Showing posts with label dementia. Show all posts
Showing posts with label dementia. Show all posts

Wednesday, December 22, 2010

Bob DeMarco Discusses Alzheimer's Disease on Sidewalks


In a special segment, Bob DeMarco, a veteran Wall Street executive whose mother was diagnosed with Alzheimer's disease, and neurologist Dr. Mark Brody discuss Alzheimer's Disease with "Sidewalks Entertainment" host Cindy Rhodes....

Bob DeMarco is the Founder of the Alzheimer's Reading Room.

Tuesday, June 15, 2010

Dementia and the Eight Types of Dementia


Dementia is the gradual deterioration of mental functioning, such as concentration, memory, and judgment, which affects a person’s ability to perform normal daily activities.

By Bob DeMarco
Alzheimer's Reading Room

Dementia is a an illness that usually occurs slowly over time, and usually includes a progressive state of deterioration. The earliest signs of dementia are usually memory problems, confusion, and changes in the way a person behaves and communicates.

Cognitive symptoms of dementia can include poor problem solving, difficulty learning new skills, and impaired decision making. Behavior changes can include fear, insecurity, anger, and often, depression like symptoms.

Dementia is caused by various diseases and conditions that result in damaged brain cells. Brain cells can be destroyed by brain diseases, such as Alzheimer’s disease, or strokes (called vascular or multi-infarct dementia), which decrease blood flow to the brain.

Alzheimer's disease is the most common cause of dementia.

Saturday, June 12, 2010

Care Giving Insight and Advice


"The ordinary arts we practice every day at home are of more importance to the soul than their simplicity might suggest." -- Thomas Moore.....
By Bob DeMarco

The Metamorphosis of This Alzheimer's Caregiver
The more I learned the more I wanted to know. I learned a great deal about Alzheimer's disease and dementia--including the science. It helped me understand a very mystifying disease. It helped me to put a frame around something that is difficult if not impossible to describe.


Communication in Alzheimer's World
Let's face it, dealing with dementia is not easy. Understanding Alzheimer's disease is not easy...


Alzheimer's World -- Two Circles Trying to Intersect
When Alzheimer's strikes communication and behavior change abruptly -- overnight. It is up to the caregiver to adjust since the person suffering from dementia is incapable of the adjustment. Understanding this need is the first big step.


Sunday, February 28, 2010

About Alzheimer's Reading Room


At the Alzheimer's Reading Room, we discuss solutions to common problems that Alzheimer's caregivers face each day.

On the Alzheimer's Reading Room, we discuss issues like: communication, wandering, incontinence, hygiene, patient symptoms, and what to expect as the disease progresses. We discuss all issues that are important to Alzheimer's caregivers. We provide specific insight, advice, and solutions based on real life experience.


By Bob DeMarco
Alzheimer's Reading Room

I started the Alzheimer’s Reading Room to keep track of the thousands of articles and many books I was reading about Alzheimer's disease.

I soon realized that Alzheimer's caregivers are often thrust into their role with little or no experience, training, or education about Alzheimer's disease. As a result, they are often overwhelmed and suffer from feelings of helplessness. Forty percent of Alzheimer's caregivers suffer from depression.

Saturday, November 14, 2009

Simple Tests to Detect Alzheimer's and Dementia the Old Fashioned Way



In my little world here in Delray Beach, Florida I have learned a harsh lesson -- it is very difficult to diagnose mild cognitive impairment, dementia, and probable Alzheimer's. Here are some simple tests for Alzheimer's and dementia that could be helpful......
Bob DeMarco
Alzheimer's Reading Room
Editor



I knew something was wrong with my mother. I knew it. When I would mention some of my concerns to family and friends they would usually conclude -- she is getting old. When it first started to really bother me my mother was 86 years old.

Her friends that saw her everyday would tell me she is doing great. Her doctor of six years didn't see a problem.
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I did know her behavior was undergoing subtle changes. She talked about money incessantly, she complained about being bored incessantly. She started scrapping her feet on the ground. She said things that lead me to believe she was feeling insecure, maybe fear -- these were very different than what I heard her saying in the past.

After my mother was diagnosed with dementia her friends refused to believe both the diagnosis and me. When she would talk to family and friends that lived far away they would usually say --she sounds great.

She did sound great. She could still drive, go to the store, and play bingo. What they didn't see was how her behavior would often turn erratic. I invited all of them to come live in the front row for a few days -- they passed.

