Tag Archives: Alzheimer’s Disease

Outings to familiar places are great Dementia care and therapy.

Dementia Care

Dementia care is a very complex service to find. Many initially focus on the physical needs for a private room, meals,  However, they also need to consider the emotional and behavioral care needs.  Indeed, it is the emotional and behavioral health care needs that make the Individual with Dementia or Alzheimer’s disease feel fufilled.

What are Behavioral and Emotional Care Skills?

These are skills an individual care giver develops over a long time and include interpersonal skills combined with patience, an understanding of the many overlapping process that affect a person with Dementia, and broad-based training for the many overlapping mental health issues that accompany the primary Dementia. When a Dementia patient lacks insight and judgement it is difficult to reason with them.  Therefore,  education and reasoning have a reduced effect. Indeed, often the memory loss is accompanied by mild forms of paranoia and delusions which can be worsened with attempts to reason with a person who has Alzheimer’s Disease. Therefore, a trained caregiver needs to recognize the many forms of the illnesses and various behavioral issue that result.

Redirection is a common Behavioral Therapy used in Dementia Therapy

When a person with Memory loss and Behavioral disorders is confronted with facts and gets even more agitated.  That is a time when the caregiver needs to step back and try to calm them. They need to let the patient be right and try to diffuse the situation by re directing them to another topic that is not triggering this exaggerated behavior.  This is not easy and is an art.  It takes decades of training, and a lot of patience to pull off.  When the caregiver is executing this therapy, they do so with a calm voice in a slow comforting cadence.  If you can find caregivers with those skills the Dementia patient will use less medication and be more independent in that structured setting where the caregivers are the therapy.

Dementia trained caregivers are the therapy

While doctors often reach for more pills and anti-psychotic medications they often do so because the various care settings lack caregivers with advanced Dementia Training. Behavioral therapy is easy to say but practically very difficult to do.  While many families look for private rooms, nice lobby, they often times don’t take time to meet those caregivers who are the therapy.   We suggest families make time to meet the individual caregivers who they are indirectly hiring when they move into any Memory care setting. Management with medical & professional Dementia treatment experience helps raise the standards for the staff they hire and the care that is provided. Many are surprised that administrators of Memory Care Units are not required to have any professional medical Dementia Treatment experience. They many have more administrative training which leaves a void in any added intra facility training they can provide their staff.  Management having Alzheimer’s treatment and behavioral management training is a value-added area family members need to look for before making this difficult and expensive care choice.

Summary – Get Dementia Care help now

When a loved one needs more Dementia Care than he family can provide at home including awake care at night  you want to look for the best trained and experienced caregivers and management in any Alzheimer’s Dementia Facility.  Choosing the right care setting is difficult.  Make time to meet the individuals who you are hiring when you choose any Alzheimer’s Dementia Care or Memory Care Facility.  Author Shawn McGivney MD, RFA  

Alzheimer’s Dementia and 90 + study reveal the new data on Alzheimer’s.

Alzheimers-diseaseThis article on Alzheimer’s and  and related 60 minutes show are devoted to follow up of a study at UC Irvine that followed retrospectively a neighborhood of 14, 000 people.   Living to 90 and beyond – click here UCI mind and related articles and links   The sixty minute summary of the 90 + research reveals that activity, social connection, matter even if just in little however constant bursts.   UC Irvine is studying a senior community where they have a distinct group of fourteen thousand senior citizens that completed a survey a decade ago. They are attempting to look retrospectively exactly what took place to them.  

No surprises smoking cigarettes are bad and workout in moderation is good.

But this is a good research to give you hope. 15 minutes of light cumulative workout or walking made a difference, and came to a head at 45 minutes. They also noted that the exercise does not need to be continuous. Keep in mind the study is watching those who are left so the results are tilted to healthy seniors.  

Being overweight is better than underweight.

Kept in mind that while they saw that being overweight was good they cautioned that was not morbidly obese. We can add that when you are obese you likewise have more muscle and the extra muscle is more vital than the fat is bad to give you much better function, flexibility, immune system etc. Being any underweight likewise may suggest other condition. Exactly what we also have to be clear is being 20 % over weight is ok it is much better not to be actually obese. As all of us understand everything in small amounts.  

