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 Wharton. 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.
Caring For Alzheimer's - Take Care of Yourself, Too!
Alzheimer’s disease is an extremely sad and difficult condition to work with. This disease is very difficult on the family members in Wharton. 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
I think that, as a group, seniors are some of the most surveyed folks out there. Being in the senior home care business I am more acutely aware of the surveys then the normal person and like to see how the results of those surveys match up to my personal experiences.
More times then not the results do not go beyond the numbers to the underlying cause and effect or at least the feelings of those being surveyed. In a recent survey it was reported that over 80% of seniors would rather live out the rest of their days in the own home and not in an assisted living or similar facility. That's really not breaking news but it started me thinking about why the seniors are so motivated to stay in their home.
I started doing some research by going over my notes from prospective client families, care recipients and also our wonderful care givers. So I have come up with seven reasons why seniors want to stay in their home. These seven do not have real defined borders and have branches or even roots in other reasons.
- Comfort. This reason really bleeds over into the others as well but the senior is comfortable in the house where they have lived for many years. The TV is just the right distance from their chair and doesn't have any reflections on it, they know the HVAC system and where it needs to be for comfort, they have spent years getting the furniture the right size and in the right place. So why should they leave.
- Safety. Now at first glance this might be a reason for going into assisted living but most seniors feel safer at home. They know the sounds of the neighborhood, when neighbors come home and when they leave and most can move around their house and even their yard blindfolded. We have a 94 year old client who is almost totally blind and lives by herself but she knows where everything in her house is, even her meds. She has her morning meds in one location and the bottles are arranged in a specific way and the evening meds are in another location. She feels safe in her environment.
- Memories. They have experienced the entire fabric of life in their home. Birthdays, holidays, including dry turkeys, disappointments and celebrations, medical issues, retirement, aging and death. The home has been the foundation of all that has gone on and they don't want to walk away.
- Independence. From pre-teen years we all strive to achieve independence and now that the senior has had it for so many years they guard it with all the vigor they can muster. If the car keys were taken from the senior earlier then this is the last vestige of independence. Note to family: rescinded driving privileges will be the biggest fight but the home is second.
- Cost. Assisted living expenses can run as much as $4,000 plus a month so staying in one's home can be quite a savings. Add to that the possibility of a reverse mortgage and their monthly bills can be reduced but things like a gardener, pest control, etc have to be managed.
- Network. This term might be used with younger folks but even my 94 year old client has a network...a social network of neighbors and friends who check on her and bring her treats. Many times these social networks are shattered when the senior moves to assisted living. My mother-in-law who lives with us still talks about neighbors she had ten years ago. Don't discount these social connections.
- Family. Many times the family home is just that and there are extra bedrooms for visiting family members. Children of the senior can visit and bring their kids and now you have three generations staying connected in a home environment, not just visiting grandma at an assisted living facility.
Back in the day there were only two choices for seniors and that was stay in their home or live with the children. Now there are so many more choices up to and including resort like living where you eat all your meals in a nice restaurant environment. The choice we made was to have my mother-in-law live with us, it just made sense and we felt better about it. But the transition wasn't easy, especially for mom. But over the years she has settled in and knows exactly how many steps it is from her room to the bathroom.
It is important to hold family meetings with the senior included to discuss how it will work and if additional in home help will be needed for a portion of the day. In home care can make everyone more at ease if it is decided that the senior will be allowed to stay in their home.
How to Find the Best Live in Personal Care Agencies in Wharton,Morris County?
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.