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Posts Tagged ‘dementia’

Good Senior Facilities; How To Select The Best

July 7th, 2010 No comments

One of the most difficult times you may ever have with your senior loved one is the discussion about having them move into a facility. Sometimes it goes easily, other times not at all. But once you have gotten through that difficult discussion it isn’t necessarily smooth sailing from then on. The next step can be almost as difficult. That is actually finding a facility that you can trust and that will take care of your loved one. There is no magic bullet for finding that perfect place but we have collect a few questions and ideas that should help the process along.

So you just walked into a facility and your beginning your tour. What’s the first thing you should do? Take a deep breath and smell the air. How does it smell inside? Every reputable, well run facility should smell good, full stop. If it smells musty or like a bathroom, it could be an indicator of a serious problem. If you don’t like the smell don’t ignore it. Ask the manager why there is a smell. If you don’t get a reasonable answer or the manager wants to deny the smell, move on. There are plenty of other places to look at.

You’ve breathed in and the place smells good! Good news. Now the next observation should be with your eyes. How does the physical facility look? What is the condition of the place. It should be well maintained in every way. The place should be spotlessly clean. The furniture doesn’t have to be new but it should be in very good condition and inviting to use. The bathroom fixtures should be functional with no leaks. Paint on the walls should be clean and not be peeling. Look closely, if you see multiple problems, there is a problem with the way the facility is run. If the owners aren’t concerned enough with the day to day tasks of running the building how concerned will they be about the day to day tasks of caring for your senior.

You’ve smelled and you’ve looked, everything seems fine. Now you can do some talking. You will have plenty to discuss with the manager but I want you to talk to at least one of the caregivers, maybe more. Don’t announce your intention before you get to the facility, let it be a surprise so nothing can be prepared. If the manager is uncomfortable with the idea, let them know that makes your uncomfortable. After all, what would they have to hide? Once you do get a chance to talk to a caregiver how easy is it to relate to them? Are they warm and friendly? Would you want them taking care of you? Is there English good enough to understand what your senior may want or need? How long have they worked there? If its been a short time, make note. Facilities with high turnover are a problem. Employees leave quickly because they are not happy working there. Either they aren’t paid a market rate or the manager is difficult to work with. It really doesn’t matter the reason because an unhappy caregiver is not going to do a good job with your senior.

Finally, ask for references when the tour is over. Yes the names you will get will be cherry picked but if there are real problems at the facility even the cherry picked references might leak out some important information to you. Its worth doing.

We could go on and on with questions and other things to look for but if you enter with the mindset of imaging that it was you that would be living there, you are well on your way to making a good decision. If you discover issues that make your uncomfortable, they are probably issues with your senior. Keep your eyes open and ask questions and you will do fine.

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Alzheimer’s Disease & Family

A young child recently remarked to his grandfather “Papa people are born; they get old, sick and die. Life is just like that. It’s sad but true. Life is just like that. And there is nothing you can do about it.” The question to Papa was where did that little fellow come up with such insight and wisdom? Every person’s life has its own end, specifically when one was forcibly hindered to perform daily task by disease or is often the case in a multifactoral model by any number of sets of different and even distinct diseases. Sadly often a Majority of the individuals afflicted by disease states often feel hopeless and useless as they can not participate in the society, including financial and emotional contribution to the family. The affliction of the sufferer increases when their environment failed to accept who they are including their relatives.

If one of your relatives had been diagnosed with Alzheimer’s disease, support is the patient’s primary source of energy to overcome the disease. However, there are no known medications to completely treat the illness. Alzheimer’s disease is found among people of the age of 65. But there are cases that the disease starts to develop among middle age individuals like 30s and 40s. Thus, members of the family must show affection to avoid the feeling of being numb among patient. Alzheimer’s disease cause several changes on the patients mind setting, behavior and temper.

Alzheimer’s disease is found among people over 65 years old. However, there are cases that the disorder develops on the middle ages like 30s and 40s. Expect several changes on patient’s mood and memory as on of numerous effect of Alzheimer’s disease to an individual. Most of them lost their memory and failed to do once have skills, including eating, taking a bath, writing and etc. In the end, the patients need to have special care to assist and provide all of his needs.

It is essential for continuous learning about the disease among family members to ease the pain of Alzheimer’s. Relatives must understand ground rules of the disorder, as well as the applicable medication to administer the disease without making the patient feel hopeless. Alzheimer’s disease might be confusing to some but it is not contagious if there is a tender care from relatives. As of now, there no known treatment to cure the disorder but with appropriate care and support, depression or other related mental burden will be reduced.

The patient is more emotional, as one of the several effects of Alzheimer’s disease. They do not need a normal assistance but what they need is tender care including the support and understanding from the whole members of the family. Majority of patient’s relatives do not feel comfortable on maintaining the sanity of the patient. They tend to set a distance to avoid the odorous smell. This is why some family avail an expensive professional care giver to provide the patient’s need on their behalf. Today, there are no known methods to overcome the disorder. Family’s support and affection is still the best medication to reduce the depression of the patient.