Exactly what was interesting to these researchers was that Alzheimer’s is not as typical as they believed.

While the researchers for decades have actually stated that Alzheimer’s condition is the most usual form of dementia that could not hold true. They are finding signs that little strokes in even more usual and Alzheimer’s illness is less usual.   Add in typical people have plaques and tangles and there was no CT or imaging machines to find little strokes in the early days of defining Alzheimer’s illness. Therefore one can see that Alzheimer’s is over identified. Vascular illness is common and is the leading cause of death without a doubt so of course that affects intellectual condition as well.  

Alzheimer’s Disease or Dementia or other labels can be misleading

  I don’t like  these labels because there are no good therapies. Obviously, general avoidance is needed in all cases. The fact is no matter what sort of dementia you have all dementia labels will considerably impact your life.  Alzheimer’s dementia or multi infarct or little stoke dementia the problems are comparable. How will you get the assistance you need. Family caregivers and a family style care group are the very best responses.   caregiver-teamIn addition I like to re-focus readers on getting the best household care group and care setting possible as you begin to need any quantity of assistance for any reason to ensure the best care and life style possible for you as you age and need more care.  

Vitamins did not help however alcohol did correlate with longer life expectancy.

They found many things. Vitamins in their group did not help you age much better however drinking a little alcohol of any kind did seem to make you live longer. While that seems like information I wish to know if the reason alcohol helped was due to individuals who consume alcohol had more free time to enjoy a glass of wine and were somehow more relaxed instead of the drinking per se? Those problems are vital in all research studies however are often specifically omitted in a control group. Considering that those big, typical, however hard to study things are hard to measure, specify, study and differ extensively they cannot study them. How do you quantify the amount of joy, joy, or despair? What is the scale one would use to compare the quantity of depression? Similarly money and relationships are hard to study. While you may believe income is simple to study it is not. While IRS reported income is another tangible part of income financial success consisting of possessions, household resources, back up properties, household income, expenditures, relative income and way of life are all much tougher to obtain sincere answers to. While researches do include some details that your physician can make use of to work up a treatment plan for you research studies are not the last word.  

Exactly what is missing in this and all medical research studies?

The research studies are not the final word and no study states exactly what any one person should do given their social, financial, other medical and psychological wellness concerns dictate.   The doctor who understands you and all of those “other” social, financial, numerous complex and overlapping other clinical issues, that make you a human being uses that data and treats you with time, works day in and day out with you, to try those suggestions out on you and keeps track of the responses and all the time is stabilizing the many adverse effects and threats against the advantage you and the physician are seeing. That is old fashioned art of medicine. The flow sheets, and over specialized care system do not have connection of care and follow up of exactly what works consisting of all the realities that a lot of research studies swelling into the control group and implies do not matter like social supports, psychological hygiene, multiple complex other clinical problems, and financial issues. That is why clinical medicine is an art.   doctors

Alzheimer’s and wellness research summary.

Excellent research to view on 60 minutes and UC Irvine site.  Unfortunately there is no easy answer and the observations are just that, general associations however they are in not near to perfect by themselves in treating an individual. The effect of each differs with each person, their social and medical conditions and obviously the financial supports.   Related Links Distinguishing ‘senior moments’ from Alzheimer’s   Thanks for reading, commenting and Likes / Shares Dr Shawn McGivney

New solutions for Alzheimer’s household caretakers two.

