Additional Resources Mentioned

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• Electric razor
  • For men here
  • For women here
• Oral swabs here
• Super soft toothbrush here
• Fresh Breath mouthwash here
• Electric hair trimmers here

 

Takeaways

Understanding Personal Care Challenges in Dementia Care

 

Tip 1: Mastering the Art of Shaving

Transition to an electric razor as early as possible. 

• Begin your support by prompting and supervising, gradually inserting yourself into the process.
• Try shaving when your care receiver is calm, possibly after meals or during naps.
• Aim to shave men’s facial hair at least every other day to prevent discomfort from longer hair. For women, transition to electric razors for safety. Women also tend to become comfortable with letting their body hair grow.

 

Tip 2: Nail Care Techniques

Important note: We are not doctors and we are not offering medical advice. If your loved one is diabetic, please make sure you know if it is prescribed for their toenails to be trimmed by a podiatrist. 

 

• Start by observing their natural nail care routine.
• Gradually insert yourself into their process.
• Consider professional nail care services if you’re not comfortable.
• Use wooden manicure sticks to clean under their nails.

 

Tip 3: Dental Hygiene Strategies

• As early in their diagnosis as possible, get a thorough dental examination. If there is any dental work that’s important to be completed, do it while they still understand and can participate.
• Consider transitioning to a dentist specializing in disabilities.
• If possible increase dental visits to every three months.
• Start by reminding your care receiver and supervising their tooth brushing.
• Gradually take over the process - for example, begin by handing them their toothbrush, transition to handing them their toothbrush with toothpaste on it, then transition to beginning to brush their teeth.
• Use a soft-bristled toothbrush and less toothpaste to prevent swallowing.
• Consider using disposable oral swabs with mouthwash for additional cleaning.

 

Tip 4: Hair Care and Trimming

• Take photos of the hair style your loved one has.
• If they color their hair, talk about keeping it colored or letting it become their natural color.
• There are hair stylists who will come to your home instead of you having to go into a salon. 
• Consider transitioning to easier-to-manage hairstyles.
• Learn basic haircutting techniques or ask their stylist to teach you.
• For women, longer hair in a soft bun might be easier than short styles.
• Personal care trimmers are very helpful for both men and women for eyebrows, hair in the ears and nose.

 

Read More in This Blog here

 

Full Episode Transcript

Nancy Treaster 

I really wish I’d known this secret around grooming. And that is, you don’t have to get it all done at one time. Sue taught me that. You’ll hear more about that later. But it’s okay, you just do part of it, it out. Transformational, there you go. I had no idea, but it’s brilliant. 

 

Today we’re talking about helping you help your care receiver with grooming. And we have four main tips. 

Sue, are ready to get started? 

 

Sue

Absolutely. 

Around the same time you start to notice they’re going to need more support with bathing and grooming, which we cover in detail in episode 14, you’re going to need to start inserting yourself more in their grooming areas. And so today what we’re talking about are four different areas. One is shaving. The next one is trimming their toenails and fingernails. The third one is brushing their teeth. Hopefully. Yeah. And the fourth one is trimming their hair. So are you ready with tip number one?

 

Nancy

I am. So we’re going to start with shaving. And the first thing we’re going to talk about with shaving is as early in the process as possible, try to convert your care receiver to an electric razor. It’s gonna be safer for them as they transition through this process to be using an electric razor if they’re not already. It will be safer for you because you will eventually be taking over shaving. So an electric razor is a must. Plus, if you do move them into a care community, they only allow electric razors. So the sooner you can do that, the better. In our house, soon after my husband was diagnosed, for some reason I knew we needed to get to an electric razor. I had my children give him that for Christmas, an electric razor. He looked at it kind of funny, unexpectedly, because he didn’t use an electric razor. But it was easy for me over the next few weeks to say, let’s get that electric razor out that the kids gave you for Christmas and give it a try. And somehow the boys giving him an electric razor made it more special for him. And so we were able to make that transition.

 

Now early in the process, you’ll be doing what we typically are doing. Same with the, like in the bathing and dressing episode, you’re just prompting and you’re walking in and saying, you know, have you shaved today? Let’s go shave. And you need to hang around, make sure that it’s actually happening. And you’ll just be prompting. And you’ll find over time that the next phase will be, you’ll need to inject yourself in. It’s a good way to actually begin the transition to taking it over.

