Posts Tagged ‘elderly independence’

Communication with an Alzheimer’s Patient

Sunday, October 31st, 2010

It is a common symptom for an Alzheimer’s patient to get confused or forget words as the disease progresses. They may also speak less clearly in general. Understanding the needs of these patients can become challenging for caregivers as well as loved ones. The patient may also have difficulty interpreting the communication style of others. It is important to practice verbal and nonverbal techniques which take into consideration a patient’s unique circumstances; this can help break the communication barrier.

At the start of the conversation, identify yourself by name AND the loved one as well. This sort of to-the-point clarity can be soothing to Alzheimer’s patients as many experiences difficulty in identification of people as the disease progresses.

Always use a quiet and relaxing tone of voice when speaking to your loved one. Speak slowly and enunciate clearly. When asking a question, asking ONE question at a time, insuring to use the same wording if the patient asks you to repeat. Avoid references that may be confusing to the patient such as pronouns; avoid metaphors as well since the patient might interpret as literal.

It is important to approach an Alzheimer’s patient in a way that is non-threatening. This is a basic way to improve communication between you and the patient. Simply approaching the patient from the front rather than from behind removes uncertainty the patient may have regarding you and the general environment. Try to maintain calm and peaceful surroundings with a minimal amount of background distractions; this is to help avoid disorder or chaos. When speaking to your loved one, demonstrate sincerity by talking face to face, maintaining eye contact and using facial expressions to reflect the sentiment behind your conversation. Smiling, hugging or touching is EXCELLENT non-verbal communication that is gentle and should be well-received by the patient.

While visiting with the patient, be careful not to startle him or her; move about slowly and clearly explain what you are doing. Try to be sympathetic to what your loved one is trying to say to you through words and expressions.

Caregivers and loved ones of Alzheimer’s patients sometimes feel weighed down by the extreme personality and mood changes that are affecting the patient. Effectively dealing with these changes involves being instinctive and adjusting your own communication style to accommodate the changing needs of your loved ones.

Always remember that when speaking to an Alzheimer’s patient to speak clearly and concisely and be calm.

Alzheimer’s Disease

Saturday, October 30th, 2010

Having a clear understanding of what Alzheimer’s disease is and how it affects your loved ones is the first step in learning to cope with the diagnosis.

Alzheimer’s disease often begins with a progressive memory loss, followed by an increase in disorganized thought and speech patterns. There is a continual deterioration in the brain and this enables the disease to progress to a point in which the person becomes helpless and is no longer able to care for themselves. The disease eventually results in death. The exact cause of Alzheimer’s disease is unknown, though there are known genetic and environmental factors that contribute to the disease.

Alzheimer’s disease affects about four million people in the United States.

It is important to get medical attention for this disease AS SOON AS POSSIBLE; this helps prolong the quantity and quality of life. Finding a doctor who is familiar with Alzheimer’s disease is important although, you might want to consider a doctor who is specifically trained for treatment in the diseases of the elderly. Other doctors that can diagnose Alzheimer’s disease include neurologists and psychologists. Be aware though that there is no cure for Alzheimer’s disease; however there are medications available that can help treat and slow down the progression of the disease. It is also helpful to have a good support system. Caring for someone with Alzheimer’s disease is at times overwhelming as well as devastating. Your local Alzheimer’s Association is a good starting point. They are extremely helpful and can offer a lot of advice on caring for your loved one as well as personal coping strategies. They can also direct you to local support groups and organizations. You might want to also locate extra help with the care of your loved one if things become too consuming.

Often, it becomes too much to care for a loved one with Alzheimer’s disease.  As the disease progresses, your loved one needs more care and it can become difficult to consistently be there to care for your loved one alone. If this should happen, be sure to find an appropriate facility that is skilled at caring for patients with Alzheimer’s and dementia. Research your options before it becomes necessary to that you are prepared to make an informed decision.

It’s important to remember that caring for someone with Alzheimer’s disease is an emotionally stressful experience; you need to remember to take care of yourself as well. Take time out for a break and to meet your needs as well so that you can be at your best to deal with your loved one. There are many options such as day facilities that can care for your loved one when you need a respite. Also, educate yourself about the disease; there is a lot of information available on the internet and in libraries on Alzheimer’s disease; education will help you be better prepared of what is to come. Being prepared will help reduce the stress involved if you are better prepared.

