If safety measures are in place, an individual living with Alzheimer’s can live in the comfort of his or her own home or a caregiver’s residence. As the disease progresses, the person’s abilities will change. But with some creativity and flexibility, the home can be adapted to support these changes.

Alzheimer’s Association: alz.org/help-support/caregiving/safety/home-safety

• Declutter, declutter, declutter. Remove unused furniture and items that may inhibit the patient from traversing freely through the home.
• Remove rugs, secure loose boards, and be sure the walkways are clear of any dangers. A broken hip can land an older person in serious condition.
• Make sure the home is well lit.
• Busy patterns may confuse the patient.
• Lock up household products such as cleaners and fire hazards such as matches, lighters, and candles.
• Monitor kitchen use, especially stoves as this can endanger not only the patient but the whole family.

Concerns about wandering out of the house are a significant source of anxiety for caregivers and sometimes for patients as well. This is more likely to occur as the illness progresses. Warning Signs for wandering include:

• Comes back from walking or driving later than expected.
• Tries to fulfill former responsibilities like going back to a former workplace.
• Talks about going home even when at home.
• Is restless or tends to pace.
• Has a hard time finding familiar areas of the house.
• Attempts to do a hobby or chore without success.

• Ensure all basic needs are met (toileting, nutrition, thirst).
• Maintain daily structure by carrying out daily activities like folding laundry and preparing meals.
• Exercise daily to reduce anxiety, agitation, and restlessness.
• Provide reassurance if there is a sense of feeling lost, abandoned, or disoriented.
• Avoid busy places that can cause disorientation.
• Place deadbolts on exterior doors in non-standard locations.
• Keep car keys in a secured drawer.
• Do not leave a person at risk for wandering unattended!