Part one summary of options for Alzheimer’s household caretakers. Alzheimers-diseaseIn part one we covered the usual superficial precautions for caregivers to watch out for tension, look after themselves, and get the assistance they need. But exactly what they missed were the answers. I now offer you my technique to a practical strategy that acknowledges the actual issues of cost, time, and intricacy of a senior care program. The brand-new solution for caregiver stress that conserve cash, provides more broad based care, and lowers tension for the entire multi – generational household. Accept the truth that care providing is time consuming, expensive, and the requirements will increase live longer. To deal with an issue you need to always acknowledge the truths and the reality is that the care needs will progress and get more pricey, time consuming and complicated  and you need to plan for that. All family caretakers have to say no to being a single caretaker. caregiving-together Simply say no to being the only caregiver and an uncompensated caregiver from the first day. The entire family needs to take part in building a longer term strategy of ways to recognize those who do care providing and afterwards guarantee them that they can employ or get other family to help when required. If the entire relations cannot build a strategy in writing that compensates whoever that household care giver is today and assures them they have a supporting care strategy going ahead all other plans are likely to fail. Without back up staff and financial backing some amount of human bitterness from the caregiver to the resident and the other family members should be anticipated as an common human response if not initially as time goes on. Household can recognize the care provider by dollar compensation and by preparing for added personnel. Caretaker Pay is needed.  Dementia-Care-Costs Family Care giver pay is needed even if it does not get invested and just sits in the caretaker checking account. That is the single most accepted ways all human beings reveal they care, they pay something. In all cases, offer the very same offer to all family members who want to put arranged, time for senior care into their days. Plan for requiring addition caretaker services. As quickly as anyone starts to require even a little help you need to begin to try to find the long term care strategy which will include having a bigger care group. If numerous family members can take some time off of their lives and can be paid something than you can build a group in home but in fact most will still need some more experienced coordination of care, transport, support with understanding what the physician stated and did not state etc.  

Best strategy is to find a family care team in a residential care home

residential-care-home The single best strategy is to look early for an extended family care setting that can grow with you to assist your moms and dad and entire extended family live life throughout the last chapter of life. In all cases it will cost about the same as if you do nothing now or if you act now. However, take action now you can find better care with less stress for everyone. Not doing anything includes awaiting emergencies and not working to make a seniors trust with a genuine extended family care team prior to the emergency situations. By dealing with the problem of moving and finding that care team the senior and household can trust you will conserve cash, improve care, and have an actual plan to age in place that goes beyond advertising statements. Not doing anything could be more affordable today however will be anxiety rich and still cost you the same amount in the end compared to emergency services, no planning, less control over the monetary planning. One must wonder exactly what estate planning you could do if the senior felt safe in a care setting like tlcsr and wished to stay there and get the care and control over life she really wanted? Seniors know they are aging and require help however they are not willing to volunteer that until they can see, and anticipate, to have a care group that will help them be more connected to their nuclear social system and enable them more option over life. That is an extremely hard sell given that it is extremely difficult to discover that care team and setting.  

Fear of moving is correctly expected.  Look for places that want to earn your trust and assume responsibility.

I know firsthand the mild fear a parent feels about the household skirting the issue of exactly how will we take care of mommy in the future and not put her in a nursing home is a big issue in planning and getting things signed. You can have an excellent estate plan however if the parent won’t sign and are pushed in any way to signed without good faith and intent by the senior we all know there are lots of difficulties that can develop. While lots of utilize expressions like age in place, or senior care planning for attorneys in fact you truly have to know the care group including the owners, managers, and individuals who are openly accepting that duty and doing the work. If the care team can’t do more later on and show you examples of exactly what more is and just how much more it costs as the care needs grow you need to look further. We concede no one will can assure exactly what specific care requirements are or exactly how prices or the system will change in time however we believe most professionals and well-coordinated care groups should be able to offer you a pretty good concept of what to anticipate as aging continues and how the care needs and costs will change. All of us properly are afraid moving and meeting the unfamiliar people who will regulate our lives. If you find that extended family care team that has the broad base care group, back up and redundancy of staff and experienced, hands on, administrators that can save you cash in the long run you are fortunate. Undoubtedly, once the parent can see they have a long term care plan they will more gladly move. While many experts correctly say that everyone fears moving few acknowledge there are good reasons to be afraid when moving to most nursing homes, Assisted Living or other care settings. Nevertheless, if you find that more extended family care group the move day will still give issue however rapidly the extended family care team dealing with your family will earn each other’s trust and you will have a long term care plan.  

How a family care team and residential care home save you money

Exactly how a broadly practiced and clinically monitored care team can save you money. One word on why the extended family design care group provides better care and saves cash is because they offer continuity of care and you benefit from getting in-kind services and caring that are included by havnig a more social relationship in addition to the paper agreement. The social duty is exactly what we believe has been lost in healthcare and senior care and that is where the expense effectiveness and value are to the senior and household. IT is hard to find that broad based extended family care team but when you discover it your whole multi-generational family and estate strategy benefit.    