Bay Area Locksmith Scams

Friday, October 29th, 2010

A new breed of thief is stealing the identities of businesses and ripping off unsuspecting customers of all ages. This new thief is posing as a reputable business and it’s a business a consumer should trust—a locksmith.

KTVU has recently reported on this.

These unscrupulous locksmiths are baiting customers with a low price to get their business such as with an emergency call for a lockout; upon arriving to the customer’s location and performing the work, the bill gets super inflated.

For example, an elderly man was conned out of about five thousand dollars for simply opening his front door.

These unscrupulous business are using 411, websites and Google to steal the identities of legitimate businesses. These companies come in, take the listing and change it to basically create hundreds of Google map listings that go to their own phone numbers. These types of businesses have call centers located in areas like Florida or New York.

When called, these so-called locksmiths show up late, take your money, and may even make and keep duplicates of your keys—a VERY scary thought.

KTVU investigated by locating on Google Maps to find a locksmith for a locked SUV. Around 15 minutes later, a man arrived in a small, unmarked passenger car. He did NOT have a locksmith permit nor did he have even a tool box. He didn’t even have a business card. When KTVU looked at his license, it stated the gentleman was from the Bronx in New York. When he was asked if he had a California license, he stated no. This man said he worked for “Top Locksmith” at 1444 High Street in Oakland. This address takes you to a strip mall with a donut shop and hair salon but there is NO 144 High Street and after being confronted, the man, who said he was from Bulgaria, quickly drove off in his car, which had a South Carolina license plate.

These types of business prey on those most vulnerable such as the elderly. If you DO need a locksmith, make sure you:

  • Call one that is a California resident
  • Call one that has a California locksmith license (they are REQUIRED to carry it)
  • Make sure you know how much you are being charged UP FRONT; there should not be any added charges after the service is completed

Remember, just because you find the information on the internet does not mean that it’s a REAL company.

To read the entire article, please visit here.

More on Arthritis

Wednesday, October 27th, 2010

Testing, or diagnosis, of arthritis might include:

  • Obtaining a detailed history to conclude if arthritis or another musculoskeletal problem is the cause of the symptoms.
  • Thorough physical exam to see if fluid is collecting in the joint (effusion); the joint might be tender when it is gently pressed and may be warm and red. It may also be painful or difficult to rotate the joints in some directions. This is known as limited range of motion (ROM).
  • Blood tests
  • X-rays
  • Extraction of fluid from the joint for further exam

Testing, however, will depend on the individual circumstances.

Medications without a prescription can include:

  • Acetaminophen (Tylenol) as a pain reliever; this is usually the first course of treatment that is used instead of a prescription.
  • Aspirin, ibuprofen or naproxen are used as an over the counter, nonsteroidal anti-inflammatory drug (NSAID). This will help reduce swelling and inflammation.

Prescription medications may include:

  • Biologics~most recent breakthrough for the treatment of rheumatoid arthritis. Such medications include etanercept (Enbrel), infliximab (Remicade) and adalimumab (Humira) and they are administered by injection and can improve quality of life.
  • Corticosteroids (steroids) ~these are medications that suppress the immune system and inflammation. This is another injection and it is injected into the affected joint.
  • Cycloonygenase-2 (COX-2) inhibitors~these drugs block and inflammation-promoting enzyme called COX-2. This class of drugs was initially thought to work as well as traditional NSAIDs, but with fewer stomach problems. There have been numerous reports of heart attacks and stroke and this has prompted the FDA (Federal Drug Administration) to re-evaluate the benefits. Celecoxib (Celebrex) is still available but labeled with strong precautions.
  • Immunosuppressants~these drugs like azathioprine or cyclophosphamide are used for serious cases of rheumatoid arthritis when other medications have failed.

It is important to remember to take all medications as directed; if any difficulty is experienced, it is important to talk with the doctor. Do not stop taking medications unless directed to do so by a physician.

Check back on Thursday, October 28, 2010 for more information on Arthritis

What is Arthritis?

Tuesday, October 26th, 2010

Twinges in the knee, sharp shooting pain from shoulder to elbow, joints making crackling or popping…not a big deal. Or is it?

It is a big deal and all too often people assume that this twinge or cracking is a normal part of everyday life and that they just must deal with it. Nothing could be further from the truth. It is a serious problem because the pain caused by it can affect every portion of a person’s life including interactions with others, how daily life is handled, and one’s livelihood.