 

And the way to inject yourself into the process is say, you did a great job, but you missed a spot right here. Do you mind if I shave that spot? So you’re just beginning to, you know, get involved in the process. Number two, it’s actually, if you’re not used to shaving with electric razor or shaving someone else, you’re kind of getting used to the idea yourself on exactly how this is going to work. So you inject yourself into the process and eventually you will be taking over shaving.

 

Now, when we talk about taking over shaving, let’s think about women for just a second. For men, we’re really just talking about shaving their face at this point, and that continues through their journey. But for women, just observe how, when they forget about shaving or aren’t doing a very good job of it, convert them to an electric razor, of course. But, there is more typically just to let it go. If you think they’re fine with it. If they’re uncomfortable with it, then please help them. But otherwise, just let it go. 

 

Sue

We’ve heard that lot in support meetings is that the caregivers were trying so hard to shave their loved ones, then they finally gave up. Their loved ones were like, okay. They didn’t say anything. give it a try. Just observe. Yes. So observe. There’ll be a time where you’ll just let it go. So you have to find out when the right time is for them that they’re comfortable just letting it go.

 

Nancy Treaster 

So back to a man and their face. First, I’ll tell you a quick story. My husband had a mustache, doesn’t anymore, but did. And I remember going to the office, talking to my friends that had goatees or mustaches saying, explain to me how you shave. How do you, what do, what implement do I use? How do you shave? How do you do this? So it doesn’t have this hair? Right, do I use scissors? What do I actually go get educated from my male friends on what to do about a mustache? So don’t be surprised if you have to, to try to figure that out. Alright, so you’re helping remember just with spots right first. Yep. And eventually you’re going to take over. Now, there’s a point where you’re taking over. And you’re getting into that messy middle Sue and I talk about periodically where you’re invading their space and they’re not happy about it. So there will be a period of time where shaving, even taking over shaving is difficult. They’re annoyed with you, they push you away, they don’t want you to have anything to do with it. And this is a point where you have to leverage that secret that I talked about at the beginning. Doesn’t all have to get done at the same time. So first I’d suggest when they’re at that point, when you’re trying to shave them, if they’re really annoyed and not participating well, you wanna try to find a time where they’re as calm as possible. Often when they’re sleeping or when they’ve just had a meal and they’re just completely calm and rested and they’re resting anyway after a meal, that’s a great time to try the shaving process. 

 

For my husband, he would take, this is in the process at this point where he was still getting in the bed taking a nap. And he would get in the bed, take a nap. And after a while it was time to get him up because we didn’t want him to sleep too late into the day. It would affect his nighttime sleep. So we’d be trying to get him up. He didn’t want to get up. 

 

So we had a strategy, we’d get the electric razor out. So one of two things happened. Either we got a great shave in. Because he didn’t wake up. Because he didn’t get up. Or he got up because it was annoying him. So we win either way. So that was two tips in one. If you got ways, you want to try to get him out of the bed. And I know you shaved Jack mostly when he was asleep as well during this time. I

 

Sue

Yeah. It was much easier to shave him when he was asleep. He had a very heavy beard. so it was work to do and so it took a little bit longer which also goes toward making sure I’d never used an electric razor you know you were getting the tip on the mustache I was getting the tip and the guys were all saying you have to make sure you change the blades the first time you ever feel it pull with the electric razor change the blade so I kept several extra sets of blades

 

And if I was shaving and the first time I felt a pull, just immediately changed because the last thing I needed to do was to be trying to pull out his hair when I was trying to shave it off instead. Well, and another good point that goes with that, also you need to shave them every other day.

 

Nancy

I think at one point when my husband was fighting us, we got to every third day. But depending on how quickly their beard grows, because it will pull when it’s long, regardless of how sharp the blades are. So you really don’t want it to go more than every other day. Now, if you only get half a face shaved on one day and half a face shaved on the other, so what? But just realize the longer it is, the worse it’ll pull. Or if you’re shaving on a consistent basis and it’s pulling, you need to change the blades. Thank you, That’s awesome, awesome tip.

 

As the diagnosis progresses when it comes to shaving, I found that my husband is much more compliant now. We shave him after breakfast, he’s calm, he’s quiet, he’s happy to be shaved. He kinda likes it think now. So we’ve come full circle. You, same thing? Yeah, I would shave, you’re gonna bleep some of that out. Yeah. Yeah, thank you.

