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Sunday, June 23, 2013

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The Significance of Family in Alzheimer’s Disease Treatment

Aside from nurses, caregivers, and other hired professionals, the family plays a crucial role in the early detection, diagnosis, and treatment of Alzheimer’s. As an elder loved one slowly loses his or her ability to plan, decide, and provide for one’s self, the family takes the immediate responsibility that all varied roles for the ailing elder is taken proper care of. These roles may vary from being a daughter/son, grandchild to a friend, family-giver, legal guardian, financial planner, therapist, medical decision maker, and so on.

Hence, there is a need to define how a decision making process for the elder is addressed, may it be through consensus building or majority rule. Nevertheless, the overall welfare of the elder must be put in proper perspective.


Early Signs of Alzheimer’s Disease

For a family to make a clear and unified decision making on the health status of their elder, there is a need to identify some early signs of Alzheimer’s. This will also help guide the healthcare provider in addressing the stage of the disease: mild, moderate, or severe.

1.      Repeating the same story, over and over. And yet denying that such story has ever been said.
2.      Asking the same questions over and over again, especially on crucial questions such as: Where is my brother? (He died several years ago.); What is your name? (I am your Rob, your son Mom.); Have you eaten? Grab a bite of my cookies. (Mom, we’ve just finished lunch!)
3.      Forgetting how to do important activities of daily living (ADL) or activities that are pretty much familiar to your elder such as: eating, cooking, bathing, dressing, driving, typing, making repairs, playing poker, and so on.
4.      Misplacing various things, from household objects to important activities such as birthdays, events, etc.
5.      Relying on somebody else to make decisions or answer queries that are your elder should have been very familiar in dealing with.

These early warning signs must never be taken for granted or dismissed as unimportant. Never, ever ignore early warning signs. Memory issues are a big deal, especially if your senior citizen is not one to keep on forgetting things. Also, denial is a big chunk of dismissal. Denial is also equated to fear of the disease. It is really tough to deal with. But in embracing the disease, the family also chooses to embrace life and the reality that comes with it.


Simple Tips for Handling Seniors with Alzheimer’s

As a family member who is in the early stage of discovering that your loved one has Alzheimer’s disease, there is a need to understand that there is still some bit of denial on the part of your elder. The following “NEVER” rules MUST be ABSOLUTELY practiced and followed. Otherwise, you are not helping your elder cope with Alzheimer’s. Instead, you are just worsening your elder’s chances of accepting the realities of Alzheimer’s.

NEVER
lecture. Instead, REASSURE your elder that everything is alright.
shame. Instead, DISTRACT your elder from such shameful acts such as peeing on one’s pants, forgetting where to go, not remembering who the person is, and so on. In the first place, it is hard for them remember things. Shaming them only worsens how they feel, and their present state of being.
argue. Instead, AGREE with what your senior citizen is saying even if you have heard it all before. Agree to all things, even if they have unwittingly twisted some facts and figures. By agreeing, you are allowing them to slowly remember things at their own progressive will. By agreeing, a spacious room is positively provided for cognitive development.
command. Instead, always ASK them for something. Positive reinforcement allows them to feel less burdened with remembering the world around them.
demand. Instead, set an EXAMPLE or pattern for them. By setting an example, elders can remember how things must be done the way they used to do it. By patterning them with their daily activities, family members and caregivers help senior citizens remember and perform daily tasks one at a time, everyday, until the rest of their lives.
remember. Instead, always tell them to REMINISCE the past. Elders are a bit touchy with the word “remember”. By sobering up a bit with your word use, you help them lessen their burden on “remembering” things.
reason. Instead, DIVERT their attention on something less trivial and stressful for them. Reasoning with your seniors do not help their battle with Alzheimer’s. It could only worsen their anxiety, depression, cognitive development, and ability to positively strive and focus on dealing with the disease.
…say “You can’t”. Instead, ask them to DO what they CAN and are supposed to do. Even if it takes a couple of times to do a simple activity, allowing them to make mistakes and making them correct their mistakes on their own will help them strive and intensify their willingness to fight out the disease on a new level.
condescend. Instead, ENCOURAGE and PRAISE your seniors on doing their basic activities on the very best of their abilities.

These are only some of the “NEVER” rules that must be constantly followed when coping with a senior citizen with Alzheimer’s. As a family member, caregiver, and health provider, no amount of “arguing, condescending, I told you so, you can’t, or remember” will make their memories come back the way it worked from the very beginning.

In addition to their regular medication for memory enhancement, seniors must primarily work on their remaining strengths, and not dwell too much on their weaknesses.


Brain Exercise for Alzheimer’s and Non-Alzheimer’s Patients

As early as possible, help yourself and your senior citizen do an active brain exercise that will help keep the brain healthy and focused. To make these activities more encouraging to achieve, do the brain exercise with your elder as frequent as you can.

1.      Manage stress. Stress may come from a lot of things. In as much as possible, relieve your elder from doing multi-tasking activities for most of the time. Doing Tai Chi or Yoga together can help ease mental stress from the pressures of work and the demands of society.
2.      Have a healthy diet. Stay away from red meat, fatty foods, and other similar stuffs. Instead, have a healthy diet by eating lots of fresh fruits and vegetables, as well as eating fish and its by-products.
3.      Have a regular exercise. Exercise may vary, depending on the age and physical ability of your senior citizen. It would be a big help for your elder if you regular exercise with them, within their own pace, so as to encourage them and keep them driven on staying healthy.
4.      Have enough sleep. Sleep relaxes the mind and enlightens the soul. So help your elder sleep at least 8 hours a day.
5.      Make some mental stimulation activities. There are a lot of games and activities that would help brain stimulation. But first, know your elder’s interests. With this in mind, mental stimulation can be easily and regularly done.
6.      Have an active social lifestyle. It helps to regularly interact with people in varying walks of life, across all ages. This will help seniors keep their mind active and away from the stress attributed to Alzheimer’s.


 www.nvseniorguide.com is the leading comprehensive resource directory for seniors in Nevada, providing information about homes, health, services and leisure activities.  Leigh St John is the Executive Director and welcomes your inquiries.  Simply visit the site for more information.


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