Of the many effects of Alzheimer’s disease, perhaps one of the most concerning is the individual’s tendency for wandering as well as the potential dangers that may occur if the senior becomes disoriented or lost. Wandering can take place when the older adult is:
- Scared, confused or overwhelmed
- Trying to find someone or something
- Seeking to keep a familiar past routine (such as going to a job or shopping)
- Taking care of a basic necessity (such as getting a drink of water or going to the bathroom)
The objective is twofold; to help keep the senior safe, and to make certain his / her needs are fulfilled to attempt to prevent the need to wander to begin with. Try the following safety measures in case your senior loved one is likely to wander:
- Be certain that the residence is equipped with a security system and locks that the senior is unable to master, such as a sliding bolt lock above his or her range of vision. An assortment of alarms can be bought, from something as simple as placing a bell over door knobs, to highly-sensitive pressure mats that will sound an alarm when stepped upon, to GPS devices which can be worn, and more. It’s also a great idea to register for the Alzheimer’s Association’s Safe Return Program.
- Conceal exits by covering up doors with curtains, setting temporary folding barriers strategically around doorways, or by wallpapering or painting doors to match the surrounding walls. You could also try placing “NO EXIT” signs on doors, which can sometimes dissuade people in the earlier stages of dementia from trying to exit.
- Another danger for individuals who wander is the additional risk of falling. Look over each room of the house and address any tripping concerns, such as removing throw rugs, extension cords, and any obstacles that may be obstructing walkways, adding extra lighting, and placing gates at the top and bottom of stairways.
It is important to keep in mind that with supervision and direction, wandering is not necessarily an issue. Go for a walk together outside anytime weather permits and the senior is in the mood to be mobile, providing the extra advantage of fresh air, physical exercise, and quality time together.
While often tricky to manage, the dementia care team at Generations at Home has been specially trained to be equally watchful and proactive in deterring wandering and to utilize creative strategies to help seniors with dementia stay calm and happy. Email or call us at 727-940-3414 for more information!
The Alzheimer’s Association has released its 2019 Facts and Figures Report, and with a full 5.8 million Americans currently diagnosed with the disease – including one out of every ten seniors – it’s important for all of us to understand the latest developments in research and treatment options.
According to the report, the number of Americans diagnosed with Alzheimer’s is expected to explode from 5.8 million in 2019 to an estimated 13.8 million in 2050. And while the impact is greatest on older adults, the disease begins to create changes in the brain a full 20 years or more before symptoms are evident.
If you’re one of the millions of family members providing care for a loved one with Alzheimer’s, you’re well aware of the investment in time required: combined with other family caregivers, totaling 18.5 billion hours in 2018 alone. In fact, 83% of dementia care is provided by family and friends. And the impact on a caregiver’s health is significant, with nearly 60% reporting emotional stress and nearly 40% suffering from physical stress.
Risk factors have also been updated in this year’s report, and include:
- Age: Not surprisingly, risk increases dramatically with age, from as little as 3% in the 65 – 74 age group, to 17% in those ages 75 – 84, to a whopping 32% for those age 85 and older.
- APOE gene: Of the 3 forms of the APOE gene (e2, e3, and e4), which transports cholesterol in the bloodstream, the e4 form is linked to the highest prevalence of the disease.
- Family history: Individuals with at least one first-degree relative (parents, siblings) are at a higher risk for developing Alzheimer’s, and the risk increases when shared lifestyle and environmental factors are at play (i.e. unhealthy eating or obesity).
Of significant importance is the finding that although healthcare providers are advised to regularly assess cognitive functioning for all seniors, only 16% of those over age 65 report receiving a routine assessment, and more than half have never received an assessment at all – in spite of the fact that 94% of physicians noted the importance of such an evaluation.
Per Joanne Pike, Dr.P.H., chief program officer for the Alzheimer’s Association, “Early detection of cognitive decline offers numerous medical, social, emotional, financial and planning benefits, but these can only be achieved by having a conversation with doctors about any thinking or memory concerns and through routine cognitive assessments.” Generations at Home remains committed to following the latest developments in Alzheimer’s disease, and to providing the exceptional, highly skilled care that allows for the highest possible quality of life at all times for those with dementia. Contact us online [KW3] or call us at 727-940-3414 for more educational resources related to Alzheimer’s, or to learn more about our specialized in-home dementia care services.