____________________________

The time came when I decided to come and spend some extended time with my mother and try to find out what was happening. At the time, you could put everything I knew about Alzheimer's and dementia in a thimble.

It took a few months before I finally started to understand the problem. It took four doctors to get to the bottom of the problem. None of the people that were seeing my mother on a daily basis saw a problem.

People in an early stage of dementia are very good at disguising the problem. They can laugh and change the conversation when you ask them questions about memory, or the ability to go here and go there. For me, it was the changes in behavior, the meanness, and the inability to walk more than a block that tipped me off.

____________________________

If a person suffering from dementia gets lost or starts having problems driving, you will never hear about it. The last thing an elderly person wants to do is lose their independence. One of the biggest symbols of independence is the drivers license. Trying to get that drivers license is like trying to get a steak out of the mouth of a bull dog.

____________________________

After I had been hear a couple of years, I learned some interesting things about my mothers behavior.

She drove her car over a concrete abutment, through a hedge and hit a tree. She then drove the car around some trees, over a sidewalk, over the lawn, and put the care in her condominium parking space. She didn't tell me, my brother, or my sister.

When I first learned about this her friends were laughing telling the story. They were impressed by the fact that she actually got the car back into her space. They did not see it as an indication that maybe she shouldn't be driving -- or worse.

Her friends, still friends, also forgot to mention that they stopped inviting my mother to their lunch time outings to restaurants because she constantly complained about money. When I asked them years later, when I first learned about this, if she had always done this -- they said no. In other words, her behavior had clearly changed but it had no impact on their view of her health.

____________________________

If you live far away from your parent and they are over 80, there is a good chance you could end up in the same situation I found myself in six years ago.

Here are few things you can try to spot mild cognitive impairment, Alzheimer's or dementia at an early stage.

To continue reading -- go here.

Monday, October 19, 2009

H1N1 Flu Shot, Alzheimer's and Dementia -- Our Decision on the Shot



The facts in this case are that the H1N1 flu virus is spreading fast, and we really haven't seen anything like it. If you watch the 60 Minutes video you will understand what I am saying.

As an Alzheimer's caregiver, I have to decide whether or not my mother will take the shot.


To read about my decision and how I made it go here.


Popular articles on the Alzheimer's Reading Room

The Alzheimer's Action Plan: The Experts' Guide to the Best Diagnosis and Treatment for Memory Problems

Bob DeMarco is the editor of the Alzheimer's Reading Room and an Alzheimer's caregiver. The Alzheimer's Reading Room is the number one website on the Internet for news, advice, and insight into Alzheimer's disease. Bob has written more than 800 articles with more than 18,000 links on the Internet. Bob resides in Delray Beach, FL.

Original content Bob DeMarco, Alzheimer's Reading Room

Saturday, October 10, 2009

Popular Articles on the Alzheimer's Reading Room -- September (Top Landing Pages)


Test Your Memory (TYM) for Alzheimer's or Dementia in Five Minutes (#1 June, July, August, September)
A new cognitive test for detecting Alzheimer's disease is quicker and more accurate than many current tests, and could help diagnose early Alzheimer's, dementia, or mild cognitive impairment.
To continue reading go here.

Dementia and the Eight Types of Dementia
Dementia is a an illness that usually occurs slowly over time, and usually includes a progressive state of deterioration. The earliest signs of dementia are usually memory problems, confusion, and changes in the way a person behaves and communicates.
To continue reading go here.

Five Ways to Keep Alzheimer's Away
A recently released study showed that regular exercise is one of the best ways to reduce your risk of dementia and can help slow progression of Alzheimer's disease. Less well known is the fact that if you have a big belly in middle age the chances that you could suffer from dementia are tripled.
To continue reading go here.

The Combination of Aricept and Namenda Helps Slow the Rate of Decline in Alzheimer's Patients
"The results of this study should change the way we treat patients with Alzheimer's disease. Cholinesterase inhibitors are approved for use in mild to moderate dementia, while memantine has been approved for advanced dementia. But it looks like there is an advantage in prescribing both drugs as initial treatment."--John Growdon, MD
To continue reading go here.

