October 07, 2008

How to Talk About Alzheimer’s Disease with your Young Children

When a loved member of the family gets a crippling disease, it can be nearly impossible to discuss it with a young child. There will be many differing emotions and questions that develop in the ignorant mind. Unfortunately, children very rarely come right out and say what it is they’re feeling, be it because they don’t know what it is they’re feeling, or because they simply don’t want to talk about it. Either way, it makes the job of the parent a lot more difficult. There are a several ways to help the child cope, and there are also a few activities to try, to keep the child in touch with the family member.

Before discussing a degenerative disease like Alzheimer’s, you must plan in advance for what the child could feel. You need to be prepared for every possible way the child could take the news, so you’re ready no matter what happens. The first and most common emotion when a child learns of the disease is that of sadness. The child is sad and uncomfortable with what is happening to the relative. This is followed directly by confusion and fear. Children don’t have a very good grasp on what Alzheimer’s is, and even with the best of explanations they’re still going to be confused about why Grandma has begun to behave differently than usual. After they’ve figured out what exactly Alzheimer’s is, many children will be hesitant to spend time with Grandma, believing they might catch the disease, or that their parents will. You must put that fear to rest immediately, so that the children know they have nothing to fear.

On the other side of the emotional scale, some children may begin to develop somewhat darker emotions. These include anger, frustration, guilt and jealousy. The reasons for those are varied. Some will be angry because they have to repeat questions, or will have trouble doing activities with the relative. After that, they’ll feel guilty for being angry, believing that they should know better. Later on, they may even become jealous or resentful of the Alzheimer’s victim, mostly because of the increased time that the rest of the family seems to spend worrying about them.

To talk about Alzheimer’s with a child, you have to keep everything simple, while at the same time preparing them for what’s to come. Make sure you fully understand it, so that you know how to answer questions when they inevitably pop up. Tell them that Grandma is still the same person she always was, but that she won’t remember things that well and sometimes she won’t know what she’s doing. Make sure you mention that the disease is not contagious.

After the initial talk, be prepared to help the child cope with the fact that Grandma has Alzheimer’s. You always need to be around to offer support, and give them a shoulder to cry on if they need it. Be sure to reassure them that any feelings they have are normal, and are nothing to be afraid of. Tell them that if they have any questions they can ask you, and be sure to answer them honestly. There’s no sense in telling the child to ask questions if you’re just going to lie, even if it’s about the grimmer parts of the disease. “Sugar coat” if you must, but do not lie.

Finally, there are several activities that a child can do with the individual who has Alzheimer’s, preferably with the whole family. Simple things, like taking a walk together as a family, will do wonders for a child who is still unsure of what is happening. Make sure you involve Grandma in the child’s life, so they aren’t left in the dark about what’s going on. Other things, such as singing and dancing are also enjoyable for both parties. Some people have found success by simple things like making a family tree, or watching a movie.

Remember that when you’re talking about a younger person about a disease such as Alzheimer’s, to keep things simple enough for them to understand, and answer any questions they have. There is nothing worse for a child than for them to be both scared and confused. Keep that in mind, keep your arms open to them and you’ll help them through.

October 03, 2008

October 01, 2008

How to Evaluate Eating Time For Alzheimer’s Patient

Eating time for Alzheimer’s patients should be a very simple, step-by-step activity, one that is routine and enjoyable. Still, some problems can arise. Many patients have difficulty eating, whether because of a sudden loss of appetite or from having difficulty evaluating food. A patient might also overlook that he or she has eaten and ask to eat again. By evaluating eating time, and taking some important reminders into concern, caretakers can make eating time easier and more pleasant.

1. Is your patient in good health? Mouth sores, poor-fitting dentures, gum disease or dry mouth will certainly make eating a hard task. Intestinal or cardiac problems, diabetes, constipation and depression are also serious conditions that could contribute to a loss of appetite. Regular visits to the doctor or physician might be a good idea to make sure the patient is healthy and enjoying his eating time.

2. A patient should enjoy his eating time. Eating is a pleasure and an enjoyable activity. If a patient is showing signs of distraction or confrontation then try and find the cause. Remove any distractions in the room and ask the patient if he or she is comfortable. Distractions can even be very small, such as loud tablecloths or colorful patterns on plates.

3. Make routines. Meals be served consistently and at scheduled times. It might help to use visual aids as a reminder for mealtime. A clock with large numbers or a chalkboard listing the scheduled times would be helpful in getting the patient to assist.

4. Create a comfortable and safe environment. Remove any odors or excessive noise that might interfere with a good meal and proper digestion. Even sudden movements can be a distraction. A safe and steady environment is necessary to creating a healthy mealtime.

5. Be careful in evaluating food quality. Remember that you are dealing with a person who has become accustomed to certain tastes and preferences when it comes to eating time. As much as possible try and keep the patient’s likes and dislikes in mind when preparing a meal. Make sure the food is appealing in smell, appearance and moderate temperature.