Dr McGivney’s new solutions for Alzheimer’s family caregivers.

Dr McGivney’s new solutions for Alzheimer’s family caregivers. angry-caregiver Its common knowledge: Helping to care for a sick or dying loved one exacts a steep emotional toll. Many studies find  that caregivers rate their stress level as high, and many acknowledge they have less time to spend with family and friends. This is not new news. Most experts also note that family caregivers should take care of themselves first.  They caution that not doing so might put the family care giver at  risk of emotional exhaustion, health problems and even caregiver burnout which can lead to more stress full interactions with the one you are caring for and your own family. Common caregiver tips Put your physical needs first. Take a break. Deal with your feelings. Find time to relax. Connect with friends.   Ask for help. Call on community resources. Get organized.   Stay positive.  

What all of these great suggestions lack is the how do you do it.

They skirt the real questions of how to pay for it, how to get the skilled team of staff you need and then how to retain as much senior control over their life as possible while having the plan for the future.   None of the above “tips” address the facts that caregiving is time consuming, expensive, and very emotionally charged especially for family caregivers. Senior-Man-son-worried senior-couple-checkers

The fact is senior care and care giving is time consuming, skilled and expensive. 

As your parents age and undergo the usual cognitive changes and often times changes compounded by dementia with paranoia those changes increase the stress for family caregivers who have to deal with the fact and  normal emotional resistance all humans have to accepting defeat and losing control over their lives.   

Less well known Alzheimer’s Disease Behavior Triggers – Being the son or daughter!

Any father or mother is upset by knowing or just feeling they have lost the role of father to a son or daughter and now are the child.  That is not a feeling any of us ever are prepared for and is a root cause for many difficulties for family caregivers. In fact the son is taking more control of the parent’s life and decision making but it is out of necessity.   That is a very difficult thing for normal human parent’s minds to accept.  That goes against all emotional survival training our parents have learned thought out life.  In all cases, the go to emotional and coping approaches of be positive and think better things are coming no longer work.  We need to accept that to fix it. Beleidigter-Senior  pouting-senior      

Other triggers for needing more Dementia Care

The trigger and worsening of that understanding or exaggerated belief often comes when a family notes mom or dad needs more help than incidental family assistance.  For example mom can’t reliably take her pills and  someone else needs to fill the pill box and remind her two or three times a day to take the pills.  The issue of safe driving or signing an estate plan and essentially giving away all of your money with no known, expected, proven extended family care plan or extended family care team to reasonably rely on for care of the parent as they age. If we ask ourselves how would our nuclear family care for us if we were in an car accident right now and we needed that amount of help we would correctly be concerned too.  Would we all just give away our life savings?  Would we trust the family could provide the complex broad based care that we need and which will increase in the future?

Look for places that show commitment, build professional social relationships and accept some extended social responsibility.  Extended family care teams.

While many places advertise age in place or “we care” few advertise we want to be responsible, or we can visit you when you are out of our facility, or  we want to have all family call us any time.  Most managers delegate that work to a staffer but in fact health care and senior care are very personal items that is it hard to delegate. Second, senor care is inherently complicated by complex medical issues that most managers do not know how to approach.  All of which leads to super specialized but disjointed, difficult to use and trust systems of health care. In the old days the doctor did a lot of outpatient, social work and coordination of care but with the loss of the old fashioned doctor you need other choices that can bring back that sense of responsibility for care and expectation of ongoing care. The new solution for caregiver stress that save money, offers more complete care, and reduces stress for the entire multi – generational family. Will be in our next post. Hint find an extended family care team and setting which is the one stop shop for all of your senior care needs.  The senior care value buffet. See you in my next post. Like, shares, comments appreciated. Register for free, and comment.   Usefull Links TLCSRLV youtube Channel.  Subscribe for free. Frustrated with Home Care Service? Get Home Care answers here!    Likes, shares, comments help us to continue to post these free educational tips.   Dr Shawn McGivney

Alzheimer’s disease – behavioral therapies

Alzheimers-caregiverAll medical providers list behavioral treatments as the primary treatment for Alzheimer’s Disease. But due to the fact that it is not a pill the emphasis on its value is frequently forgotten. There is a treatment that works today today and can grow with the patient and household as Alzheimer’s disease advances which is to find the very best team of caregivers you can. Discover the best caregiver you can who can support you with the ups and downs of this progressive process that is Alzheimer’s condition and the many associated but less labeled part of aging that go with it. We suggest you find the most complete care team possible and develop ongoing relationships with them. In fact, the best treatment comes when you can find a care team that includes the administrator, owner, managers, and caretakers who can become relations to your loved one and family.  

