10 Early Signs of Alzheimer’s

It’s easy to slip into denial when Alzheimer’s enters your family’s life. The symptoms can be so subtle at first, but being aware of early warning signs can help you find treatment that may be effective in keeping the disease progression at bay for as long as possible. Please learn the signs and share with others.

BobDeMarco's avatarAlzheimer's Dementia

The Alzheimer’s Association suggests people experiencing any of the disease’s 10 early warning signs should see a doctor. (Learn the 10 warning signs of Alzheimer’s disease.

Source: www.newageofadvice.com

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Playing the symptoms game

Today is Mom’s 77th birthday. With all we’ve been through as a little family over the last several years, I now make it a point to visit her in person on each birthday. It sounds morbid but really, for any of us, we don’t know if this birthday will be the last.

Things have been going along pretty well over the last year, in regards to Mom’s health. Her colonoscopy at the end of 2013 brought good results — a couple of polyps removed, nothing otherwise suspicious spotted.

In March, her CEA level was up just the slightest bit. But with no other symptoms, the oncologist saw no reason for concern, saying it it continued to rise on the next visit in July, then he would order a scan.

mom-77-bday

Over the last couple of months, Mom’s had some issues with her GI system which had returned to a remarkable functioning state after her two surgeries in 2012. Most concerning is the tightness she feels in her abdominal area. She’s also had some dizzy spells and tends to get tired quicker. Her appetite is not quite as strong as it was either.

So I’ve been playing the symptoms game since that time, Googling her symptoms and various combinations of her symptoms. Her symptoms are similar to both the first time she got sick (colon cancer) and the second time (hernia). Obviously, we’d all take another hernia over another bout of cancer, but the symptoms game is long and drawn out.

It can throw you a loop and be something completely unexpected.

Her stomach looks a bit distended when she’s sitting or standing but not anywhere near the level it was when she was sick. I felt her stomach when she was stretched out on the bed and thankfully it felt pretty soft to me, so I don’t think she has another colon obstruction. Yet.

Her oncologist appointment is this Wednesday. Unless he can obviously feel a hernia, Mom will probably have to go for some sort of scan and then more waiting around for the results. So the symptoms game keeps going on …

I hate playing the symptoms game, but I hate even more when the symptoms game ends.

Then you are faced with the diagnosis.

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Bathing & Alzheimer’s

Great tips on how to make the dreaded bath easier for you and your loved one with dementia.

trusso599's avatarCaregiver 2.0

bath_safety_dementia_300x

Bathing is a necessary aspect of life. However, when someone is caring for a loved one affected by a progressive dementia like Alzheimer’s, bathing can seem like an insurmountable challenge. Below are some reasons why difficulties may occur during the bathing task, and also some tips on how to overcome these challenges.

Reasons for resisting bathing:

  • May not know what bathing is for
  • May feel afraid or cold
  • May experience discomfort at the lack of modesty
  • May have had a traumatic experience related to water (e.g., drowning, burns from scalding water)

Tips to help with bathing:

  • Have toiletries, towels and washcloths available in advance to make the bathing process easier
  • Keep the room temperature warm and reduce bright lights
  • Make the person feel in-control — involve and coach through each step of the bathing process
  • Experiment to determine if the person prefers showers or tub baths and what time of…

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Guest post: Diagnosing Alzheimer’s Disease: How Can Loved Ones Help?

A new case of Alzheimer’s disease is developed every 67 seconds. Meanwhile, the number of Alzheimer’s patients is on the rise, with the numbers expected to double or even triple by the year 2030. This degenerative brain disease affects millions of people around the world…and has no known cure. Over time, it impacts your memory function, mood, and even your independence. With so many life-altering symptoms related to the disease, early detection is key. Unfortunately, obtaining an Alzheimer’s diagnosis can be difficult.

Dr. David Tal of the Age Matters Clinic in Toronto.

Dr. David Tal of the Age Matters Clinic in Toronto.

Despite the fact that Alzheimer’s affects the lives of men and women across the country, diagnosis can take months or even years. Why is this the case? Early symptoms may appear to be signs of other diseases or may be dismissed as issues related to aging. This can prolong proper diagnosis, which in turn causes patients and loved ones to feel frustrated and powerless. Are you wondering what you can do to speed things up? Then you’ll need to understand how Alzheimer’s disease is diagnosed – and what to be on the lookout for.

Early diagnosis is important. For starters, it allows families to look at treatment options for symptoms related to the disease, like depression. It also gives patients and their loved ones the opportunity to focus on a healthy diet and lifestyle. This has been found to slow down the progression of the disease. In addition, early diagnosis gives family members more time to find appropriate care plans for the patient as the disease progresses. However, the reality is that Alzheimer’s disease cannot be diagnosed completely accurately until after death. That is why a proper diagnosis can be drawn out. Doctors use a process of elimination that has an accuracy of about 90%.

