The ART of Caring, Insights Into Alzheimer Disease and Patient Care

What is ART?

A.R.T. is our guiding philosophy of care, three elements that need a continuous, flexible, and personalized application.

Accommodation
Any action, no matter how unreasonable it may appear to us, may be of utmost importance to the person with dementia. The rigid adherence to routines, schedules and procedures is not acceptable. The desires of the person should be accommodated as much as reasonably possible. The idea is to function in a state of "organized chaos."

Respect
When dealing with a demented person you must learn to drop the attitude: “You are demented and I am normal.” Our perception of “You don’t know what you’re doing” is unacceptable. As an example - people with dementia are not “wandering” - roaming around aimlessly. Ask them, “Where are you going?” and they will tell you where they must go and why it is very important. Ask the same question to a teenager hanging out at the mall; their answer is what we’d call “wandering.” Respect for a person guides Accommodation and Tolerance.

Tolerance
Social, moral, and religious norms must be placed in a new context or suspended. A man will accuse his wife of infidelity. A woman will accuse her daughter and grandchildren of stealing. A married man in a long-term facility will begin referring to a female resident as his wife. A very proper lady will use profanity and gutter language. Tolerance is born of love and will not confront, argue, or agitate, but will be gentle and understanding.

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