Dimebond

Aging Brains Don’t Shrink

Conventional wisdom has held the belief that healthy older brains are substantially smaller than younger brains may stem from studies that did not screen out people whose undetected, slowly developing brain disease was killing off cells in key areas, according to new research. As a result, previous findings may have overestimated shrinkage and underestimated normal size for the older brain.

TA recent study tested participants in Holland’s long-term Maastricht Aging Study who were free of neurological problems such as dementia, Parkinson’s disease or stroke. The health participants were given several tests, measuring brain and psychological function, including a screening test for dementia, at baseline and every three years afterward for nine years.

According to the report in the September, 2009 Neuropsychology, published by the American Psychological Association, participants were also given MRI scans at Year 3 to measure seven different parts of the brain, including the memory-laden hippocampus, the areas around it, and the frontal and cingulated areas of the cognitively critical cortex.

After examining behavioral data collected from 1994 to 2005 (with scans taken between 1997 and 1999 depending on when people entered the study), the researchers divided participants into two groups: one group with 35 cognitively healthy people who stayed free of dementia (average starting age 69.1 years), and the other group with 30 people who showed substantial decline of cognitive function but were still dementia-free (average starting age 69.2 years).

That cognitive decline was measured by drops of at least 30 percent on two or more of six core tests of verbal learning and fluency, recall, processing speed, and complex information processing, and/or drops of 3 or more points, or scores of 24 or lower (raising suspicion for cognitive impairment), on the Mini-Mental State Examination screening tool for dementia.

In comparison to the 35 healthy people, the 30 people who experienced cognitive decline over the course of nine years showed a significant effect for age in the hippocampus and parahippocampal areas, and in the frontal and cingulate cortices. In short, among the people whose cognition got worse, older participants had smaller brain areas than younger participants.

So the apparent age-related shrinking in gray matter more likely reflected pathological changes in the brain that underlie significant cognitive decline than aging itself, the authors wrote. As long as people stay cognitively healthy, the researchers believe that the gray matter of areas supporting cognition might not shrink much at all. “If future longitudinal studies find similar results, our conception of ‘normal’ brain aging may become more optimistic,” said lead author Saartje Burgmans.

The findings should caution scientists about drawing conclusions from brain studies that don’t screen participants over time, using precise and objective definitions, the authors added.

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Agitation and Stress in Nursing Home Patients Reduced With Therapeutic Touch

Since the early 1970s many scientific studies were published regarding the effectiveness of Therapeutic Touch, a form of Laying on of Hands developed in the early 1970s by Dolores Krieger, Ph.D., RN, a professor at New York University School of Nursing, and Dora Kunz, a well known healer.

At first Dr. Krieger and Ms. Kunz only taught the techniques to Krieger’s graduate school nursing students. But Dr. Krieger’s professional research and writing increased the popularity of the technique, particularly among nurses. The practice grew nationwide, through a grassroots effort of nurses throughout the United States. Currently, therapeutic touch is taught at hospitals and health centers worldwide and is most commonly practiced by nurses.

Therapeutic touch is a form of healing that uses a practice called “laying on of hands” to correct or balance energy fields. The word “touch” is misleading because physical touch is generally not involved. Instead, the hands hover over the body. Therapeutic touch is based on the theory that the body, mind, and emotions form a complex energy field. According to Dr. Krieger, health is an indication of a balanced energy field, and illness represents imbalance. Studies suggest that therapeutic touch can help to heal wounds, reduce pain, and promote relaxation.

Approximately 75-90% of nursing home residents experiencing dementia develop behaviors that are probably associated with a stress response. This practice is known to promote calmness, decrease restlessness and agitation.

UCLA researchers conducted a double blind study to determine therapeutic touch’s effect on cortisol levels and behavioral symptoms. Cortisol is a key hormone in the stress response. Its levels increase in response to perceived stress, as a way of preparing the body to run or fight.

Sixty-five participants, between 67 and 93 years (average age was 85.5 years) were randomly assigned to one of three groups. The experimental group received therapeutic touch twice daily, with contact on the shoulders and neck for three days.

The placebo group received a fake treatment that mimicked and was identical to the real technique, while the control group received routine care. The results suggest that therapeutic touch may be effective for management of symptoms like restlessness. This technique has the potential to provide, it may also help with reducing costs, because it is an intervention that is easy to learn use and can be an alternative to drug treatment for people with behavioral symptoms.

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Practical Ideas For Picking out A Reliable Dementia Care Home For Your Aging Loved Ones

February 20th, 2010 No comments

Dementia stands for a number of mental disorder that lead to malfunctioning of the brain, and it includes Alzheimer’s and other similar diseases. It is characterized by symptoms like lack of concentration, loss of senses and memory, and problems in interacting with others. In such cases, it often becomes quite difficult for the family members to take care of the patient.