It starts by finding out more about the patients’ medical history. This allows doctors to determine whether there are other medical issues at play and how to come up with the best treatment plan for their needs. Some of the questions your loved one will be asked include: Are you taking any medications? Do you have a family history of dementia or Alzheimer’s disease? Are you dealing with any current illnesses? What type of issues or symptoms have you been experiencing? and so on. The answers to these questions will help the medical professional get a better understanding of the situation.

From there, the doctor will give a mental state exam to test the patients ability to problem solve, their memory skills, and attention span. This can reveal whether or not there has been a decrease in memory function. Next is the physical exam. This will let the doctor know more about their overall health and physical condition. It can also signal whether the patient has another medical problems that has similar symptoms to Alzheimer’s disease. X-Rays, blood tests, and brain imaging will likely be done as well to rule out any other potential health problems. The results of the questions, exams, and tests will help to pin point a diagnosis.

So, what can you do to help during this process? Show your support, take note of any changes in memory, mood, or behaviour, and ensure your loved one gets the proper medical attention they need. It is important to act quickly. The sooner your loved one is diagnosed, the better. If you feel unsure or overwhelmed, seek the help or advice of a professional.

Have you noticed a friend or family member showing signs of Alzheimer’s disease? Then help them take that first step towards diagnosis. It may seem scary at first – but receiving a medical assessment will lead to a plan of action. Whatever the outcome, remember: your love and support can make all the difference.

About the author: Dr. David Tal has more than twenty years of clinical experience. He manages the Age Matters Clinic in Toronto, Canada. He strongly believes that medical treatment can improve the life of Alzheimer’s and memory loss patients.

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Free Alzheimer’s books in honor of The Longest Day

UPDATE: Thank you to all who requested a book. Your copy will be mailed soon. And a big thanks to all of you who participated in The Longest Day.

Today the Alzheimer’s Association sponsors The Longest Day, where from sunrise to sunset everyone is encouraged to participate in Alzheimer’s awareness activism.

Chicken Soup For the Soul: Living With Alzheimer's and Other Dementias

My way of participating this year is to offer a free copy of “Chicken Soup for the Soul: Living with Alzheimer’s and Other Dementias” to anyone who is interested. I have a limited supply, but I can fulfill several requests. They will be handled on a first come, first serve basis. If you would like me to send to a friend, relative, organization, etc. I am happy to do that as well. I just want these inspirational and moving stories to find a good home where they will be appreciated by others who are on a similar journey.

Rest assured I will never share any contact information with anyone else.

I will cover all shipping costs. Simply email me at joyjohnston.writer@gmail.com or leave the mailing info in the comment section below. I will update this post when I have received the maximum number of requests that I can fulfill.

What are you doing for The Longest Day?

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Sharing a loving memory on Father’s Day

A recent survey found that dads often get the short end of the stick when it comes to gift-giving on Father’s Day. It seems most of us spend more on our mothers than our fathers. Many people say mothers are easier to shop for, and seem to appreciate gifts more than fathers.

joy-dad-2002

But for those of us who have lost our fathers, or are losing them slowly due to dementia, it is too late to worry about something as trivial as gift-giving. The best we can do is share a loving memory of our fathers, to offer to the world a glimpse of what this special person meant in our lives.

Two loving memories come to my mind this Father’s Day. The first is the lengths my dad went to in confronting the family of the bully who pushed me down at a preschool Halloween party. Dad wasn’t going to let anyone hurt his little girl! The second was just a year or so before Dad began his battle with dementia. He had filled out a prayer card for me, relating my struggles with Celiac disease. I had no idea he was paying attention when I discussed my condition.

After all of those years, Dad was still looking out for his little girl.

What are your favorite memories of your father? How do you honor him on this day?

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Let’s talk about guns and dementia

Here’s an important topic for family members to discuss: gun ownership and seniors, especially those who have been diagnosed with dementia. While there is quite a bit of awareness of the need to take the car keys away from those with dementia when their driving skills become impaired, there is little discussion about another deadly weapon found in many households. As part of the “caring for our aging parents” #Blog4Care blog carnival, please spread awareness about this topic so that families can have discussions about the proper precautions needed in their homes. Perhaps we can help prevent injuries and save lives.

