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 Rahway. 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.
How Important Is Alzheimer's Care?
Alzheimer’s disease is an extremely sad and difficult condition to work with. This disease is very difficult on the family members in Rahway. 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.
Nursing Home Care and the Elderly - I Thought We Had a Contract
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 Rahway,Union County?
Working as a home health aide with mentally ill patients requires a special sensitivity to the needs of the mentally challenged. Too often, people tend to think of the mentally challenged as being somehow inferior and as such, they tend to talk down to them. However, what the mentally ill really need is what anyone else needs - they need someone who will take them seriously and make sure their needs are met while giving them as much freedom as possible.
Just What Is Mental Illness?
Before we can begin to discuss how to work effectively with mentally ill home care patients, it's important to understand what mental illness actually means. Let's start with the most basic definition and then go into a more detailed explanation. At its most basic, mental illness means that someone is incapable of functioning independently in society due to some kind of problems with how they experience the world emotionally. Exactly how this manifests itself and what the issues are do require additional explanation however.
Some indicators that a person may be mentally challenged include:
- Inability to Develop and Maintain Healthy Relationships - Many mentally ill people find it difficult or impossible to create healthy interpersonal relationships.
- Lack of Impulse Control - Another common problem for mentally challenged individuals is a lack of impulse control. Many mentally challenged individuals will for example do things in public or even in private that mentally sound people won't do (i.e. scream out loud at no one in particular, cause damage, public urination, etc.).
- Inability to Tolerate Anxiety and Frustration - We all deal with anxiety and frustration on a daily basis. However, those who are mentally challenged often find that they cannot handle any (or very little) anxiety and or frustration in daily life.
- Inability to Respect Others - Finally, many mentally ill people find it difficult to respect others, in terms of private space and or in terms of regular verbal abuse.
Your mentally challenged patients may also experience changes in behavior which are of a positive nature. Thus, it's important to note when and if such changes occur and to note changes in personality, either for the good or the bad.
While you should note environmental factors surrounding such changes in behavior, it's important not to draw conclusions on your own as to what precipitated these changes. Instead, you should note only the facts and allow mental health professionals to make such diagnoses.
Making Sure Patients are Cared For
It's important as a home health care worker working with mentally ill individuals to make sure that they are complying with their treatment regimen. This means for example that you need to ensure that the person is taking their medication on time and in the correct doses.
You must also watch carefully to ensure that dangerous behaviors do not put your patients in harm's way. When danger does present itself, you should call 911 to get emergency workers to help deal with the problems rather than attempting to deal with it on your own. For example, if your mentally challenged patient overdoses on sleeping pills, you should call 911 immediately rather than try to induce vomiting on your own.
Provide Patients with a Path to Recovery
Finally, your role as a home health care worker is to facilitate the patient's path to recovery. This means that you work with them to ensure that they will have the right kind of support to deal with their problems and that you help to keep the family involved as well in the recovery of the mentally challenged patient that you work with as a home health care worker.