6. Use a warm, easier style when giving instructions. Make sure the instructions are clearly stated. To-the-point commands like “Pick up your fork. Put some food on it. Now raise it to your mouth,” work fine and can even be repeated if necessary.

7. Tolerance is needed. Be careful not to criticize the person’s eating habits or rush him to finish his meal. The patient should look forward to eating time and see it as a pleasant activity free from stress.

8. Stay away from foods that would cause indigestion or difficulty in swallowing. A protection against this would be cutting or grinding some foods into bite sized pieces. Some food like popcorn, nuts or raw carrots may get lodged into a person’s throat and are best avoided. With some types of food it might be a good idea to explain to the patient that he should chew slowly and swallow carefully.

9. An Alzheimer’s patient may forget that he or she has eaten or have no concept of how much is too much. It is best for the caretaker to serve healthy portions and restrict further portions when appropriate. If a patient continues to ask for additional meals after eating time, it might be a good idea to start separating breakfast, lunch and dinner respectively, into several smaller courses. In fact, planning for several small meals in the day is a healthier choice than serving three large meals.

10. Set a good after meal routine. After eating time is over, check to see if the patient has swallowed the food completely and that nothing remains in his mouth. Help the patient to perform good oral hygiene, including regular visits to the dentist. If may be easier to use oral swabs than a toothbrush, just whatever works. Good hygiene is not only healthy but also good for a patient’s self-esteem.

Learning more about Alzheimer’s disease care and treatment makes planning eating time that much easier. By taking into account these small but important reminders in evaluating eating time, a caregiver can take better care of a patient and see more positive results in behavior.

September 26, 2008

Late Stage Alzheimer's - What We Can Expect

Late stage Alzheimer's disease is scary, but it can help to have information about what to expect.

September 23, 2008

Do You Believe These Myths about Alzheimer’s Disease?

To help an Alzheimer's patient, a caregiver must have patience and a true understanding of what the disease really is. General myths about Alzheimer's disease only add to the stress of an already difficult situation. The more caregivers and family members can learn about this disease, and better recognize the problem, the more effort can be put towards helping the patient.

Let’s consider five common myths about Alzheimer's disease as well as the reality.

Myth: My parent or grandparent has Alzheimer's disease. That means I’ll probably get it too.

Reality: Although genetics can be involved in the disease, only five to ten percent of total cases are actually the direct result of genes. The majority of cases have no definite or identifiable cause. Nothing can explain why Alzheimer’s disease develops or who is sure to inherit it. Even a healthy lifestyle and good diet, while generally a good defense against ill health, is not a sure protection. Alzheimer's disease can affect any person. Understanding this fact can help others to be sensitive to patients’ needs as well as better informed on the reality of this disease.

Myth: I’ve heard there is a cure for Alzheimer’s disease.

Reality: While that would be wonderful news, unfortunately there is no cure at this time. There are medications and forms of therapy that can manage the symptoms in some persons. As far as a definite cure goes, researchers continue to look into this disease and remain optimistic.

Myth: What if someone I love develops the disease? What do I do or say? How long do I have to say goodbye?

Reality: Just because someone has the disease does not mean his or her life is over. Many patients continue to live meaningful lives, just like anyone else would, and don’t feel as if their lives are over. They are still able of showing love to family members and finding happiness in the things they do. Medications and treatments are also helping sufferers of the disease to manage. The most important thing to ensure a patient’s comfort and happiness would be to supply good services, pleasant surroundings and willing support.

Myth: I’ve heard stories of nice people becoming violent or at least extremely difficult after getting the disease. Is this true?

Reality: Just as there is no sure explanation of why Alzheimer’s disease develops, there is no sure way to predict how a person will behave because of the symptoms. The disease affects each person in a different way. For patients, the loss of memory and the state of confusion it causes can be a very frustrating experience. It can even be a frightening one, and some patients could react aggressively because of confusion or fear. By learning about the disease, adapting to the patient’s surroundings and changing the style of communication, caregivers and family members can prevent aggressive activity if it ever comes up.

Myth: People with Alzheimer’s disease are insane or unable to understand what is happening around them.

Reality: It is an especially important myth to dispel. There is no way to go over the mindset for the entire population of patients for this disease. Many patients do understand what is going on around them and some might have difficulty. Alzheimer’s disease affects a person’s ability to communicate and make sense of the world around them. But to what extent this is observed in each person is different. Assuming that a patient does not understand what is being stated, implied, or even said to the company of others, is a mistake that can cause misunderstandings or even hurt feelings.

Bear in mind that a person with Alzheimer’s disease is in pain, and deserves to be treated with kindness and respect. He or she is still the same person as before and should always be shown dignity. Believing common myths about the condition rather than learning the reality can only make living conditions trickier. Don’t be satisfied with the myths about Alzheimer’s disease. Get educated. Learn about the disease. Seek help. Learn the best ways to help care for patients. With a little patience and a lot of understanding, caregivers and family members can help to fight against Alzheimer’s disease.