their safety, make sure they have taken their medication, help them with their daily chores and many other things besides these. The therapist can’t always keep track of everything; This is exactly the point where Silver Mother comes into action.
This device includes several sensors that can help monitor sleep patterns, medication alerts, activities, etc. of the Alzheimer’s patient. The sensors are small and simple and can be used to recognize the patient’s normal behavior patterns, and to receive an alert when there is abnormal activity.
All the sensors are connected to each other through a mother hub connected to the router.
6. Calendar apps
These apps are intended for caregivers; Apps like Google Calendar can be used to keep track of all the tasks the caregiver needs to complete.
The calendar can create automatic reminders for monitoring one’s medication intake; important visits and doctor appointments; And many things besides. Caregivers can also collaborate using the calendar and share tasks with each other; This way, several people can keep track of the appointments and reminders.
7. Improving the quality of life – Spark Memories Radio
– Music has been proven to calm and relieve anxiety and to help improve the mood of people suffering from Alzheimer’s and dementia.
Spark Memory Radio is actually an application that includes a collection of thousands of old songs. Tunes that take us back to the thirties and allow caregivers to schedule a playlist for their loved ones at the push of a button. The app is available for Android and Apple devices and costs $9.99 per month.
We probably have a long time to wait until the day when we wake up to hear about the first cured Alzheimer’s patient. But despite this, with the help of the appropriate technological innovations, we have the ability to make patients’ lives happier, less stressful and as comfortable as possible.
One of the most disturbing symptoms of dementia is: the person suffering from dementia repeats the same questions over and over. I will present you 6 ways that will help you maintain your peace in your communication with the patient. In addition, dementia patients will be helped to regulate stress and anxiety.
Why do dementia patients ask repetitive questions?
Most often, the dementia patient repeats the same questions, for two main reasons: a. He just forgot what he asked before. B. He feels anxiety, insecurity and tension which make him ask the same questions to calm the anxiety he is in.
For example: the day before Mom’s doctor’s appointment, Mom asked several times – whose appointment is and when is the appointment? On the day of the appointment itself, she asked the same repeated questions every 20 minutes. Also, a few hours before the actual appointment, she asked every 5 minutes, the same questions over and over again. This is because she became more nervous as the doctor’s appointment approached.
6 tips on how to deal with a dementia patient who repeats the same questions?
1. Live their current reality-
A very common and completely natural mistake is to correct the dementia patient. Also, to remind him that the reality that he forms as correct, is actually not correct.
Below is an example case: Shoshana (pseudonym), lived with her family in Haifa, in 2012, when her room was in the attic. Today, in 2019, her family moved to Nahariya, in an apartment without an attic. Shoshana, now with advanced dementia and asks repeated questions every day about the time when she still lived with her family in an apartment with an attic in Haifa, in 2012.
For example, questions like: “When will Bugs the dog come downstairs to my room?” or “When will you fix the banister on the stairs to my room?”
In the above case, Shoshana got stuck on certain significant events from her past, which causes her to remember them over and over again and therefore she repeats and asks about the same events over and over again.
The response that can be more helpful is to participate in her experience, for example: when she asks questions of the above type, you should respond as if we were still living in 2012 in an apartment with an attic in Haifa.
For example: “The dog is currently on a walk outside with one of the children.” Or one of the children will bring the dog to the attic, to keep you company.”
There can be situations in which the person with dementia will recognize where he is and what year he is living in, and there will be situations where he will not.
Below are interesting books on the subject of dementia:
2. Use white “lies”-
It is recommended to use them, especially in cases where the dementia patients wish to perform tasks that may endanger their lives. For example – let’s take the same lady Shoshana, if she insists on driving a car, because she is sure that she drives well. It is absolutely permissible, in order not to hurt her feelings, to tell her that the vehicle is now in the garage and cannot be used. It is better to give space to their feelings, than to try to explain things to them that they will not understand or remember anyway.
Another reason why you should use a white lie is to prevent them from pain or grief. For example: explaining to Shoshana that her sister has passed away may cause her pain and sadness, which the family members taking care of her will have to deal with. Instead, it’s better to tell her that her sister is out shopping now. Which will cause Shoshana, most likely about 20 minutes later, to forget that this fact has already been told to her and she will ask the same question again.
Using white lies, for the demented person, is a better way than telling him the truth that could hurt him and make him in a bad mood. Especially, when there is a reasonable chance that that person will forget the truth that was told to them about 20 minutes later.
You are invited to join our WhatsApp group – on old age diseases:
3. Distract them-
Dementia patients sometimes have a question stuck in their head and they can’t find ways to get rid of it. The way of action that helps them in these situations is to distract them with an action or a task that needs to be done. For example, let’s take Shoshana’s family, if Shoshana asks the same question over and over again, it is very useful to distract her with a sentence like: “Let’s make the sandwich together”. Or “come fold the clothes with me now” etc.
