Set up a daily schedule in writing with routine activities developed with the person. Once initiated, the person can continue to enjoy many activities. Individuals may become rigid in their behaviour and become unable to change easily from one activity to another or to change their routines. Strategies for Repetition of Behaviour l. Maintain a list of activities or food that are of interest to the individual. Use items to gently shift patients off of a perseverative topic.
Many caregivers effectively use humour to shift a perseveration.
Some family members have found it helpful to establish a time limitation for some activities or behaviours that are repeated continuously. That is, they are unable to evaluate their own behaviour. There is rarely any benefit in someone with HD accepting his or her illness and all of its consequences. Strategies for Unawareness 1. There is no single way to cope with this difficulty.