DEMENTIA & ALZHEIMER'S CARE

Person-centered care is a philosophy of care built around the needs of the individual and contingent upon knowing the unique individual through an interpersonal relationship. Maintaining selfhood is a key part of building and nurturing relationships. However, due to the Dementia/Alzheimer's disease, a dependence on others is a necessity for persons with dementia. The care provider becomes an absolute necessity, both physically and psychologically. This relationship is critical. Dementia isn't a specific disease. Instead, dementia describes a group of symptoms affecting memory, thinking and social abilities severely enough to interfere with daily functioning. Though dementia generally involves memory loss, memory loss has different causes. So memory loss alone doesn't mean you have dementia. Alzheimer's disease is the most common cause of a progressive dementia in older adults, but there are a number of causes of dementia.
CAREGIVER SUPPORT
Providing care for someone with dementia is physically and emotionally demanding. Feelings of anger and guilt, frustration and discouragement, worry, grief, and social isolation are common. Our caregivers are able to manage patients with dementia:
  • Trained to handle patients with this disease by participating in caregiver education programs
  • Most of them knows respite care or adult care


FOR YOUR INFORMATION AND KNOWLEDGE ONLY. PLEASE CONSULT A MEDICAL PROFESSIONAL FOR EXPERT OPINION

DEPENDING ON THE CAUSE, SOME DEMENTIA SYMPTOMS CAN BE REVERSED. DEMENTIA-LIKE CONDITIONS THAT CAN BE REVERSED
DEMENTIA-LIKE CONDITIONS THAT CAN BE REVERSED
  • Infections and immune disorders
  • Metabolic problems and endocrine abnormalities
  • Nutritional deficiencies
  • Reactions to medications
  • Subdural hematomas
  • Poisoning
  • Brain tumors
  • Anoxia
  • Normal-pressure hydrocephalus.
SYMPTOMS
Dementia symptoms vary depending on the cause, but common signs and symptoms include:
Cognitive changes
  • Memory loss, which is usually noticed by a spouse or someone else
  • Difficulty communicating or finding words
  • Difficulty reasoning or problem-solving
  • Difficulty handling complex tasks
  • Difficulty with planning and organizing
  • Difficulty with coordination and motor functions
  • Confusion and disorientation
Psychological changes
  • Personality changes
  • Depression
  • Anxiety
  • Inappropriate behavior
  • Paranoia
  • Agitation
  • Hallucinations

CARE AND SUPPORT FOR THE PERSON WITH THE DISEASE

Here are some suggestions you can try to help yourself cope with the disease:
  • Learn as much as you can about memory loss, dementia and Alzheimer's disease.
  • Write about your feelings in a journal.
  • Join a local support group.
  • Get individual or family counseling.
  • Talk to a member of your spiritual community or another person who can help you with your spiritual needs.
  • Stay active and involved, volunteer, exercise, and participate in activities for people with memory loss.
  • Spend time with friends and family.
  • Participate in an online community of people who are having similar experiences.
  • Find new ways to express yourself, such as through painting, singing or writing.
  • Delegate help with decision-making to someone you trust.


HELPING SOMEONE WITH DEMENTIA

You can help a person cope with the disease by listening, reassuring the person that he or she still can enjoy life, being supportive and positive, and doing your best to help the person retain dignity and self-respect.


TREATMENT

Most types of dementia can't be cured, but there are ways to manage your symptoms.

Please consult your doctor for medications


THERAPIES

Several dementia symptoms and behavior problems might be treated initially using nondrug approaches, such as:

Occupational therapy. An occupational therapist can show you how to make your home safer and teach coping behaviors. The purpose is to prevent accidents, such as falls; manage behavior; and prepare you for the dementia progression.

Modifying the environment. Reducing clutter and noise can make it easier for someone with dementia to focus and function. You might need to hide objects that can threaten safety, such as knives and car keys. Monitoring systems can alert you if the person with dementia wanders.

Modifying tasks. Break tasks into easier steps and focus on success, not failure. Structure and routine also help reduce confusion in people with dementia.


LIFESTYLE AND HOME REMEDIES

Dementia symptoms and behavior problems will progress over time. Caregivers might try the following suggestions:

Enhance communication. When talking with your loved one, maintain eye contact. Speak slowly in simple sentences, and don't rush the response. Present one idea or instruction at a time. Use gestures and cues, such as pointing to objects.

Encourage exercise. Exercise benefits everyone, including people with dementia. The main benefits of exercise include improved strength and cardiovascular health. There is growing evidence that exercise also protects the brain from dementia, especially when combined with a healthy diet and treatment for risk factors for cardiovascular disease.

Some research also shows physical activity might slow the progression of impaired thinking in people with Alzheimer's disease. And it can lessen symptoms of depression.

Encourage activity. Plan activities the person with dementia enjoys and can do. Dancing, painting, gardening, cooking, singing and others can be fun, can help you connect with your loved one, and can help your loved one focus on what he or she can still do.