A Simple Three Minute Test Can Detect the Earliest Stage of Alzheimer's Disease
The study shows that the combination of a very brief three-minute cognitive screening test, called the Mini-Cog (MC), with a Functional Activities Questionnaire (FAQ) -- administered to a family member or friend -- could accurately identify individuals with MCI and undiagnosed dementia.
To continue reading go here.
Subscribe to The Alzheimer's Reading Room--via Email


Bob DeMarco is the editor of the Alzheimer's Reading Room and an Alzheimer's caregiver. The Alzheimer's Reading Room is the number one website on the Internet for news, advice, and insight into Alzheimer's disease. Bob has written more than 800 articles with more than 18,000 links on the Internet. Bob resides in Delray Beach, FL.
Popular articles on the Alzheimer's Reading Room

The 36-Hour Day: A Family Guide to Caring for People with Alzheimer Disease, Dementia, and Memory Loss


Original content Bob DeMarco, Alzheimer's Reading Room

Tuesday, September 22, 2009

What if Mrs. J Wanders Away and Ends Up Dead?


Rose Lamatt lived the life of an Alzheimer's caregiver for 14 years. She has witnessed Alzheimer's behaviors from every angle (see Bio below). With her eyes wide open, she is now a concerned on-looker that feels compelled to take action. She is seeking direct help or advice. Please take the time to read her article and respond.
I’m worried that Mrs. J. is going to get lost in the woods, or something worse might happen to her.
To continue reading and to offer advice go here.


Kindle 2: Amazon's New Wireless Reading Device (Latest Generation)

Wednesday, September 16, 2009

What to do when Alzheimer's Strikes


@ALZHEIMERSread is a Twitter Feed which is the companion of the Alzheimer's Reading Room.

I am now getting a few referrals each week asking me what to do when Alzheimer's strikes. I usually start with the following recommendations.

First, I would purchase these two books.

1. The Alzheimer's Action Plan: The Experts' Guide to the Best Diagnosis and Treatment for Memory Problems
2. The 36-Hour Day: A Family Guide to Caring for People with Alzheimer Disease, Dementia, and Memory Loss

To continue reading this article go here

Subscribe to The Alzheimer's Reading Room--via Email

Popular articles on the Alzheimer's Reading Room





The 36-Hour Day: A Family Guide to Caring for People with Alzheimer Disease, Dementia, and Memory Loss


Bob DeMarco is the editor of the Alzheimer's Reading Room and an Alzheimer's caregiver. The Alzheimer's Reading Room is the number one website on the Internet for news, advice, and insight into Alzheimer's disease. Bob has written more than 800 articles with more than 18,000 links on the Internet. Bob resides in Delray Beach, FL.
Original content Bob DeMarco, Alzheimer's Reading Room

Tuesday, August 25, 2009

Articles about Alzheimer's Disease and Dementia


Popular articles that first appeared on the Alzheimer's Reading Room.

Articles include information on: Testing Your Memory for Alzheimer's, Wandering, Aricept, Namenda, Dimebon, Dementia, Caregiving, Wii, Alzheimer's Facts and Figures, Walmart as a Caregiver Tool, and more.

Feel free to share these articles with friends, caregivers, support groups, associations, or on you blog/website.

Thursday, August 20, 2009

Does the Combination of Aricept and Namenda Help Slow the Rate of Decline in Alzheimer's Patients


My name is Bob DeMarco, I am an Alzheimer's caregiver. My mother Dorothy, now 93 years old, suffers from Alzheimer's disease.

A year ago, my mother's Alzheimer's disease started to worsen. As a result, I was both concerned and worried.

At the same time, I read a new research study about the combination of Aricept and Namenda as a treatment for Alzheimer's disease.
"The results of this study should change the way we treat patients with Alzheimer's disease. Cholinesterase inhibitors are approved for use in mild to moderate dementia, while memantine has been approved for advanced dementia. But it looks like there is an advantage in prescribing both drugs as initial treatment."--John Growdon, MD

The results of the research study indicated that the combination of Aricept and Namenda helped slow the rate of decline in Alzheimer's patients.

To continue reading go here.

Original content the Alzheimer's Reading Room.


