Putting a loved one in a nursing home is a difficult decision regardless of the circumstances. In the case of Alzheimer’s, most research shows that at some point in the progression of the disease a nursing home becomes the right decision for the family in Zarephath. According to the US Department of Health and Human Services, there are nearly 2 million people currently living in some form of nursing home. Over 90% of these residents are over 65 years old and most require 24 hour supervision due to some physical limitation or dementia.
Nursing Home Care and the Elderly - I Thought We Had a Contract
Alzheimer’s disease is an extremely sad and difficult condition to work with. This disease is very difficult on the family members in Zarephath. Just thinking that as the days slip by your aging loved one will soon become more and more distant. This can be very depressing and an emotional time for most family caregivers. Besides the common emotion of depression, most family members often feel angry, frustrated, and even at a loss for words.
Is it Alzheimer's Or is it CRS
CRS is, of course, an acronym for can't remember stuff. Memory is the second thing to go when we age; I used to know what the first one was, but I can't think of it right now. As a practitioner you have no doubt run across older patients who have problems with memory and concentration; and some who have actual dementia.
Mark Goodman Ph.D. believes that many patients diagnosed with Alzheimer's disease actually have dementia caused by a lack of vitamin B12. Dr. Goodman has an accredited Ph.D. in behavioral medicine (with a specialization in clinical neuropsychology) from the University of Maryland School of Medicine.
Dr. Goodman is quoted in an interview by Kirk Hamilton that appeared in Clinical Pearls. Dr. Goodman says, " I initially suspected vitamin B12 limits were too low, when I encountered on consultation, geriatric patients admitted with Alzheimer's diagnosis whose frontal lobe functioning was obviously intact. This is inconsistent with Alzheimer's diagnosis. They were exhibiting other global neuropsychological deficits with a systemic/metabolic profile. They were all following cardiac lipid- lowering diets."
He went on to say that he believed that there are many elderly individuals who are sub clinically B12 deficient. Many times these patients have normal blood levels of B12. He points out that people who are B12 deficient experience neurological changes before there is changes in their blood count (pernicious anemia) and that a good dietary history is an important part of the evaluation. According to Dr. Goodman, "In the convalescent facility diet there is little red meat due to expense and the desire to have residents on a lipid lowering regime. Also, there is a normal increase in gastric atrophy in the elderly which reduces vitamin B12 absorption. Thirdly, there is a down-regulation of the enzymes required for the formation and the manufacture of vitamin B12 when less vitamin B12 is consumed." Dr. Goodman points out that if there is no frontal lobe degeneration, the dementia is not Alzheimer's disease.
Dr. Goodman says that high doses of vitamin B12 are without any serious adverse side-effects. Some reports of reversible symptoms of diarrhea, cutaneous rash, polycythemia and possibly peripheral vascular thrombosis, but these are minor and reversible.
Curcumin is an antioxidant found in turmeric. Turmeric is a perennial plant, botanically related to ginger that is native to India, China and Indonesia. It is a component of curry powder and prepared mustard. It is used in traditional Chinese medicine and in Indian (Ayurvedic) medicine for its anti-inflammatory properties. The lowest incidence of Alzheimer's disease in the world is in villages in India. Only about 1% of Indians over the age of 65 get the disease. So, perhaps the consumption of curry may be the reason that there are so few cases of Alzheimer's disease. Curcumin, found in turmeric, has been shown to fight the build up of the amyloid plaques found in Alzheimer's disease. Dr. Sally Frautschy, of the University of California, Los Angeles, presented these findings at the 2005 annual meeting of the Society for Neuroscience in San Diego, California. Her paper was entitled: Curcumin Reduces Oxidative Damage and Amyloid Pathology in an Alzheimer Transgenic Mouse.
So the things that work for keeping the mind sharp are the same things that work for everything else. You need fresh produce as a source of natural antioxidants, good essential fatty acids, avoid trans fats, exercise and eliminate toxins.
How to Find the Best Live in Personal Care Agencies in Zarephath,Somerset County?
I thought we had a contract, reverse parenting so to speak. I look after you and you look after me when the time comes for reciprocation. For some of you I'm sure it would be considered a selfish expectation of my children. I don't think so; because it is a contract we formed when each of them was born. Their precious little lives belonged to me; their fate in my hands until they reached adulthood and could fend for themselves.
When I held them in my arms, our silent contract and bond was forged. We became dependent on one another, in my mind our lives would be forever intertwined. I looked after them at the most vulnerable parts of their lives and at some point I trusted they would do the same for me, their protector, their confidante, loving friend and mother. I thought we had a contract.
My children were my life. I took care of them and answered their every need. How could I deny them? Being a parent can be a thankless job. When they were hurt, I was there to render my love, attention and an occasional trip to the hospital. My dedication to them for their well-being never wavered. I thought we had a contract.
I take care of you my children until you can discern the world for yourselves and when I begin to age and my mortality becomes something that can no longer be ignored, my hope has been and is that you will honor our contract initiated at your birth.
The silent pact I made with my children has now been consummated. I find myself dependent on them, trusting their judgment and compassion as they did with me. They are now in control of my life, where I live, what I wear and even my finances. My mental state, despite my stroke was left intact without any effects on my speech, but only my will to walk, to be back in control of my life. My will to be me still prevails despite the living arrangements and choices my children have made for me.
I have to believe that I exist occasionally in thought as proven by the infrequent visits of my family and friends. There are many days that loneliness becomes a burden. I feel that I am slowly becoming only a memory not only to my family, but also to those who mattered to me most before my sequestration in this place. So, I wait. The time spent disconnected and suspended by emptiness gives one ample time to ponder life as it is and what it was.
I suppose the easy thing to do would be to give up, succumb to this dreadful existence. My children come see me when they can. I can no longer choose how frequently I see them, my family members or friends. I no longer have that choice.
The fact still remains, I want to go home. For living here for me is not living. I wish to discuss the terms of this contract, but as each day passes it does not appear a negotiation is possible. My children seem oblivious to my plight.
They are comfortable with the obligatory visitations on those special days of the year when family is supposed to draw near. So, I wait and fill my empty moments with memories as a little of myself is given up to the scheduled daily tasks of the staff. I am slowly coming to terms with my situation because it's binding and for me, one sided. I thought we had a contract...