Supporting Independence: Why Daily Routines Matter

Our mom has been living with Alzheimer’s for seven years. Even now, she dresses and eats independently, walks on the treadmill, and handles many daily tasks independently. One of the key reasons for her independence is a consistent daily routine that keeps her engaged and confident.

Why Routines Matter?

Routines provide structure and familiarity, helping those with Alzheimer’s navigate their day with less confusion. Activities like dressing, grooming, and eating become predictable patterns that can tap into procedural memory—the part of the brain responsible for habits, which often remains intact longer in the early to middle stages of Alzheimer’s. This sense of control can be empowering for the patient.

Our goal has always been to help our mom stay as independent as possible, for as long as she can. A thoughtful daily routine has been a game changer.

A Sample Daily Routine

Morning

  • 8:30 am: Wake up and have breakfast. For the first six years, she prepared her coffee and a simple meal like a healthy cereal or microwaved one of the breakfasts we meal-prepped for her.
  • 9:30 am: Take morning medicine and relax.
  • 10:30 am: Walk on the treadmill.
  • 11:00 am: Shower and get dressed for the day.

Afternoon

  • 12:30 pm: Lunch, which she helps prepare.
  • 1:30 – 5:30 pm: Free time. We’ve built in these hours for her to use however she likes. She often watches TV, naps, works on art projects, or spends time in the yard when the weather’s nice. She also enjoys chatting with family and friends on the phone or through video calls. Early on, she loved tackling word puzzles independently. On laundry day, she helps fold clothes and change the sheets in her bedroom.

Evening

  • 5:30 pm: Start preparing dinner as a helper.
  • 6:30 pm: Eat dinner and assist with cleanup.
  • 7:30 pm: Get ready for bed—change into pajamas, brush teeth, wash face.
  • 7:45 pm: Watch TV with Dad (always with subtitles!).
  • 9:30 pm: Take evening medicine and continue watching TV until falling asleep around 11:00 pm.

Adapting Over Time

For the first three years, our mom managed this routine independently. By year four, we streamlined certain tasks and added cues to help her maintain her independence. Here are some practical adjustments we made:

  • Bathroom: We simplified her skincare and makeup by organizing a small, clear container with only essential items: one moisturizer, foundation, blush, lipstick, and eyeshadow.
  • Bedroom: We reorganized her closet and drawers to include only seasonally appropriate clothes and shoes, ensuring her choices were always suitable.
  • Kitchen: We stored her coffee creamer in a glass milk bottle labeled “Milk for coffee” and always kept it in the same spot in the fridge. Minor adjustments like this made tasks more manageable and stress-free.

When she started needing more help, we didn’t take over entirely. Instead, we offered guided repetition and step-by-step instructions, allowing her to stay as involved as possible. She didn’t want us to do everything for her, and we knew that maintaining her independence was crucial for her well-being.


Practical Tips for Caregivers

If you want to help your loved one stay high-functioning despite cognitive loss, work together to create a daily routine. Be flexible and ready to evolve it as your loved one’s needs change. Remember, minor tweaks and consistent habits can make a big difference over time, so don’t be afraid to adapt as necessary. This adaptability is key in the caregiving journey.

Seven years in, our mom still handles many tasks independently, though she now benefits from a bit more guidance. The more independence your loved one retains, the easier it will be for both of you—and the more fulfilling their daily life can feel. This independence is the ultimate goal of our caregiving strategy.

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