 

Sue

Yes, I would find that with Jack, he did become more compliant. It was really like a non -thing anymore. It was just fine. Yeah. OK, good. All right. Well,

 

So also, if you’re at the point where you have other people participating in their care, you wanna make sure that those people know what their triggers are, what works for them, what doesn’t work for them. So that you can make this as easy a process as possible. And I think you had that example actually from memory care, didn’t you? I did, and whether you’ve got caregivers coming into your home or whether you’re going into a care community.

 

One of the things I did, I’m big on making the notebook that writes everything down. I wanted whoever was going to be shaving him to have as much information as possible for how to, know, tips for being compliant and all those things. shortly after moving Jack into memory care, I got a call. We can’t get him to shave. He really doesn’t want to shave. And I said, can fix that. And I realized that was something I hadn’t gotten in the notebook. And I explained that

 

He was a Mass Everyday Catholic. And so part of what they could say is, you’ve got to get up and shave for going to Mass. Also at work, he and his boss every morning first thing would have a budget meeting. And I said, so you can also include that. Never had him have any issue with being compliant after that. tips that we’ve got for other people to be helping your care receiver. I that’s what I was using with him. I just forgot to put it in the notebook. But those are really helpful. So as we’re learning for ourselves, we also want to be tracking things and putting it down so when someone else is supporting us in our care, we’re making it easier for them. And that goes for all these grooming tips. Every tip, all the different tips. Yeah. Which is why I had the big old notebook. I knew somebody knew the reason for that. know, yes.

 

Sue

All right, let’s do tip two. All right, so tip two is about trimming their toenails and fingernails.

 

I’m going to start with a disclaimer. What I learned is that when someone is diabetic, you have a doctor trim their toenails and fingernails. So it’s very important that I’ve got the disclaimer. I’m not talking about anyone who there’s a medical reason why you wouldn’t trim their toenails or fingernails. OK, big start with that. OK, so as with other grooming when we’re cutting their fingernails and toenails is something that we observe in the beginning. And again, to the concept of the notebook, start looking at the pattern of how they naturally trim their toenails and their fingernails. And it’ll make it easier for you when you start doing it because it’s less of something that they’re trying to adjust to that’s not the way that it was. So you’re learning how they’re doing it. And then as you did with gradually inserting yourself, you gradually start inserting yourself. And the way that we did it with my dad and with my husband is that 

they trim their nails and I’ll say, know, honey, there’s a little bit of a jagged edge there. May I please soften that for you? So I’d get the file and kind of help soften it. And then you do the next one when they did the next one. And it gradually over time got to where I would file the first one. Then I would go ahead and trim and then file the next ones. So big tip, you wanna make sure that the implements that you’re using are really sharp and it’s as easy for them to use and that you’re there monitoring it with them so that they’re not potentially harming themselves. And then as you take over doing it, the first thing is give yourself a ton of grace because I had never trimmed anybody’s nails. You’re coming at it from the other side. When you do your nails, it’s this way. 

 

So you can either practice on somebody else to do their nails so that you get used to kind of what it’s like, or you can begin early in the diagnosis seeing if they’ll let you trim their nails and get used to it. But you’re not gonna know how to do it and all of the things. 

 

Nancy

So that does remind me actually. So for Kim’s dad who’s got Alzheimer’s, we still take him to the nail salon. We’re finally at the point where that’s not practically more kind of like getting his haircut. We went to the hairdresser and then finally it just wasn’t practically more in the last couple of months. Same thing with the nails. But up until there, we just took him to the nail salon because doing it from the other direction’s not easy when you’re not used to it. It’s not easy. 

Sue

The other thing is that I’m big on doing things during the napping time when they’re asleep or sometimes like when they’re in the eating process, when they’ve been eating and things like that. Jack, because he was good for about one nail then he would just start pulling it away. So I would do one nail and I was big on when he was asleep, would do it. If they are, like my dad’s feet were so incredibly ticklish, so I would put a towel on it so you’ve got firm pressure so you’re not tickling him. Being incredibly ticklish myself, I understand what that’s like. I’m sensitive to that. So there are things that you do and you also don’t have to have them look like, again, like they’re gonna go to a black tie event. It’s just you really don’t want them to have ragged edges or things that where they could scratch their faces. So that’s really it goes less from the beauty of it to the safety function of it. 

