by trevor@addfuelfire.com | Nov 1, 2013 | Alzheimer's and Dementia, Caregiving, Uncategorized
If you are a Michigan caregiver helping to provide for a loved one living with Alzheimer’s disease, you may be witnessing this behavior and not know what it is. As the sun begins to set, restlessness, agitation and anxiety in a loved one peak. Just as a caregiver’s energy level is at its lowest, your loved one’s pacing and wandering begin. Sundowners Syndrome, also referred to as sundowning, is one of the most challenging behaviors for caregivers to manage. Estimates from The Alzheimer’s Association are that about 20 – 25% of those living with Alzheimer’s disease will experience sundowning.
How can families keep a loved one with sundowning safe?
One of the difficulties in managing this behavior is that the cause remains elusive. Alzheimer’s experts believe it is somehow tied to a disruption in sleep patterns. But there are some tactics that are commonly believed to help minimize the symptoms:
- Plan your activity for each day in advance. Try to concentrate appointments and other activities that might be over-stimulating for early in the day.
- Keep afternoons more low key including the noise level from the television or radio. Also consider limiting caffeine and sugar intake in the afternoon.
- Consider taking a peaceful stroll around the neighborhood each day well before the sun begins to set. It will be good for you and for your loved one!
- Some experts believe sundowning may be the result of unexpressed needs such as hunger, thirst or the need to use the restroom. So be sure your loved one has enough to eat and drink throughout the day and that you show them to the rest room at least every few hours.
- This behavior often creates frustration for weary caregivers. But it is important not to lose your temper. Speak in a low voice and try to remain calm to avoid making the situation worse.
- Pull the curtains and blinds well in advance of it becoming dark outside. Turn on all of the lights. This may help prevent your loved one from experiencing the anxiety that seems to be linked to dusky skies.
- Consider the use of respite services a few times a month so you aren’t too tired to cope.
If you’d like to learn more about strategies for coping with Sundowners Syndrome, you can visit The Alzheimer’s Association Sleep Issues and Sundowning.
Is your loved one experiencing sundowning?
Have you found any approach that helps make it easier for them?
Photo Credit
by trevor@addfuelfire.com | Oct 1, 2013 | Alzheimer's and Dementia, Caregiving, Uncategorized
Flu season is making its way across Michigan again. Like the turning of the leaves, it is one thing we can count on returning every fall. For older adults and caregivers in Michigan, receiving the influenza vaccine is the best way to beat the bug. Because of our expertise in dementia care, families often turn to us with questions about the flu shot for loved ones living with Alzheimer’s disease.
Q: Will Medicare or private health care insurance pay for the flu shot if my family member receives it in the Alzheimer’s care community where they live?
A: Medicare will pay for the vaccine. While private insurance coverage and co-pays vary by plan, most do pay for the flu shot. You may have to pay a deductible or co-pay. Check with your insurance provider to be sure.
Q: Will the vaccine cause my aging parent to get the flu?
A: Families often believe this myth and are especially concerned for a loved one who may already have a compromised immune system. The influenza vaccine does NOT cause the flu. According to the Centers for Disease Control (CDC), “The viruses contained in flu shots are inactivated (killed), which means they cannot cause infection.”
Q: Who has priority in receiving a flu vaccine?
A: In years where the vaccine is predicted to be in short supply, this is always a concern for families who have an elderly loved one. The good news is that the vaccine for the 2013-2014 flu season doesn’t seem to be in short supply. But in years where it is, The Center for Disease Control (CDC) establishes the priorities for the vaccine. Among those who typically have priority are:
- Children aged 4 months to 59 months
- Adults over the age of 50
- Those who live with a chronic pulmonary, cardiovascular (except hypertension), renal, hepatic, neurologic, hematologic, or metabolic disorder (including diabetes mellitus)
- Residents of nursing homes
- Healthcare personnel
- Caregivers and those who live with a caregiver
Q: Does Medicare require an order from a physician for the flu shot?
A: No. Medicare does not require a physician order for the flu shot.
Q: Is there anyone who shouldn’t receive a vaccine?
A: Those who have had a previous adverse reaction to the influenza vaccine should not receive it. The CDC typically recommends that “people with Guillain-Barré Syndrome (GBS) that occurred after receiving influenza vaccine and who are not at risk for severe illness from influenza should generally not receive vaccine.” If you are in doubt call your loved one’s primary care physician.
Are you a caregiver who regularly receives flu shot?
Has it prevented you from contracting the flu in years past?
Photo Credit
by trevor@addfuelfire.com | Jul 22, 2013 | Alzheimer's and Dementia, Uncategorized
Can a Pacemaker in the Brain Slow the Progression of Alzheimer’s?
Almost 180,000 people in Michigan live with Alzheimer’s disease or a related dementia. By 2025, The Alzheimer’s Association estimates that number will climb to 190,000 people.
That is why families and caregivers in Michigan and across the country are closely following the promising new trials at The Johns Hopkins University and Wexner Medical Center at The Ohio State University. Over the past seven months, researchers at both medical universities have been conducting pacemaker trials on patients living with Alzheimer’s disease. Early results look encouraging.
The studies started in December of 2012 when surgeons at The Johns Hopkins University School of Medicine implanted pacemakers in the brain of two people with Alzheimer’s Disease. They expect forty more patients at Johns Hopkins and four other medical centers will undergo the same procedure by the end of the year.
The Johns Hopkins trial is focused on examining the effects deep electric simulation of the brain can have on the symptoms of Alzheimer’s. The study is based on an earlier and smaller trial in Canada. Patients there showed increased glucose metabolism after a similar study. Glucose metabolism is considered an indicator of neuronal activity. It decreases with the progression of Alzheimer’s disease.