Establish a nighttime ritual. Behavior is often worse at night. Try to establish going-to-bed rituals that are calming and away from the noise of television, meal cleanup and active family members. Leave nightlights on in the bedroom, hall and bathroom to prevent disorientation. Limiting caffeine, discouraging napping and offering opportunities for exercise during the day might ease nighttime restlessness.

Encourage keeping a calendar. A calendar might help your loved one remember upcoming events, daily activities and medication schedules. Consider sharing a calendar with your loved one.

Plan for the future. Develop a plan with your loved one while he or she is able to participate that identifies goals for future care. Support groups, legal advisers, family members and others might be able to help.

You'll need to consider financial and legal issues, safety and daily living concerns, and long-term care options.


ALTERNATIVE MEDICINE

Several dietary supplements, herbal remedies and therapies have been studied for people with dementia. Some may be beneficial.

Use caution when considering taking dietary supplements, vitamins or herbal remedies, especially if you're taking other medications. These remedies aren't regulated, and claims about their benefits aren't always based on scientific research.

Some alternative medicines for Alzheimer's disease and other forms of dementia that have been studied include:

Vitamin E. Evidence for taking vitamin E to slow Alzheimer disease is soft. Doctors warn against taking large doses of vitamin E because it may have a higher risk of mortality, especially in people with heart disease.

Omega-3 fatty acids. There is some evidence that eating fish three times a week might lower your risk of dementia.

However, in clinical studies, omega-3 fatty acids haven't significantly slowed cognitive decline in mild to moderate Alzheimer's disease. More research is needed.

Ginkgo. Although ginkgo is considered safe, study results have been inconsistent in determining whether ginkgo helps people with dementia.


OTHER THERAPIES

The following techniques may help reduce agitation and promote relaxation in people with dementia.
  • Music therapy, which involves listening to soothing music
  • Pet therapy, which involves use of animals, such as visits from dogs, to promote improved moods and behaviors in people with dementia
  • Aromatherapy, which uses fragrant plant oils
  • Massage therapy
  • Art therapy, which involves creating art, focusing on the process rather than the outcome


RISK FACTORS YOU CAN CHANGE

You might be able to control the following risk factors of dementia. Heavy alcohol use. If you drink large amounts of alcohol, you might have a higher risk of dementia. Some studies, however, have shown that moderate amounts of alcohol might have a protective effect.

Cardiovascular risk factors. These include high blood pressure (hypertension), high cholesterol, buildup of fats in your artery walls (atherosclerosis) and obesity.

Depression. Although not yet well-understood, late-life depression might indicate the development of dementia.

Diabetes. If you have diabetes, you might have an increased risk of dementia, especially if it's poorly controlled.

Smoking. Smoking might increase your risk of developing dementia and blood vessel (vascular) diseases.

Sleep apnea. People who snore and have episodes where they frequently stop breathing while asleep may have reversible memory loss.


COMPLICATIONS

Dementia can affect many body systems and, therefore, the ability to function. Dementia can lead to:

Inadequate nutrition. Many people with dementia eventually reduce or stop their intake of nutrients. Ultimately, they may be unable to chew and swallow. Pneumonia. Difficulty swallowing increases the risk of choking or aspirating food into the lungs, which can block breathing and cause pneumonia. Inability to perform self-care tasks. As dementia progresses, it can interfere with bathing, dressing, brushing hair or teeth, using the toilet independently and taking medications accurately. Personal safety challenges. Some day-to-day situations can present safety issues for people with dementia, including driving, cooking and walking alone.

Death. Late-stage dementia results in coma and death, often from infection.


PREVENTION

There's no sure way to prevent dementia, but there are steps you can take that might help. More research is needed, but it might be beneficial to do the following:

Keep your mind active. Mentally stimulating activities, such as reading, solving puzzles and playing word games, and memory training might delay the onset of dementia and decrease its effects.

Be physically and socially active. Physical activity and social interaction might delay the onset of dementia and reduce its symptoms. Move more and aim for 150 minutes of exercise a week.

Quit smoking. Some studies have shown smoking in middle age and beyond may increase your risk of dementia and blood vessel (vascular) conditions. Quitting smoking might reduce your risk and will improve your health.

Get enough vitamin D. Research suggests that people with low levels of vitamin D in their blood are more likely to develop Alzheimer's disease and other forms of dementia. You can get vitamin D through certain foods, supplements and sun exposure. More study is needed before an increase in vitamin D intake is recommended for preventing dementia, but it's a good idea to make sure you get adequate vitamin D.

Lower your blood pressure. High blood pressure might lead to a higher risk of some types of dementia. More research is needed to determine whether treating high blood pressure may reduce the risk of dementia.

Maintain a healthy diet. Eating a healthy diet is important for many reasons, but a diet such as the Mediterranean diet — rich in fruits, vegetables, whole grains and omega-3 fatty acids, commonly found in certain fish and nuts — might promote health and lower your risk of developing dementia.

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