Nice-CaregiverFamily-style Alzheimer’s Caregivers

  The social connections are essential to get even more caring and psychological communication from both caretaker and homeowner. Without a social connection and current relations gatherings to share care is generally more ordinary and ends up being job oriented which is devoid of sensation, sharing, and emotional connectedness. For instance, each physical task holds the opportunity to share a social connection if the care group knows the close friends, household, and comings and goings of each resident. When that level of social connection exists the physical task of helping with person care can consist of conversation about local’s marvelous kids, a recent household call or occasion. Those social connections and interaction considerably enhance the sensations of trust and being taken care of that are the basis of the behavior modification all suggest as the primary treatment for Alzheimer’s illness and all disease. Aarp   Wikipedia definition Eden Project or Alternative   

Examples of Alzheimer’s and Dementia Care homes with Family Style care.

http://tlcsr.com Family-style domestic care houses http://tlcsr.com/ResidentialCareHomes.html Tender Loving Care Senior Residence IF YOU ENJOYED THIS POST – LIKE AND SHARE IT.   Dr Shawn McGivney

What is Alzheimer’s Disease?

son-caregiver

Definition of Alzheimer’s Disease

Alzheimer’s disease is a neurological disorder where the death of brain cells triggers amnesia and cognitive decrease. A neurodegenerative sort of dementia, the condition begins moderate and gets gradually even worse.

Types of Dementia

Like all types of dementia, Alzheimer’s dissease is triggered by brain cell death. Alzheimer’s is a neurodegenerative condition, which means there is progressive brain cell death that occurs over a course of time. Obviously if that cell death is because of little strokes or low blood flow that is actually more of a stroke. Many times that distinction is difficult to make with subtle vascular occasions. That difference becomes an issue about the anticipated efficacy of the medicines that are focused on increasing acetyl choline in the brain like Donepezil (Brand Aricept). It is thought that increased concentrations of acetyl choline are responsible for the enhancement seen throughout therapy with donepezil.

Diagnostic confusion affects Alzheimer’s treatment.

One possible reason for the restricted impact over all of those given Aricept is that in fact they have strokes or a substantial part of vascular dementia which would not be expected to enhance.

Pathological Changes in Alzheimer’s

The total brain size reduces with Alzheimer’s – the cells has considerably less afferent neuron and connections. Nerve cells (neurons) in the brain. In Alzheimer’s, there are tiny ‘plaques’ and ‘tangles’ in between and within brain cells. While they can not be seen or tested in the living brain affected by Alzheimer’s disease, postmortem/autopsy will always show small additions in the nerve cells, called plaques and tangles:. Plaques are chosen from in between the dying cells in the brain – from the accumulation of a protein called beta-amyloid (you may hear the term “amyloid plaques”). The tangles are within the brain neurons – from a disintegration of another protein, called tau. While they think plaques and tangles are part of the picture it is yet unidentified how lots of plaques and tangles correlate with the quantity, kind, and degrees of amnesia, loss of adl’s, or any of a much broader array of signs and signs. Likewise it is extremely fascinating to note that most regular 80 year olds who die from other causes but who had no or little memory loss at age 80 have considerable varieties of plaques and tangles at autopsy. Therefore, it is very tough to measure and differentiate how many plaques per high powered field on a microscope cause an offered level of signs and symptoms in each individual patient. All of these make it difficult to accurately define Alzheimer disease and the stages of Alzheimers Disease. Education

 Alzheimer’s  Educational Resources

http://en.wikipedia.org/wiki/Alzheimers Alzheimer’s foundation of America Alzheimer’s Association   Thanks for the Like and Share Dr Shawn McGivney