The Complete Eldercare Planner, Revised and Updated Edition: Where to Start, Which Questions to Ask, and How to Find Help

Sunday, June 28, 2009

The Alzheimer's Action Plan


“Most of us will either get Alzheimer’s or care for a loved one who has"

"This book is the most comprehensive and up-to-date guide for the diagnosis and management of Alzheimer's disease. Whether you are a health care professional or have Alzheimer's in your family or are simply interested to living to an old age, this book is a must read."
--Deepak Chopra, M.D., New York Times bestselling author of Perfect Health: The Complete Mind/Body Guide


Insight and Advice about Alzheimer's Disease
Subscribe to The Alzheimer's Reading Room
"Memory does matter. Adults across the life cycle are asking questions, many questions! The authors answer these questions for the educated public, family members who encounter memory loss in a loved one, and even adults who believe they are experiencing early memory loss. The answers are comprehensive and understandable, no small accomplishment given the plethora of new information available—information that at times is not only confusing but also conflicting."
--Dan G. Blazer, M.D., Ph.D., former Dean of Medical Education, Duke University School of Medicine; past President of the American Geriatrics Society
"Dr. Doraiswamy has done a masterful job of communicating what the layman should know on the treatment, the care giving and, most important, the prevention of Alzheimer's. It was gratifying to learn about the mountain of evidence that what is good for your heart is also good for your brain."
--Arthur Agatston, M.D., cardiologist and #1 New York Times bestselling author of The South Beach Diet
"I love this book! A powerful and vital resource for people who need it the most. Dr. Doraiswamy is that unique blend of medical expertise mixed in with warmth and compassion topped off with humility that makes him rare and wonderful."
--Leeza Gibbons, Emmy award-winning TV host and founder of Leeza's Place and the Memory Foundation
"Lisa Gwyther is a national treasure. She has been a pioneer in providing innovative care and education for Alzheimer’s patients and their families for many years. Lisa’s long experience helping families cope with the challenges of memory loss and Alzheimer’s disease makes her uniquely qualified to co-author this book. Families experiencing the new world of memory loss and Alzheimer’s couldn’t ask for a better companion for the journey. Her warmth, compassion, and wisdom shine through, and will help light the way."
--Pat Lynch, Director of Communications, Alzheimer’s Center Program, National Institute on Aging
"Most of us will either get Alzheimer's or care for a loved one who has. This action plan can empower you to make a difference."
--Mehmet C. Oz, M.D., co-author of the #1 New York Times bestseller, You: The Owner’s Manual
"Five million Americans have Alzheimer disease, and an even larger number with mild to moderate memory loss are at high risk of developing this illness. Murali Doraiswamy, a leading clinical researcher in Alzheimer disease, and Lisa Gwyther, a founder of the Alzheimer Association, have co-authored this timely, state-of-the-art book directed at patients with Alzheimer disease, their informants, and their primary care physicians....I fully predict that this exceptionally well-written, reader-friendly book will become the standard resource for patients with Alzheimer disease and their loved ones. Its up-to-date information, patient-centered approach, and focus on prevention and treatment directed at patients with incipient Alzheimer disease distinguish it from The 36 Hour Day by Nancy Mace and Peter Rabins, which is directed at caregivers of patients with moderate to severe Alzheimer disease."
--JAMA (Journal of the American Medical Association)

Bob DeMarco is an Alzheimer's caregiver and editor of the Alzheimer's Reading Room. The Alzheimer's Reading Room is the number one website on the Internet for advice and insight into Alzheimer's disease. Bob taught at the University of Georgia, was an executive at Bear Stearns, the CEO of IP Group, and is a mentor. He has written more than 700 articles with more than 18,000 links on the Internet. Bob resides in Delray Beach, FL.

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Original content the Alzheimer's Reading Room

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Sunday, June 14, 2009

Questions About Test Your Memory for Alzheimers and Dementia (TYM)


On Wednesday, I published an article about a new memory test for Alzheimer's that can be administered in five minutes. The links to the test and scoring sheet are contained in the original article -- Test Your Memory (TYM) for Alzheimer's or Dementia in Five Minutes.

I am receiving emails from readers and I thought I would address two questions.

One reader asked, "I am curious to hear their opinion, about the level of education for the test taker, and its effect on the validity of the test".

The authors did not specifically assess the effect of education during their testing. In the BMJ article they wrote,
This ceiling effect suggests that education and social class would have only mild effects on the TYM score, but we did not formally assess this. The reason for the low scoring controls was often apparent from the score sheet—lack of interest, reading problems, or a sense of humour.
I will try to talk to researchers and get a clearer answer to this question.

