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Not an easy thing, my father is in the beginning stages now. The first major drop was him getting pneumonia and losing it for a week or so. Completely incoherent and hallusinating(sp). Happened so fast that we didn't know what was happening. The illness was the huge magnifier of the symptoms. Every medical proffessional was concerned with getting him back to baseline, which is where he was mentally before.
IMO, the first thing to do is get them prepared and explain it. It's not their fault that they won't be able to drive, lose body functions, tie their shoes or do all the things they could before.
Replace those things with new hobbies they can do,and keep them active. This staves off depression which leads to other problems prematurely. Depression drugs also usually have side effects.
-The more excercise and mental stimulation the better. Sitting alone in front of the tube is a downward slope. Keep them working towards something.
-When they're tired, have them take a nap in the afternoon. I've heard blueberry juice in very high doses helpsslow progression of the disease, but thats usually impractical.
-Routines help too. Dad gets a schedule daily which he can look at when he's not sure. He knows there is something to look forward to later that day.
-There may need to be some upgrades to the home to make it safer. No cooking etc., stairways may need gates or extra lighting, door chimes to prevent midnight walks, etc.
Getting frustrated doesn't do any good. It's easier to just agree and explain what needs to be done any way possible.
I think there are about 500 types of dementia technically, but all involve memory loss. Any local support group will help all the parties involved. Others with experience know all the tricks to keep yourself(the caregiver) sane and healthy.
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