This pain can be caused by arthritis. Arthritis is defined by Google as an inflammation in one or more joints which results in pain, swelling, stiffness, and limited movement; there are over 100 different kinds of arthritis.

Arthritis may cause:

  • Joint pain/swelling
  • Reduced mobility of affected joint
  • Redness of skin around joint/warm to the touch
  • Stiffness, especially upon rising in the morning

Treatment of arthritis depends mainly on the kind of arthritis one has, which joints are affected, the severity, and how the condition affects daily life. An individual’s age and occupation will also be considered in the treatment plan. The main goal of the treatment is to reduce the pain and prevent further disability. It is possible to improve symptoms by simple lifestyle changes instead of medications such as exercise; exercise helps maintain the healthy joints, relieve stiffness, reduce pain and exhaustion, and improve muscle and bone strength. A doctor will work to tailor an exercise plan for each individual’s needs.

Check back tomorrow for more information on Arthritis

Osteoporosis

Monday, October 25th, 2010

Osteoporosis is a bone disease where an individual has a below normal bone mass combined with a gradual deterioration of the bone structure. This leads to a weakness in the skeletal system of the individual; most often it is in the hips, spine, and wrists. Osteoporosis is the worst in the hips and spine, where fractures of the bone are more serious. A hip fracture of the hip bone requires immediate hospitalization as it can paralyze the individual as well as cause internal organ damage. A spine fracture can be even more serious as it can lead to nerve damage or it could be fatal.

Osteoporosis affects over half of all Americans over the age of 50; however, women seem to be its main target. It is possible for it to affect people of any age.

This is very difficult to detect on its own, as bones slowly lose their mineral content and become brittle and weak. The bones can become so weak that even a gentle bump could cause a bone to break and unfortunately, until then, there is no way to detect it properly. In the case of a weakened spinal vertebra, osteoporosis can be felt as back pain, lessened height, or changes in the curvature of the spine. The only way to properly diagnose osteoporosis is through a bone density test.

It is not enough to consume more calcium in order to prevent osteoporosis from occurring; it also requires other nutrients that help the body utilize and integrate calcium into the bone structure along with the activity to induce the body into using that calcium. To stop osteoporosis from ever developing, plenty of calcium and Vitamin D should be consumed, have a generally healthy lifestyle with no smoking and little to no alcohol consumption and also make sure to have weight-bearing exercises as part of your exercise routine. More information about weight-bearing exercise is here.

In many ways, treatment for individuals that already have osteoporosis is very similar to preventative medicine. The focus is on helping the bone create new bone and fill in the holes left by the deterioration. There are also some medications also focus on slowing the absorption of bone so that the creation of new bone has a chance to overtake it; however he best action that can be taken is to maintain a healthy life-style with proper diet and exercise.

Breast Cancer Screening

Saturday, October 23rd, 2010

Breast cancer screening simply means checking an individual’s breasts for cancer before there are signs or symptoms of the disease.  There are three tests used to screen the breasts for cancer. Talk to your doctor to determine the correct one for you and also when you should have them.

  • Mammogram: This is an x-ray of the breast. This is the best method for detecting breast cancer early. The earlier it is detected, the easier it is to treat. Having regular mammograms can lower the risk of fatal breast cancer. If you are 50-74 years of age, it is recommended to have a mammogram every two years.
  • Clinical Breast Exam: This is an exam by a doctor or nurse, who uses their hand to feel for lumps or other changes.
  • Breast Self-Exam: This is when an individual checks their own breasts for lumps, changes in size or shape of the breast, or any other changes in the breast or underarm.

Performing a breast self-exam or having a clinical breast exam have not been found to decrease the fatality risk of breast cancer. Presently, the most accurate way of detecting breast cancer is through a mammogram.  If you choose a clinical breast exam or self-exam, be sure to get regular mammograms.

Getting screened for breast cancer can be done at a clinic, hospital, or doctor’s office. If you want to be screened for breast cancer, call your doctor’s office; they can help you to schedule an appointment.

Don’t avoid getting screened; the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) offers free or low-cost mammograms and education about breast cancer. To find out if you qualify, call your local program.

Remember, the whole month of October is Breast Cancer Awareness Month, so remember to check the boobies!