Several readers are asking about the scoring system for the test.
  • The control group scored 47 out of 50 (ages 18-70).
  • A score equal to, or less than, 42 detects Alzheimer's 93 percent of the time.
  • Patients with Alzheimer's scored 33 out of 50.
  • The range of scores for patients with Alzheimer's was 9-50.
The main finding of this research
The new "test your memory" (TYM) test is quick to use, examines 10 cognitive skills, and detects 93% of cases of Alzheimer’s disease.
If you would like to read the highly technical paper which was published in the BMJ follow this link -- Self administered cognitive screening test (TYM) for detection of Alzheimer’s disease: cross sectional study.

Have a question, put it in the comments box.

This is the first draft of this article and it will be updated.
For more Insight into Alzheimer's Disease
Subscribe to The Alzheimer's Reading Room

Bob DeMarco is an Alzheimer's caregiver and editor of the Alzheimer's Reading Room. TheAlzheimer's Reading Room is the number one website on the Internet for insight into Alzheimer's disease. Bob taught at the University of Georgia, was an executive at Bear Stearns, the CEO of IP Group, and is a mentor. He has written more than 600 articles with more than 11,000 links on the Internet. Bob resides in Delray Beach, FL.


More from the Alzheimer's Reading Room

The CareGiver Blog
Robert T DeMarco
AllAmerican Senior Care Weblog


Tuesday, June 9, 2009

Does Loneliness cause an Alzheimer's like Dementia ?


Loneliness may put people at risk of an Alzheimer's-like dementia.

"People who described themselves as lonely were twice as likely to develop dementia," says researcher Robert Wilson of the Rush University Medical Center in Chicago.
Research suggests lonely people are at greater risk of developing dementia. Seniors who scored high on the loneliness quiz agreed with three or more of the following scenarios:
  • I experience a general sense of emptiness.
  • I miss having people around.
  • I feel like I don't have enough friends.
  • I often feel abandoned.I miss having really good friends.
Source: Robert Wilson at the Rush University Medical Center in Chicago
For more Insight into Alzheimer's Disease
Subscribe to The Alzheimer's Reading Room

Source USA Today

By Kathleen Fackelmann, USA TODAY

Loneliness may put people at risk of an Alzheimer's-like dementia, a study reported.
"People who described themselves as lonely were twice as likely to develop dementia," says researcher Robert Wilson of the Rush University Medical Center in Chicago.

Other studies have found that people who are unmarried and socially isolated are at higher risk for dementia, including Alzheimer's. But this study is one of the first to show a link between loneliness — or the feelings of disconnection from other people — and a higher risk of developing dementia late in life, says Laurel Coleman, a spokeswoman for the Alzheimer's Association and a geriatrician in Portland, Maine.

Wilson and his colleagues studied 823 people who were about 80 years old and had no sign of dementia at the start of the study. The team gave the recruits a loneliness quiz and tested them annually for signs of memory loss and confusion, two key signs of dementia and Alzheimer's.

During the four-year study, 76 people developed an Alzheimer's-like dementia, Wilson says. The risk of developing dementia increased about 51% for each one-point increase on the loneliness scale. People with the highest scores had 2.1 times the risk of developing dementia, a group of conditions that destroy brain cells and lead to mental confusion. Alzheimer's is the most common form of dementia.

Autopsies were performed on 90 people who died during the study. The researchers found no link between loneliness and the development of the abnormal brain deposits that are the hallmark of Alzheimer's.

That finding suggests loneliness might be triggering dementia through a novel mechanism — one that doesn't lead to a brain riddled with deposits, Wilson says.

One theory is that people who are lonely over long periods of time might have higher levels of damaging stress hormones. The elevated stress hormones might lead to an accelerated aging of the brain — and perhaps to dementia, Wilson says.

Other research suggests lonely people are at risk of other health problems such as cancer and high blood pressure, says John Cacioppo of the University of Chicago. Still, he says, the new finding, which appears in February's Archives of General Psychiatry, must be verified by additional research.

The findings didn't change much when the team factored in markers of social isolation, such as infrequent participation in social events. That means that people who have a small number of good friends might be better off than those with a busy social schedule but chronic feelings of loneliness, Wilson says.

But lonely people often benefit from signing up for a new class or activity, Coleman says. Research shows that such activities might protect aging brain cells. And seniors who are out and about are more likely to make new friends, which might lessen feelings of loneliness, she says.