Researchers at The Ohio State University are approaching their testing a little differently. While The Johns Hopkins trial targets the part of the brain responsible for memory, the trial at The Ohio State targets the area of the brain that controls behavior and cognition. Both groups are hoping to see how pacemakers in the brain can treat this disease.
Stay Updated on the Pacemaker Trials
“We encourage families that have a loved one living with dementia or Alzheimer’s disease to sign up to follow our blog. We’ll be sure to share the latest findings from both trials,” explains Eileen Drexler, the Alzheimer’s and dementia expert for Heritage Senior Communities in Michigan.
You can learn more about The Johns Hopkins trial from this video. . You can also watch this interview from The Wexner Medical Center to see the story of one of their patient’s progress firsthand.
Do you or a loved one live with Alzheimer’s disease?
Would you consider participating in an Alzheimer’s trial?
by trevor@addfuelfire.com | Jul 3, 2013 | Alzheimer's and Dementia, Caregiving, Healthy Aging, Uncategorized
Just like a good walking program or a water aerobics class can help you stay physically fit, brain aerobics can help enhance your mental fitness. So what can you do to give your brain a real workout?
The experts from the Heritage Senior Communities share a few ideas to help Michigan caregivers and their aging parents:
- Learn something new. Tackling anything that is different from your normal routine helps to stimulate your brain. Foreign language DVDs are a quick and easy way to get started. Artistic pursuits may also be a good fit for your aging loved one. Watercolor painting or photography are two skills you can learn on your own and improve as you go.
- Try Neurobics. Have you heard of Neurobics before? It is when you try doing tasks and chores with your non-dominate hand. So if you are right-handed try brushing your teeth and combing your hair with your left hand one day a week. Or try teaching yourself to write with your right hand if you are a leftie. It is a great way to stretch your mind!
- 3. Play some Games. You may have already heard this but it is worth repeating. Many Alzheimer’s experts believe games and puzzles can help delay the progression of the disease. Playing board games with the grandchildren one night a week or a few rounds of cards at the senior center allow you to socialize while exercising your brain. There are also many educational websites devoted to brain fitness including Brain Metrix (http://www.brainmetrix.com/) and Senior Brains (http://www.seniorbrains.com/).
- 4. Dig out of your rut. Routinely doing the same things the same way day after day puts your brain on autopilot. It receives very little stimulation when it isn’t challenged with anything new and different. So dig out of that rut you may be in! Turn left instead of right on your way to church, and create a new route you use a few Sundays a month. Find a new walking path or reverse the one you currently take. Think about ways you can do tasks and chores a little differently as you go about your daily routine.
- 5. Read a good book. Reading is another easy way to keep your mind fit. It can be a good book or just the local newspaper you read each day. You could also subscribe to a few of your favorite magazines and read them on your iPad. All of the new information you take in provides a good workout for your grey matter.
- 6. Keep up with current events. If you spend any time in a Heritage Senior Living community in Michigan or Indiana you know this is a popular pastime for older adults. Keeping up with world events and debating the issues are great brain booster activities. You could help organize a group at your local senior center or even participate in a forum online.
Do you have any suggestions for readers to help boost brain power?
We would love to have you share them in the comment section below!
by trevor@addfuelfire.com | Jun 28, 2013 | Alzheimer's and Dementia, Uncategorized
Michigan caregivers who have a loved one living with Alzheimer’s disease or a related dementia know how challenging the disease can be. The physical and emotional toll it takes on families can be devastating. And the number of people with Alzheimer’s continues to soar. According to the new 2013 Alzheimer’s Facts and Figures report someone is diagnosed with Alzheimer’s disease every 68 seconds. Michigan alone has an estimated 180,000 people living with Alzheimer’s disease. By 2025 that number is projected to increase to 190,000.
For caregivers, knowing if changes they see in a loved one are a natural part of the aging process or something more serious can be difficult to determine.
Eileen Drexler is the Alzheimer’s and dementia care expert for Michigan based Heritage Senior Communities. She offers families the follow tips to help determine what may just be normal aging and what might be something more serious:
1. Forgetfulness. The frantic pace most of us go through life at means we are all bound to forgot things from time to time. But if you are worried your aging parent is forgetting too much, consider what it is they don’t remember. Is it appointments and events they were supposed to attend or is it faces and names? Not remembering the name of someone they have known for a long time can indicate a more serious problem. If they forgot about activities or appointments they had planned, do they remember them later? If it is dementia, they likely do not remember at all.
2. Misplacing Things. There are some items that we all seem to have a hard time holding on to every day. Misplacing our keys or cell phones can be hard to keep track of at any age. But if we retrace our stops for the day, we can usually find them. A person with Alzheimer’s disease or related dementia may not be able to do this because they can’t remember all of the places they were over the course of their day.
3. Change in Personality. People in the early stages of Alzheimer’s disease often realize something is wrong. They aren’t sure what it is, but it often creates fear. They may withdraw from everything including the people and activities that are most familiar to them. They may also become irritable. A typically gregarious person may become difficult.
4. Getting Lost. This is probably the classic behavior we all recognize. An older person goes out to make a quick stop at the bank and can’t find their way home. An older adult in the beginning stages of dementia may forget where they are and how they got there. They may even have trouble remembering what day it is.
5. Bad Judgment. Alzheimer’s disease and dementia can impair a person’s ability to make good decisions. Even in the earliest stages of the disease. This makes them easy prey for scammers. Especially telephone scams and telemarketing fraud. If your loved one receives a lot of telemarketing calls or seems to be spending a lot of time on the phone with strangers, it is probably something you need to investigate.
Do you have a loved one living with dementia?
What was the first signal you had that there was a problem?