 

Nancy

Exactly right. I appreciate that. And this happened to be just going to the secret tip that we started with. This was the one where I called Sue and I’m like, Sue, we are really struggling to get all get his nails cut. This is crazy. And she’s like, so are you trying to cut them all at one time? I’m like, yeah. And she’s like, well, why?

 

Just do one and give him a break and try again. call it. Try a few hours, try tomorrow, who cares? And I’m like, that’s a good idea. So one other piece that permission not to do it all at once. 

 

Sue

Absolutely. Lots of permission on that one. Lots of grace and lots of permission because they’re not showering where things that were underneath their nails might more easily get out because they’re not really washing their hands as often. Sometimes they get food and other things under their nails. So having one of those little wooden manicure sticks to get the the food out and other dirt and things like that is really other dirt. Other dirt. Yeah. Yeah. Nancy has an example of other dirt. 

 

Nancy

At our house, we, the manicure sticks are mostly, well, not anymore, but we went through a time where they were mostly for making sure that we got the poop out from underneath his nails because, you know, he reached back there sometimes before you could catch him and there you go. So you the manicure sticks regardless. Yes. You need them for whatever. All right. Shall we move on to tip three? Let’s move on to tip three, which is about cleaning.

 

Nancy Treaster 

Teeth so first let’s talk about the dentist. You’re gonna go to the dentist. Probably the normal dentist You would have gone every six months. I Would quickly tell the dentist what’s going on and when I did the dentist said you need to start coming every three months That is the most common thing that they’ll do because their dental care their ability your care receivers ability to maintain their dental didn’t Maintain their dental care the hygiene. Yeah, the dental hygiene

 

in any way that’s close to normal will decline fairly quickly. So you’ll start going to the dentist every three months. That will get more difficult. I did go to a webinar on dental care for people with dementia, and it was by a dentist who specializes in dental care for people with disabilities. And she said, in many cities, not all, but in many cities, there are dentists who specialize in people with disabilities and people with dementia fall into that category. So you may wanna try to transition to a dentist that focuses on people with disabilities, just so you can extend the dentist part of this process as long as possible. And we had, in the care community, they have dentists who will come in, they’re traveling dentists who will come in.

 

Sue

The other thing we did very, very early on with the diagnosis is get x -rays, find out if there are any cavities or anything else that’s dental work that needs to get done. Because Jack couldn’t figure out how to sit in the dentist’s chair. We literally took him to the dentist one day and we tried for the longest time. And he didn’t get upset about it, but he just didn’t know how, it’s an unusual chair. Just like with getting your hair cut, there are different kinds of chairs. They forget how to get into those. So make sure any dental work that needs to get done, you get done as soon in the diagnosis as possible. 

 

Nancy

The real story here is the actual dentist is going away. Yes, that is true. There will be at some point dental care is only done at home. And so everything I talk about from here on in is really how you’re going to the part of the dental care that you’re going to take ownership of. So don’t be shocked when they can’t get in the chair or the, last visit to the dentist, half his mouth was cleaned but he didn’t really understand what this woman was doing with her fingers in his mouth and he was done with it. And she let him get up and walk around a few times and he was not having it. So he left his last dental appointment with half of a mouth cleaned and that was it. So then you’re at home dental care, which is fine. We’re just gonna talk about the things you need to be prepared for at home. 

 

So let’s go to the home dental care. First thing, similar to everything we’ve talked about so far, you’re gonna start by reminding them to brush their teeth. Check to make sure they put toothpaste on their toothbrush. It’s like using the soap. It’s one of the first things to go. So when you remind them to brush their teeth, go back there with them and just watch and make sure that there’s toothpaste on the toothbrush when they brush their teeth. And as you said, brush your teeth at the same time. Model the way. So I would brush my teeth the exact same time and Stan sort of and brush them and make sure he was seeing me brush my teeth, modeling the way. So that’s a first transition. 

 

Second transition is you’ll get the toothbrush out and put the toothpaste on it yourself and hand it to them. Next transition, put the toothbrush out, put the toothpaste on it, and you will start the brushing process and then they’ll actually, muscle memory, right? They’ll take it over and finish brushing their teeth, all good. But eventually you’re going to be brushing their teeth. And when that time comes, take the tooth, get a soft, a very soft bristle toothbrush.