Bob DeMarco is an Alzheimer's caregiver and editor of the Alzheimer's Reading Room. The Alzheimer's Reading Room is the number one website on the Internet for insight into Alzheimer's disease. Bob taught at the University of Georgia, was an executive at Bear Stearns, the CEO of IP Group, and is a mentor. He has written more than 600 articles with more than 11,000 links on the Internet. Bob resides in Delray Beach, FL.


More from the Alzheimer's Reading Room




Original Content the Alzheimer's Reading Room

Saturday, August 25, 2007

The Validation Breakthrough: Simple Techniques for Communicating with People with Alzheimer's Type Dementia



You might get the impression from the title that this book is only for professionals; this is not the case. The validation theory works and it is simple to apply. The case studies are invaluable and provide you with specific situations that you are sure to encounter. I am convinced everyone involved with elderly parents suffering from dementia or Alzheimer's will benefit greatly from this book.

I give The Validation Breakthrough five stars and put it on my must read list. You will certainly reduce stress by learning these techniques.





The Validation Breakthrough: Simple Techniques for Communicating with People with Alzheimer's Type Dementia


Please take a moment to read the reviews on the next page.

Buyer Reviews

By Martine Davis

If you live with or care for someone with Alzheimer's or other age related dementia, you must read this book ! What an eye-opener! For the first time I finally understood why Alzheimer's patient say what they say and do what they do. It all makes so much sense now. This small book reads quickly and is full of examples of real people who have been helped with the author's techniques. It shows you how to handle the blaming, accusing, name-calling and the repetitive motions ... It also explains why the way most of us react to Alzheimer's patients actions actually worsens the situation and can cause them to progress to a more advanced stage of Alzheimer's disease ! This book could extend the relationship between the patient and caregivers and should be MANDATORY reading for all staff working in nursing homes and long-term care facilities !

By J. Summers, CNA (Alaska)

An excellent book for both the professional caregiver and families trying to deal with this sometimes unfathomable disease. Gives practical ideas and techniques for helping people with dementia deal with issues from paranoia and blaming to sadness and helplessness. I have just begun to explore these techniques and am finding they work so well that they should be mandatory training for nurses, PCAs and CNAs. Instead of treating our seniors like they are children we at last have a way to talk to them on an adult level, tap into where they are at, deal with the problem at hand and we all come out better for the experience.


Reviewer: A reader

More and more relevant as we care for aging parents. With a title like this one might think: "Boring" Absolutely not so! Right from the start, the stories of the people are so real and so touching that one of my friends said she was moved to tears. She was so sad not to have known about this way of relating to her father. "It works," she told me. "Validation Breakthrough" shows a new way of relating to people with dementia of Alzheimer's type. This approach is effective in helping the person to clear up unresolved issues in their lives. You do not have to be a professionally trained therapist to use validation. Validation will make the relationship more rewarding for both people. It is not hard to learn and makes wonderful sense. Some readers may want to ask new questions of care facilities (like nursing homes) as the validation approach will keep loved ones from slipping into a vegetative state. It will also make the care much kinder, and more rewarding for the care givers





The Validation Breakthrough: Simple Techniques for Communicating with People with 'Alzheimer's-Type Dementia'


Thursday, March 15, 2007

Many Alzheimer's caregivers seek help in God



About a third of those who take care of loved ones with the disease feel 'more religious' because of their experiences, a new national study says.


You can read this article at The CareGiver Weblog

Thursday, March 8, 2007

Exercise slows decline in Alzheimer's patients


I can attest, exercise makes a difference. My mother now has the tendency to sit around all day. On those days when I can get her to go to Gold's Gym with me she is a completely different person. The look on her face, from dull to smiling, is more than enough to tell me that exercise works to her benefit.

"Nursing home residents with Alzheimer's disease who participate in a moderate exercise program have a significantly slower deterioration than those who receive routine medical care, researchers have shown."

Read the article in its entirety at the CareGiver: The Book Weblog

Saturday, February 24, 2007

Study links seniors' loneliness to higher risk of dementia



Loneliness may put people at risk of an Alzheimer's-like dementia, a study reported Monday.
"People who described themselves as lonely were twice as likely to develop dementia," says researcher Robert Wilson of the Rush University Medical Center in Chicago.


Source USA Today

By Kathleen Fackelmann, USA TODAY

Loneliness may put people at risk of an Alzheimer's-like dementia, a study reported Monday.
"People who described themselves as lonely were twice as likely to develop dementia," says researcher Robert Wilson of the Rush University Medical Center in Chicago.