The latest Alzheimer’s data is worrying. The disease is currently the sixth leading cause of death, rising above both breast cancer and prostate cancer combined. And even though deaths from other chronic conditions, including cardiovascular illnesses, are decreasing, those from Alzheimer’s have escalated upwards of 100%. The toll the illness takes on family caregivers is equally shocking, with more than 16 million Americans delivering over 18 billion hours of care for a family member with Alzheimer’s disease.
Though we have yet to uncover relief from Alzheimer’s disease, there are a couple of distinct types of treatment options that may help decrease several of the more predominant symptoms. If your senior loved one was identified as having Alzheimer’s, here are a few Alzheimer’s medication options your doctor may suggest:
- Cholinesterase inhibitors: By hindering the breakdown of acetylcholine, a chemical crucial for memory, attention, learning and muscle activity, these prescription medications can provide some benefits within the mild to moderate phases of Alzheimer’s for many patients. Dr. Zaldy Tan, medical director for the UCLA Alzheimer’s and Dementia Care Program, warns, however, to keep in mind that benefits are likely to be limited at best. “The best-case scenario is that the patient’s memory and cognitive function may improve slightly to what it was six months to a year ago – it’s not going to turn back time,” he explains. Included in this class of medications are galantamine (Razadyne), donepezil (Aricept) and rivastigmine (Exelon).
- Memantine: In the moderate to severe phases of the disease, a doctor may recommend memantine (Namenda) which takes a unique strategy in contrast to cholinesterase inhibitors, preventing the overstimulation of glutamate NMDA receptors which in turn might help improve limited memory function. Doctors will frequently add memantine to a patient’s care plan together with a cholinesterase inhibitor as the disease advances.
Determining the effectiveness of these treatments requires patience, as both take four to six weeks before benefits may be realized. And, it’s important to weigh the benefits versus any adverse side effects, which could include confusion and constipation in memantine, and nausea, vomiting and a low heart rate with cholinesterase inhibitors.
One of the most effective ways to help individuals diagnosed with Alzheimer’s disease live life to the fullest is through engaging the services of a specially trained caregiver who understands and can help manage the varied struggles of dementia. Call Generations at Home for more information about our highly trained, compassionate Alzheimer’s care services for older adults.
The first, interestingly, is a drug utilized to manage HIV. Scientists have discovered that the genetic blueprint in Alzheimer’s patients is altered as the disease advances, very similar to the genetic shuffling that occurs in individuals with HIV. The idea is that placing a halt on the movement of the specific genes can possibly prevent the progression associated with the disease.
As stated by lead scientist Jerold Chun, “For the first time, we can see what may cause the disease. We also uncovered a potential near-term treatment.”
Subsequently, researchers at Mount Sinai have discovered that medications used to lower blood glucose in diabetics, such as metformin, might have a direct impact in the reduction of the plaques and tangles linked with Alzheimer’s disease. While this may be helpful immediately for diabetics with Alzheimer’s who are already taking this medication, further research is needed before testing on Alzheimer’s patients without diabetes as a result of the potential for dangerously low glucose levels and other negative effects. Encouragingly, the study outcomes add an additional piece to the puzzle of dementia.
These findings “…point us to the biological mechanisms that are being affected by those drugs. Hopefully, now we can find drugs that would have similar effects on the brain without changing the blood sugar levels,” remarked Vahram Haroutunian, professor of psychiatry and neuroscience of the Icahn School of Medicine at Mount Sinai.
With as many as 6 million Americans currently diagnosed with Alzheimer’s, and a predicted increase to 14 million diagnoses over the next 40 years, it is vital for medical scientists to acquire ground on more fully comprehending the root cause, effective treatment options, and eventually a cure for this disease which has certainly become an epidemic.
The Alzheimer’s care experts at Generations at Home continue to track these and other advances, while offering the finest quality home care that enhances general wellbeing while providing family members necessary peace of mind. Our caregivers are fully trained and exceptionally skilled in helping manage many of the more complex facets of Alzheimer’s disease, such as wandering, aggression, sundowning, inappropriate behaviors, and much more. And our aim is always to make certain seniors with dementia have the ability to live life to its fullest potential, while remaining secure and comfortable at home.
Contact us online or call us at 727-940-3414 to find out more or to ask about resources to help you and your family member navigate the journey of Alzheimer’s.