If you’ve been following the news in America recently, there has been a slew of tragic shootings that have once again ignited the gun debate. The issues surrounding gun ownership and gun violence are being passionately debated right now. But one angle of this issue I never thought about before involves seniors and guns.

gun

An intriguing post on Alzheimer’s and Dementia Weekly made the point that more seniors own guns than any other age group. With the increased risk of dementia as one ages, this could create a dangerous situation. The article quotes Dr. Ellen Pinholt, who wrote in the Journal of the American Geriatrics Society that as family members, we should think about seniors and guns the same we do about seniors and driving. While there is no maximum age limit for owning a gun or driving, mental health status should be taken into consideration for both situations.

Dr. Pinholt recommends asking “the 5 L’s” when it comes to gun ownership and seniors. The questions include if the gun is locked, if it is loaded, if there are children present where the gun is located, whether the senior is depressed, and whether the senior has been diagnosed with dementia.

Sounds like simple and sane advice for an issue that is so complex and controversial. Still, I think it is just as important to consider the issue of having a gun in the house as it is allowing a person to drive once they’ve been diagnosed with dementia. It is yet another question to add to the all-important discussion with your elderly parents and the rest of your family.

While stereotypically, these random mass shootings tend to be perpetuated by young men, anyone who has a condition that impairs the brain and impacts judgement and emotions should probably have their access to a gun restricted, to protect themselves and others. I’m not a fan of legislative restrictions on personal liberties, but when someone’s safety and society’s safety is at risk, smart and limited restrictions may be appropriate.

While there is not a good substitute to driving a car, seniors with dementia may be able to handle a replica gun that either shoots a safe-type pellet or even better, a replica gun without ammunition. Of course, immediate supervision would be necessary. As caregivers, we should try to allow our loved ones with dementia to enjoy their hobbies as long as possible, if safety measures can be taken.

What do you think about the issue of gun ownership and seniors, especially those with dementia? Should guns be immediately removed from the household upon a diagnosis of dementia or are there alternative and less drastic solutions to consider?

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Read This Book If You Have Older Parents

Wanted to share this. I can’t wait to read this book and hope it helps others as well as we make our way through this family caregiving journey.

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How should we deal with the unfiltered versions of our loved ones?

I wrote previously about the rumors that the least favorite man in professional sports, Clippers owner Donald Sterling, had Alzheimer’s. It appears that those rumors have been confirmed. USA Today reports that Sterling exhibited symptoms consistent with Alzheimer’s disease after undergoing an extensive neurological examination.

man speaking outline

On the one hand, this development places Alzheimer’s disease in the national spotlight, where it belongs. Unfortunately, because the disease is now associated with a man that so many find morally reprehensible, there is bound to be some backlash.

As I followed the news on Twitter, I found many people who found the Alzheimer’s diagnosis all too convenient, a way to look for sympathy from a public that was left aghast by his vehemently racist remarks that were secretly recorded by his much younger girlfriend. Others simply equated Alzheimer’s with crazy, saying “duh” of course Sterling is a crazy old man.

I hope in the days and weeks to come, as this dirty sports saga plays out in the American media, we can have an honest conversation about Alzheimer’s and behavior. This case raises many interesting questions for me. First of all, I think many of have experienced how those with Alzheimer’s lose their conversational filters, saying whatever comes to mind, whether it is offensive or just strange. Some begin to use profanity when they never did before. Generally I think those of us in the Alzheimer’s and dementia communities understand that this is the disease talking, and those afflicted should not be held responsible for their harsh words. For physically abusive actions, we can try behavior modification techniques and medications.

But the Sterling case is a bit different. There are numerous reports that Sterling had been a virulent racist his entire life, despite winning awards from the NAACP. Has the disease just erased his filter? Should the Sterling family be forced to sell the team for what a mentally ill man said, when he was allowed to be an NBA owner all of this time, even with his racist views?

I’m not raising these questions to defend Sterling; certainly he is a very wealthy man who can afford the best of lawyers and doctors to serve his best interest. But it is interesting to debate how much we should hold those with Alzheimer’s and dementia accountable for their words and actions.

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Want a free copy of a new Alzheimer’s book?

It has been just over a month since “Chicken Soup for the Soul: Living with Alzheimer’s and Other Dementias” was released. So far, the demand has been overwhelming, the reviews extremely positive, and a second printing has been ordered!

Chicken Soup For the Soul: Living With Alzheimer's and Other Dementias

Since I was fortunate enough to be selected as a contributor, I have a few extra copies available. Starting today at noon ET, through Friday noon ET, you can enter a raffle for a chance to receive a complimentary copy of “Chicken Soup for the Soul: Living with Alzheimer’s and Other Dementias.”

Note: You must click on the Rafflecopter link below to be registered for the contest. Rafflecopter is a popular, safe contest platform. You can login through Facebook or with an email address. Follow the prompts on the form to enter the raffle.

Enter the book giveaway

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