Other studies have found that people who are unmarried and socially isolated are at higher risk for dementia, including Alzheimer's. But this study is one of the first to show a link between loneliness — or the feelings of disconnection from other people — and a higher risk of developing dementia late in life, says Laurel Coleman, a spokeswoman for the Alzheimer's Association and a geriatrician in Portland, Maine.

Wilson and his colleagues studied 823 people who were about 80 years old and had no sign of dementia at the start of the study. The team gave the recruits a loneliness quiz and tested them annually for signs of memory loss and confusion, two key signs of dementia and Alzheimer's.

During the four-year study, 76 people developed an Alzheimer's-like dementia, Wilson says. The risk of developing dementia increased about 51% for each one-point increase on the loneliness scale. People with the highest scores had 2.1 times the risk of developing dementia, a group of conditions that destroy brain cells and lead to mental confusion. Alzheimer's is the most common form of dementia.

Autopsies were performed on 90 people who died during the study. The researchers found no link between loneliness and the development of the abnormal brain deposits that are the hallmark of Alzheimer's.

That finding suggests loneliness might be triggering dementia through a novel mechanism — one that doesn't lead to a brain riddled with deposits, Wilson says.

One theory is that people who are lonely over long periods of time might have higher levels of damaging stress hormones. The elevated stress hormones might lead to an accelerated aging of the brain — and perhaps to dementia, Wilson says.

Other research suggests lonely people are at risk of other health problems such as cancer and high blood pressure, says John Cacioppo of the University of Chicago. Still, he says, the new finding, which appears in February's Archives of General Psychiatry, must be verified by additional research.

The findings didn't change much when the team factored in markers of social isolation, such as infrequent participation in social events. That means that people who have a small number of good friends might be better off than those with a busy social schedule but chronic feelings of loneliness, Wilson says.

But lonely people often benefit from signing up for a new class or activity, Coleman says. Research shows that such activities might protect aging brain cells. And seniors who are out and about are more likely to make new friends, which might lessen feelings of loneliness, she says.




The CareGiver Blog
Robert T DeMarco
The Alzheimers Reading Room
AllAmerican Senior Care Weblog




Tuesday, February 20, 2007

Caring for the CareGivers


Group meetings help those coping with dementia in a loved one.



Caring for the Caregivers


By Elizabeth Cooney
TELEGRAM & GAZETTE
ecooney@telegram.com

WORCESTER— You came to the right place, the group told the silver-haired woman who had just joined them.

She took her seat on one of the 14 armchairs fanning out from the fireplace at Dodge Park Rest Home. Twice a month, people caring for loved ones with Alzheimer’s disease meet to share supper, stories, strategies and support. Across the hall, their relatives can have a meal and take part in an activity while the two-hour session unfolds.

The new arrival, who didn’t want her name used in the newspaper, told the group why she came.


“I don’t think I know how to handle the situation with dementia,” she said about her husband’s disease, diagnosed 10 years ago. “I lose my temper a lot and I get exasperated. I know I’m not handling things well, not for him and not for myself.”

Everyone in the room struggles with anger, frustration, fear and sorrow, said Deanne Weissflog, who was sitting next to her. While the men and women were all caring for relatives in different stages of dementia or Alzheimer’s, they all know the difficult road they are traveling.

And that includes Nafie Saba-Shapazian, executive director of Dodge Park and its Day Club, and Don Kemp, who helps her lead the sessions for caregivers.

Ms. Saba-Shapazian, a registered nurse, is responsible for Dodge Park’s 60 residents. Mr. Kemp, a rehabilitation counselor, took care of his father when he had Alzheimer’s.

They all know dementia and Alzheimer’s are insidious diseases, stealing up on people and their families. Only after the fact do bizarre behaviors and odd lapses make sense, sometimes after working lives and financial security are in a shambles. Alzheimer’s affects about 4.5 million Americans. There are some medications that stall the chronic, progressive disease, but there is no cure.

At the meeting, Betty Belevick read from an article in a business magazine about drugs in the pipeline. It might be too late for their loved ones in the grips of Alzheimer’s, but maybe it could help their children, Donna Haran said. There has been progress, not just in medications, Jeanette Rosa-Brady, support group coordinator of the Alzheimer’s Association’s Massachusetts chapter, said in an interview. She is not involved with the Dodge Park group.When she started training support group leaders in 1992, not as much was known about the disease, she said.