Good dementia care homes, not only are the safest place for your near and dear one suffering from such a mental condition, but also are an assurance to you that they are in competent hands. However, you should consider a few things before choosing a dementia care home for the patient.

The primary factor to keep in mind is the level of care that the patient needs. This in turn depends upon the disease as well as the condition of the patient. If personal care is all that a patient needs, it will not be difficult to find a care home to provide that. However, if the patient requires special medical care, you might need to do a bit of research and find out if the care home has the requisite facilities or not.

The second thing you need to take into account is the standard of services provided in the home. This includes sanitation, hygiene, the condition of the rooms, quality of food, as well as the expertise of the staff working in the home.

The third factor to be taken into account is the cost. Often dementia care homes are prohibitively expensive, and hence you should do some research and comparative study of the homes before choosing one.

Finally, a lot of patients are scared of the fact that a care home will isolate them and separate them from their friends and relatives. Therefore, it is very important that you arrange regular visits for the patient, which is possible only if the home is in your locality.

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Things To Consider When Picking An Ideal Dementia Residential Home For A Senior Family Member

January 23rd, 2010 No comments

Dementia is a condition that is characterized by brain disorder, and includes mental ailments like Alzheimer’s. It is characterized by symptoms like lack of concentration, loss of senses and memory, and problems in interacting with others. More often than not, family members are unable to take good care of a dementia patient.

It is here that good dementia care homes come into the picture, and they not only ensure safety and security for the patient with mental disability but also give you an assurance that he or she will be cared for. However, it is advisable to deliberate upon a number of aspects before selecting a dementia care home.

The first and foremost consideration should be the type of care the patient requires. This in turn depends upon the disease as well as the condition of the patient. If the patient just needs some personalized daily care, all dementia care homes will be able to provide it. However, if the patient is in need for specific medical assistance, you should make sure that the care home has suitable facilities and competent staff for the purpose.

Your second consideration should be the quality of service that the care home is able to offer. This includes sanitation, hygiene, the condition of the rooms, quality of food, as well as the expertise of the staff working in the home.

The third consideration would be of the cost. Often dementia care homes are prohibitively expensive, and hence you should do some research and comparative study of the homes before choosing one.

Last but not the least, patients often dread the idea of staying in a care home as they feel it will keep them away from their friends and family. Therefore, it is crucial that the care home should be in your locality in order to make it easier for people to visit the home resident.

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What You Must Be Aware Of First Before You Make Any Decisions About Your Future In Nursing Homes

January 20th, 2010 No comments

There are so many different types of Care Services available that you really must do some research before making any decisions. Instead of living in a Residential Care home, did you know you could stay at home and get help there? Care services at home, often referred to as Domiciliary Agencies, which help you to remain as independent as possible at home.

The Commission for Social Care Inspection ( CSCI ) keep an updated report on all services after inspection. You should read this carefully so that you have a good understanding of the care services you require.

A star rating has been applied to the reports. The more stars the better.

You can read the inspection reports for the care service suppliers on The Care houses guide by clicking onto the ‘Latest Inspection Report’ link from every one of the providers details. Otherwise, you can view their reports on the CSCI website www.csci.gov.uk. It is critical that you debate your requirements entirely with the care suppliers and visit the home before you commit or arrange for the care provider to visit you.

It is actually crucial to be certain that you regularly talk to your Care Service supplier to tell them if you have any concerns or whether you have got any changes to your wishes. If you don’t make them aware, they can not provide you with the help that you require. It is also actually important to build up a good relationship with your Care Service supplier, remember the more they know about you and the difficulties you are having they can suggest changes to your care plan and how their staff can help you. A good Care Service supplier will be continually coaching their staff, so they maybe in a position to offer alternative improved care options that will suit you better.

All care services providers need to keep a standard of care which includes; professionalism, respect and they must ensure you are treated with politeness.

If they are providing food for you, they should offer you a choice of food, when and where you would like to eat it, and they should guarantee it’s been prepared in accordance to your faith. Your mealtimes are a crucial part of the day and should be a pleasurable experience. Your carers should give you the time, space and help you need to be certain you enjoy your meals.

If you find the standards unacceptable, you are also able to leave at any time. If they are providing food for you, they should provide you with a choice of food, when and where you would like to eat it, and they should ensure it has been prepared in accordance to your faith and religion. Your mealtimes are an important part of the day and should be an enjoyable experience. Your carers should give you the time, space and help you need to be certain you like your meals.

It’s your life, so you need to be able to get up when you want and go to sleep when you choose. Spend your money how you like, and have privacy when you have visitors.

Before you decide on your future in care homes, be sure to check out this website for the latest news and information on care homes.