Dementia

Remember the six R’s when responding to aggressive behaviors in dementia.

Of the many challenging behaviors common in Alzheimer’s, probably the most complicated to manage is aggression. A senior who has always been mild-mannered can abruptly lash out in outbursts that are truly alarming: hitting, cursing, kicking, yelling, biting, or throwing objects. How can you, as a family caregiver, safely help restore a sense of calm when confronted with aggressive behaviors in dementia?

To start with, remind yourself that the aggression is a consequence of the disease. It is not something the older adult can control, and it is not intentional. That said, it must be defused to keep both you and the senior safe from harm.

“The 6 R’s of Managing Difficult Behavior,” developed by Dr. Peter Rabins and Nancy Mace in their book The 36-Hour Day, … Read More »

These tips will guide you in how to care for someone with a progressive disease.

It might have been expected, or perhaps broadsided you without warning. Mom has just received the official diagnosis for a progressive disease that is likely to make independent life difficult. While there are a number of uncertainties, one thing is for sure: she is adamant about remaining at home – meaning you’ll have to learn how to care for someone with a progressive disease.

Welcome to the world of family caregiving! If you’re feeling a bit overwhelmed with what can be expected next, these recommendations will help.

Discover as much as you’re able to about the disease. The older adult’s doctor can provide you with resources and educational materials to help you know what to anticipate and to gain confidence in your caregiving role.
Prioritize … Read More »

Try these tips to help someone experiencing sleeping problems in dementia get a better night’s rest.

If it seems like a senior with dementia has completely rewritten the rules on when and how to sleep, you’re not dreaming. For reasons that aren’t yet fully understood, sleeping problems in dementia are quite common. Changes to the senior’s circadian rhythm lead to drowsy days and sleepless nights.

The development of the disease is one contributing factor. Damage to brain cells causes increased weakness, making everyday tasks and activities exhausting. Medication side effects from commonly-prescribed dementia treatments can further exacerbate the issue.

Why Is a Good Night’s Sleep Crucial for a Loved One with Alzheimer’s?

Decreased sleep quality in dementia may bring about an increase in restlessness and delusions, and can cause serious safety concerns, such as the potential for an … Read More »

With so many similarities, can you tell the difference between dementia and medication side effects?

Disorientation. Confusion. Memory loss. While these are certainly hallmark symptoms of Alzheimer’s disease and other types of dementia, they may also come about from taking certain medications. Before automatically assuming an inevitable diagnosis of dementia, review the following list of prescribed medicines that can cause similar adverse effects in order to help tell the difference between dementia and medication side effects.

The latest surprising facts about Alzheimer’s are changing the way scientists are thinking about what causes the disease.

Surprising facts about Alzheimer’s are surfacing nearly every day, it seems. Take, for instance, amyloid plaques: they’re at the heart of scientists’ hypotheses about what causes Alzheimer’s, and the focus of research is on removing them as an effective treatment option and hopefully, one day, a cure.

Yet a research study led by the University of Cincinnati and in cooperation with the Karolinska Institute in Sweden is turning this thinking upside down. Alberto Espay, the study’s senior author and professor of neurology at UC, shares, “It’s not the plaques that are causing impaired cognition. Amyloid plaques are a consequence, not a cause.”

If Not Amyloid Plaques, Then What?

Espay and the UC team believe the focus should instead shift to … Read More »

We all need to understand how disrespectful talking to the elderly like babies is, and to avoid this common practice.

Watch what happens at the next family members get together when a new mother places her baby in someone’s arms. The person is likely to shift instantly into baby mode: a sing-song, high-pitched voice, exaggerated facial expressions, and overly-simplified speech. Of course, this is quite normal and actually beneficial to an infant’s growing brain. Sadly though, it is also quite common to hear people talking to the elderly like babies too. This can be so harmful to the elderly, that there’s a word to describe it: elderspeak.

A recent research study by Susan Kemper, a professor specializing in gerontology at the University of Kansas, matched senior listeners with younger speakers. Even with  the seniors’ instructions just to listen … Read More »

Learn the distinct dementia signs to watch for in Latinos.

A new study sponsored by the Alzheimer’s Association is uncovering some striking results in how dementia may show differently in Hispanic people. While further research is necessary to fully understand whether these differences are the consequence of social/cultural nuances or the dementia itself, it is beneficial information for Latino families to learn the specific dementia signs to watch for in Latinos.

What Are the Unique Dementia Signs for Hispanic Seniors?

Daily Life Activities

One feature of this research was the dramatically faster decline in the capability to do everyday activities, including walking, getting dressed, and taking a shower, when compared with other ethnicities. Andrea Ochoa Lopez, the University of Houston doctoral student who performed the research, explained that the cultural dedication to caring for older relations can be … Read More »

Alzheimer’s is increasingly common in older adults, but not all Alzheimer’s diagnoses are the same!

For many years, experts have been examining the advancement of Alzheimer’s through one basic model. Yet not all Alzheimer’s diagnoses are the same, presenting with a variety of symptoms and progression rates.

Now, however, a large, new collaborative study between the US, Canada, Sweden, and Korea is revealing some fascinating information to help us more accurately understand and treat Alzheimer’s disease. Rather than one universal, dominant diagnosis of Alzheimer’s, researchers have discovered that there are four unique variants that occur in as many as 18 – 30% of cases. This change in thinking is helping researchers more fully comprehend the variations in the disease from one person to another.

The findings are also significant in that they are allowing specialists to begin to … Read More »

If you’re asking yourself, “What can I expect as dementia progresses?” we have the information you need.

One of the first questions in most people’s minds when a loved one is diagnosed with dementia is, “What can I expect as dementia progresses in the weeks, months, and years to come?” We understand that the hallmark of dementia is the increasing decline in cognitive abilities as well as the skills needed to manage daily life. However, each person progresses through these changes at a different pace. There are a variety of factors that will influence the rate of decline, such as:

Prescription drugs the individual is taking
Overall health and physical makeup
The circle of support in place
The individual’s general emotional wellbeing and resilience

There are also other determinants to take into account based on the specific type of dementia diagnosed. As … Read More »

Someone you love may experience a heightened sense of awareness in end-stage dementia, which can be both surprising and overwhelming.

Even as confusion and memory loss escalate during the advancement of dementia, there’s a fascinating and pleasant reprieve that often occurs. Formerly termed “terminal lucidity,” it is more commonly known as “paradoxical lucidity.” It signifies an unexpected, short-term regaining of clarity and awareness in end-stage dementia to a nearly pre-dementia frame of mind. During this time period, the effects can consist of nonverbal but emotional connections to a more drastic improvement in cognitive functioning.

For loved ones, it’s a special gift to be cherished. It offers an opportunity for meaningful conversations and reminiscing, and also the mutual sharing of feelings and thoughts, if only for a brief period of time. For medical researchers, it means much more.

Dr. … Read More »