 

We’ll talk about electric toothbrushes in just a second. But you want a soft bristle toothbrush and you want much less toothpaste than you would normally put on because the spitting is gone. They don’t know how to spit anymore. Don’t understand it. So we’re going to put a small amount of toothpaste on the toothbrush and we’re going to rub it in to the the bristles because we don’t need it just to plop off in their mouth somewhere. So we’re going to rub it into the bristles and brush their teeth as best you can. You can also take a break from this, but this as in shaving goes through sort of a non -compliant phase where we don’t know why you’ve got this thing in my mouth and we don’t want to have anything to do with it and we’re gonna chew it and bite it and try to pull your hand out and all sorts of things. There was a point for probably a year, year and a half where if we just got the toothbrush in my husband’s mouth at one time during the day, we thought that was a win. Now we’re back to the other side, back to more compliant. We brush his teeth three times a day now.

 

You don’t have to give it up completely, but you do need to realize you’re going to go through a very difficult phase. middle. The messy middle. Now, one thing I didn’t learn about till later, we use these now, but I could have used them in the messy middle and Sue did use these, is oral swabs, disposable oral swabs. And you get mouthwash. We use the Advanced Dental Care Mouthwash for Gum Disease because I figure that’s just one more set of chemicals that can help in his mouth and brush his teeth and we put the oral swab in there and we clean inside his mouth behind. He kinda likes it. So, know, mouthwash, doesn’t taste bad. And get underneath his gums and everything. And there’s food that comes out when you do that. So an oral swab is an extra level of dental care that you can take advantage of. And I know you used those.

 

Sue

I did, they worked really great and Jack liked them and I also used them on his tongue.

 

Nancy

yes, that’s smart, I forgot you told me that. And you can also, if they’re open, you can get it in the roof of their mouth and yes, you can really do some with them. All right, so whatever method you use, remember back to what we say, just about everything. Put your best face on, smile, think about your body language, say thank you, give them instructions, tell them what you’re doing. Can we brush your teeth? Is it okay to brush your teeth right now?

 

Open your mouth, please. Let’s brush your teeth. 

 

Sue

And some people will still let you, the people who are our next door neighbors, they were able to use dental floss the whole time with their loved one.

 

Nancy Treaster 

And I think actually, think Mike’s mom, Kathy told me, think she actually in the process, she would sit there as entertainment and floss her own teeth. So let’s don’t give up on dental floss either. give up on dental floss either. 

 

Sue

But be prepared and just be patient and be flexible. But also don’t quit because as Nancy was saying, while they get very non -compliant for some of them, I mean, we don’t know everybody, but they’ll get non -compliant. And especially like if you try to use the electric toothbrush things like that It’s a season that you do get through and then they are more compliant and you can pick it back up again So I agree. 

 

All right, so let’s talk about some tips if you are brushing teeth, you know, try to create a calm environment Use simple instructions Put on your best body language and your nicest words and tell them what give them instructions Tell them what you’re doing model the way open your mouth and look like a fool if you need to.

 

Sue

So the fourth tip is trimming hair. And this is going to include a variety of different kinds of hair. There’s the hair on top of our head. There is the hair on the eyebrows and then there is the hair in and around the nose. we’ll start with the haircuts. Several different things. So in the beginning, if your loved one is used to going to someone to have their hair done, one of the things you could do is you can go and ask them, the hairstylist, to teach you how to style their hair because you don’t need to be a graduate from beauty school. You just want to do it well enough to try to do it. So my dad’s hair was always styled. Jack, we went from a hairstyle, he a full head of hair, to a buzz cut. And that was great. Then with women, some of them, you’ll cut their hair shorter, and that’s great. It’ll be a much easier style. And yet one of the things that we learned is you want to learn where cowlicks are and where their hair naturally goes because sometimes if hair is cut shorter for men or for women, then it’ll just get in their way and it’ll be more frustrating for them. So especially for women, sometimes it’s better to let their hair grow out so that the hair could actually be put up like in a soft bun above their head or things like that. And so earlier on in the diagnosis, start evaluating cutting their hair, learning how to cut it.