4. Prepare a white memory board for them –
It is very advisable to prepare a small white board for them, on which they will have a list of what tasks they need to perform during the day. When the tasks are written on the board, the demented person does not need to ask the same questions over and over again, because everything is written in front of his eyes. Even if he asks the same question again, just show him the white board with his tasks for the day and it can calm him down for the next few minutes.
The onset of dementia is not the same in all patients, nevertheless, doctors have managed to divide the typical course of the disease into seven main stages. The duration of the disease ranges from 3-20 years, with the average period of time being 4-6 years from the diagnosis of Alzheimer’s (dementia)Alzheimer’s (dementia) until the patient’s death.
In the first stages, it is very difficult to notice the existence of dementia. After that, the patient begins to forget small things, such as people’s names, the location of objects that have always been placed in a fixed place. After that, he forgets what he wants to say. Reads a story chapter and forgets that he read the chapter at all. Later, he forgets what he ate for breakfast. Begins to lose interest in hobbies that he used to engage in enthusiastically. Also, also loses interest in the environment in general. Does not recognize people in his immediate vicinity and from here the situation only gets worse.
In this article, the 7 stages of dementia will be detailed for you, so that you can identify which stage of the disease your family member/patient is in. This is in order to make a diagnosis and start treatment on time and also to know how to prepare for each stage.
Sad dementia patient.
Stage 1 of dementia – before the disease –
At this stage, there are no noticeable symptoms of the disease. The patient looks and sounds perfectly healthy. The disease cannot yet be diagnosed at this stage. After that, small symptoms, begin to give their signals. However, these symptoms still seem relatively normal and cannot be associated with dementia.
Also, some symptoms may develop gradually and go undetected for a long time.
Stage 2 – mild forgetfulness that is still associated with age and not dementia.
A slight forgetfulness begins, which does not yet cause the environment to suspect that it is dementia. The patient forgets things such as: forgetting where objects are, locking the door. At this point, it is still difficult for a geriatrician to diagnose dementia.
Stage 3 – mild cognitive impairment that begins to hint at dementia.
The environment begins to notice that a mild cognitive disorder begins, the cases of forgetfulness become more frequent. For example: forgetting where the keys are, finding them and after a few minutes forgetting where they are again. Placing objects in inappropriate places. For example, putting a garment in the kitchen cupboard. The patient tends to forget names, fails to learn new names, has difficulty functioning in society or at work, has difficulty reading and generally has difficulty organizing and planning in advance. This stage lasts between two and seven years.
Stage 4 of the dementia disease – stage of moderate dementia –
A stage where the patient begins to lose orientation in time and space. This is the stage where the geriatrician must give a diagnosis, because the symptoms start to become clear to the environment. Examples of this stage: forgetting what the patient saw and heard on the news. Forgetting what he ate for breakfast that day. Inability to concentrate on one thing for a long time. Losing interest in activities that the patient previously liked to do.
Damage to the ability to think abstractly in complex tasks, damage to the ability to plan activities or perform complex cognitive operations (such as managing a bank account). Also, difficulty remembering personal events from the past, and physical weakness.
Stage 5 of dementia – noticeable cognitive decline that requires getting help.
At this stage the patient suffers from a noticeable cognitive decline, which requires getting help. For example: forget what the address is. Forgetting exactly where the patient is and whether it is morning, noon or evening.
The patient is confused, his ability to perform complex actions deteriorates. In addition, his ability to decide and adapt his behaviour to social norms and rules is impaired.
Nearly 50 million people were diagnosed with dementia in 2017, worldwide. Most of them live in developing countries. The number is expected to double in 20 years.
Stage 6 of dementia – severe cognitive decline.
This is a stage where it is already very difficult for the patient’s family to take care of the sick person alone and in need of help. The signs are: forgetting the identity of his relatives and the people closest to him. Completely forget how to perform daily activities.
At this stage, the patient has difficulty sleeping, begins to lose control over the sphincters, becomes more suspicious, suffers from false thoughts, hallucinations and compulsive behaviors. Also, at this stage, many of the patients tend to go wandering, when they very quickly forget the purpose of going out and may get lost and endanger themselves.
Stage 7 of dementia – most severe cognitive decline –
The patient at this stage loses his ability to communicate and speak. He needs daily help with very simple tasks. He needs help with everything because his muscles and reflexes become inflexible – he cannot get to the bathroom in time, has difficulty walking, sitting and even holding his head and swallowing. This condition usually lasts a few months, but sometimes also long years of inability to function and the need for constant nursing.
In conclusion-
There is an estimate that 75 million people may suffer from dementia by 2030 and 131.5 million in 2050. In any case, only 20-50% of cases in developed countries are identified in statistics. In developing countries the situation is much worse, with the majority of the population remaining undiagnosed during their lifetime. Spreading awareness of the disease and its various stages can significantly reduce the pain and costs required to treat the disease. It’s all up to you, share the important information in the article and spread awareness of the disease today!