“People are able to access information much more readily now with the Internet,” she said. “That wasn’t there when I started. There weren’t medications to treat Alzheimer’s and there wasn’t a lot we knew from research about how to manage home safety or understand what someone with Alzheimer’s perceives.”

The Dodge Park group members talked about how to stay in the moment with the patients. For Ms. Haran, that meant not fighting with her husband when he headed for the snow blower at the first flake. Instead, she told him it was out of gas.

Distraction can work, as can humor.

The worst can be those moments of lucidity when Alzheimer’s patients recognize their plight.

Barbara Gould said her husband retired when he couldn’t face going to work once he knew he wasn’t doing it properly.

“All of a sudden he couldn’t count the money in his pocket,” she said. “That was humiliating for such a proud man. He was quick with numbers, like a calculator.”

One woman who, like many in the room, is caring for not one but two relatives — a parent and a spouse — with Alzheimer’s, said putting her husband in a nursing home was harder for her to get through than his death. Another woman said she had promised her aunt to keep her at home as long a she possibly could. Because her relatives disagree with her vow, she said, they don’t help her with the care.

Some of the people the caregivers spoke about were elderly, but some were just in their 50s when they began to fail. Many of the caregivers in the group are still working full time, fraying when demands tear them apart.

Russ Varney said he hasn’t taken a vacation in the three years since his mother became ill. He lives in Boston, works in Wellesley and takes care of his mother in Worcester. He’s exhausted pretty much all the time.

At 89, she is in perfect health — except for her dementia. She attends a day program most weekdays, as did other relatives of group members. He was cleaning her bathroom one recent weekend when he realized he couldn’t recall the last time he did the bathroom in his own house.

He recommended respite care, just to recharge.

That sounds good, but it’s not so easily done. First, the caregivers have to get over the guilt they feel when they turn their attention to themselves for a change, said Ms. Rosa-Brady of the Alzheimer’s Association. They feel guilt that they didn’t notice the disease sooner, or that they still enjoy things they used to do together, or that they get angry.

“People feel guilty that they are not doing a better job,” she said. “Any support group can dispel that right away. There’s no such thing as a perfect caregiver. You’re a human being.”

And human beings need rest. Ms. Saba-Shapazian tells them they can’t give good care if they don’t take care of themselves.

There’s even a study from the National Institutes of Health published in November that showed caregivers significantly improved their own quality of life and their loved ones’ when they were visited by people trained in stress management and problem-solving techniques and had support groups to call on.

While the Dodge Park group members talked about their trials, they never forgot the patients, saying how painful it must be for them, both in the early stages when they know they are declining and later when they are afraid and can’t be calmed.

Ms. Haran’s husband asked her one morning, when he didn’t know if he should get up, “What life is this, when I don’t know if it’s morning or night?”

Deanne’s mother was frightened, asking her, “What’s going to happen to me?”

Heads nodded as she said that.

“The strength from the people in this room is very encouraging,” Ms. Haran said.

Ms. Rosa-Brady said that’s the constant in support groups.

“You can read about Alzheimer’s on the Internet all you want. You will find information that is useful but all of us need to sit down and talk to other people who are doing the same thing you are,” she said. “You can read all you want, but that’s not going to dispel the feeling that you are the only person in the world this is happening to.”

That’s what the newcomer heard.

“It’s not easy being the ones who are left, trying to keep your head afloat. But here there’s camaraderie, compassion and understanding,” June Shack told her. “This is the right place to be.”

Comment on this story at www.telegram.com. Send an e-mail to Elizabeth Cooney at ecooney@telegram.com.






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Wednesday, February 7, 2007

Loneliness and Alzheimer's Linked


People who are lonely are twice as likely to develop Alzheimer's disease, a large US study has suggested.

Source Archives of General Psychiatry

A total of 823 older persons free of dementia at enrollment were recruited from senior citizen facilities in and around Chicago, Ill. Loneliness was assessed with a 5-item scale at baseline (mean ± SD, 2.3 ± 0.6) and annually thereafter. At death, a uniform postmortem examination of the brain was conducted to quantify AD pathology in multiple brain regions and the presence of cerebral infarctions.

The study found that the risk of Alzheimer's disease was more than doubled in lonely persons compared with persons who were not lonely. The study also concluded that Loneliness is associated with an increased risk of late-life dementia but not with its leading causes.