I dress myself

The film in brief

Situation 1 Anne lives independently

Anne (27) gets dressed. She tucks her T-shirt into her tight white pants. She laces her shoes tightly. Then she combs her hair, still a bit damp. She looks at the result in the mirror.

Situation 2: Anne, clearly older and living with dementia

Anne (59 years old) gets dressed in the bathroom. Caregiver Laurence checks that her pants fit properly and, more importantly, "not too tight." Then follows a brief conversation about her weight. Laurence combs Anne's hair.

Situation 3 Anne, clearly older and with advanced dementia

Anne (62 years old) sits on a chair in the bathroom, adjusting her bra. She looks around. Caregiver Manon hands her a green T-shirt. She pulls it over her head and puts her arms through the sleeves. Manon straightens the shirt and then helps her put on the green sweater. Anne puts the glasses on her nose herself.

All footage is authentic and taken from real-life situations.

Theme

For someone with dementia, general daily activities become increasingly difficult. The decline in daily skills is a key aspect of the brain disease Alzheimer's dementia. This is reflected in a general slowing down of thinking and actions. Movements often become stiff and clumsy. Daily activities may become more manageable if the person receives more time during support or care.

The case “I am Anne” explores Anne’s life story and the onset of her dementia, including early signs such as getting lost. It also provides important context for the other cases; therefore, it is recommended to watch I am Anne again.

General questions

  1. What do you see, and what stands out to you?
  2. What might be the underlying problem?
  3. What do you notice about the caregivers' reactions in situations 2 and 3?
  4. What differences do you see in the physical environment in the three situations?
  5. How can you help Anne? 

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In-depth questions

  1. How do you feel when you compare older Anne to younger Anne? 
  2. What do you find difficult about the transition from "letting someone do it themselves" to "taking over," as you see with the caregivers? What would you do differently, and why?
  3. Do you know the clothing preferences of the people you support? How can you tailor clothing to those preferences? 
  4. Dressing is one example of a decline in general daily activities. Can you give more examples?
  5. What ways of connecting with Anne do you see? Which would you choose? What experiences have you had with support for general daily activities?

You can react in different ways when you see someone with dementia looking confused: how do you do that again? This creates fear and uncertainty, but also misunderstandings and annoyance in those around you. You have to ask yourself whether you're focusing on development or experience, and whether that's still comfortable for the person.

What works and what does not varies from person to person and from moment to moment; outcomes are often unpredictable. 

As a professional or informal caregiver, you are responsible for finding the most appropriate approach. Along the way, you will frequently encounter questions, often with ethical implications. 

Want to know more about decreasing skills? 'The caregiver’s companion to intellectual disabilities and dementia: 100 real-life questions and answers' will be released soon. For now, it is available in Dutch. 

Statements for Discussion

  1. Caregiver Manon would be better off letting Anne put on her green sweater herself.
  2. It's important to focus on the individual in your support: based on their needs and experiences.
  3. Someone with dementia can learn quite well if you just repeat the same actions consistently.
  4. Everyone has their own style of support. This isn't necessarily right or wrong.
  5. If you're someone who tends to get impatient, it's best to leave the care to someone else.