Shingles

Tuesday, October 19th, 2010

Elderly citizens age 60 and over should receive a vaccine to protect them against shingles, or herpes zoster.  The Center for Disease Control and Prevention (CDC) in Atlanta recommends a single dose of the zoster vaccine, Zostavax, for adults age 60 and over. This is even if they have had a previous outbreak of shingles.

A new recommendation that was published in the CDC’s Mortality and Morbidity recently replaced a former provisional recommendation made in 2006. This provisional recommendation was made after the vaccine was licensed by the United States Food and Drug Administration.

In those ages 60 and over that received the vaccine, the occurrence of shingles was reduced greatly. Particularly with those ages 60-69, it reduced the occurrence rate by 64 percent.

Side effects of the vaccine from those that had it seem to be redness, pain and tenderness, swelling at the injection site, itching and headache.

It is reported that half of the people living to age 85 have had or will get shingles.

Shingles is characterized by clusters of painful blisters which develop on one side of the body in a band-like pattern and can cause severe pain that may last for weeks, months or years. Shingles is caused by the childhood disease chickenpox that becomes dormant within the nerves and reactivates later in life. It is said that over 95 percent of people are infected with the varicella zoster (chickenpox) during their lifetime. About one in three persons will develop shingles during their lifetime, resulting in about one million cases of shingles per year.

Chickenpox is usually mild, but it can be serious, especially in young infants and adults. The risk of contracting shingles increases with age starting at around 50 and is highest in the elderly.

Elderly Employment

Monday, October 18th, 2010

There are many senior citizens who want to work again despite the limitations that society imposes on them. While there are physical limitations to the kind of work that they are able to do, elderly individuals must be permitted to take on jobs that will help them to continue to lead a happy, productive life. With the current state of the economy, jobs for anyone are hard to come by or find, but that is not saying that it’s an impossible task to accomplish. Work for the elderly is more difficult due to limitations and age, however, jobs for the elderly can be found if you know where to look.

For the most part, elderly work should be free from strenuous activities. This includes jobs that require a lot of movement, lifting heavy objects, or stay up until the wee hours of the morning. Physical exhaustion and too much effort would not be conducive to a job for an elderly individual.

What sort of work would then be appropriate for an elderly individual given these conditions? This job should not only be physically mild but also it needs to be meaningful. A job for an elderly individual does not need to be monotonous or absent of emotion to be a good fit for them.

The elderly could work from home and earn money and feel fulfilled without leaving home. There are many job opportunities out there for those who want to work without leaving home. These types of jobs can be based on previous employment such as tutoring, teaching piano, or a craft.

Many elderly want to reach out to others and often either volunteer for charities or non-government organizations. There are many opportunities for elderly social work that is open for employees as well as volunteers. This can be a rewarding experience.

Leading a happy and fulfilled life does not stop at retirement. There are plenty of work opportunities for the elderly that will allow them to earn a bit of money and feel productive as well as feel good about themselves by helping their community. Being happy, productive and fulfilled can lead to a healthier mental well-being.

Thanksgiving

Sunday, October 17th, 2010

For the most part, Thanksgiving is a day where family and friends travel far and wide to celebrate the day with a huge feast of traditional favorites like turkey, mashed potatoes, dressing, gravy and pumpkin pie. For senior citizens, this day often means loneliness.

Each year, many elderly rely on community outreach programs such as Meals on Wheels, the Salvation Army, and many local organizations to celebrate Thanksgiving. These elderly face many challenges such as being unable to cook a large meal, no family or family that is too far away, as well as other issues.

Below is a small sampling of organizations who help with a Thanksgiving Meal:

  • Self-Help for the Elderly, who opened their doors in 1966, has a Thanksgiving Luncheon at 3 locations. They also deliver meals. Please click here for more information.
  • Glide Memorial Church operates one of the largest free meal programs in San Francisco. The church is located at 330 Ellis Street in San Francisco. Call the church to find out times and days.
  • Tenderloin Tessie’s is one of San Francisco’s oldest community meals. Last year was its 32nd year and the meal was served at the First Unitarian Church at 1187 Franklin Street. Call the church to find out times and days.

Holidays are times to be spent with family, friends, and those you love; the elderly often are unable to do this. These community organizations mentioned as well as many others, help to make the holidays a bit brighter. Please consider donating or volunteering.