 

What’s gonna be the easiest style and something that they’re going to be comfortable with so that you can go through the process because ultimately one of the things that will happen is they’re going to forget how to sit into a barber chair. So just like with the dentist, the barber’s chair or hair salon’s chair, whatever it is, those are difficult for them to figure out because of the legs on them to get in. So you’re going to need to be figuring out how to do it on your own and then especially when they become bed bound, you’re going to have another opportunity with it. So. 

 

Nancy

And my mother -in -law’s hairdresser, we were talking about my father -in -law and she volunteered to come to the house and cut his hair. And she did. And that’s just great. So it’s option. It’s great to ask if they will. Never thought to ask. I never would thought to ask her, but she said, will come to your house and cut his hair. 

 

Sue

Which is wonderful because the less they have to do to be involved with. And then when they cut their hair, they can normally do, whether it’s a man or a woman. they do their eyebrows. Trim the eyebrows, things like that. my dad always enjoyed having a style. He’d had his hair. You know, I’ve got pictures of him from when he was a teenager and he had the same hairstyle. So that was going to stay as a part of who he was with with another one of my loved ones. We let her hair get longer and she was she was very comfortable with having it up because it needed to be styled if it was down. It wasn’t straight and it wasn’t curly. was just kind of, so it was gonna be less comfortable. Then with Jack, now the other thing that we did with Jack is he got to where he wasn’t really thrilled having his hair cut. Just like everything else, this is a phase. This was a phase, so it was like, okay, if I cut part of it, I cut part of it. 

 

As he became then bed bound, now my trick was, and it worked the whole time, I’d just shave his hair when he was sleeping. I’d give him a hair when, and sometimes it was after he’d eaten, because he was going to nap after he ate, so he was going to be more compliant. So the nails and the hair and the things like that, I could get those done at those periods of time. And start from behind if you can, because same thing is not when they’re bed bound, but while he was up right, did that. Tell what you did with your husband

 

Nancy

He sits on the sofa and he falls asleep after he’s eaten, and so we just started the back of his head and he’d be like this. But if you start from behind, you can get a lot done. But the funny thing is then to your point, know, it’s not always gonna get all done at once. So just hold back his head. That’s okay because we got some of it done tomorrow. We work on one side, then the next side. All right. We do whatever it is. 

 

Sue

And everybody’s hair is different. for example, with Jack, I left the front part of his hair a little bit longer. He did have a beautiful full head of hair. But there’s a lot of heat generated because his head was literally against a pillow all the time. And I got him down to like a one tight on the back of his head. So for bright here all the way back, but nobody looking at him would know that. I just didn’t want him to be hot and sweaty. Plus he’s not going to a black tie event either. He is not going to a black tie event either. So it’s adapting to all those things. Okay, then the eyebrows, you want to trim the eyebrows, those. Now, fortunately they have these battery operated hair trimmers for men and women and they’re fabulous because sometimes they’ll let you cut them and then if they don’t because they see scissors coming at them, you know, like when they’re asleep, you can do it when they’re asleep or the nose tremors. Now what I did with both the electric razor and the little tremors is I would rub them on their face first so they could feel them and they could feel, then I would start the vibration and I didn’t have the vibration right where it was cutting but I would do the side of it so they could feel it. Then I would go in there and then for cleaning inside the nose, I would push the nose in so I could get in there.

 

Now I would do like one nostril do something else. I so it was not a continuous thing unless they were asleep. So for for all of these things again number one is you know let go of having to have all of it done and done really great all the time just you know it’s adapting to getting it done and doing it at the time when it’s going to be easiest for them and then just give yourself so much grace. 

 

Nancy

Agree. And this is about observing and adjusting because everything we talked about starts early in their diagnosis until late stage dementia. everything is observed and adjust and just realize that you’re going to go through a messy middle before you come out the other side across all these topics. Yes. 

 

All right. We ready to summarize? I think we’re ready to summarize. All right. Let’s summarize. Today we talked about helping you help your care receiver with grooming. We covered four

main tips for areas. First, we talked about shaving. Then we talked about trimming their nails. Then we talked about cleaning their teeth. And finally, trimming hair. 

 

If you have tips that you think would help people in any of these areas, please leave them on our Facebook page, our Instagram page. We’d love to hear from you. If you like this podcast, we’d love for you to subscribe and rate and review it. We appreciate that very, very much. We sure do. This is all about observing, adjusting, and giving yourself and your care receiver a lot of grace. We’re all on this journey together. Yes, we are.