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The brains damaged by Alzheimer's desease in
comparing with,  healthy brains.


Hint one

Where you have noticed any of the following changes:
Speech disorders;
Poor orientation in time and place;
Changes in mood and behaviour;
Changes in personality;
Misplacing familiar things and items;
Difficulties completing simple and familiar tasks;
Decreased or poor judgement;
Decreased ability to focus on a specific item or matter;
Avoidance of taking any initiative;
Loss of or weakened memory;

September 21 - the International Alzheimer’s day.

 
 
   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   
   
   
   

Last Updated: 24-11-2009

Page. 61

 

WE RECOMMEND:


Do not delay, apply to a doctor immediately.
2. Ask for an appointment to visit a neurologist or psychiatrist.
3. A neurology or psychiatry specialist may perform an MMSE – a simple question-an-answer test;
4. Where your score of the test is below 28 points the doctor must make arrangements to have the computer tomography performed (or please ask for such an appointment).
5. With the two findings at hand the specialist physician will be able to determine the nature and the level of mental deficiency, or dementia.
6. Where you have been complaining of memory failures, and the tomography results do not show any brain tumour or any vascular diseases, you might be presumed to be affected with Alzheimer‘s.
7. Do not get scared and immediately start using the medication that the doctor prescribes to you.
8. Avoid any drastic changes in your routine life, or getting nervous, try to stay active.
9. Whenever you feel you lack information please call the Alzheimer‘s Association, join the Alzheimer’s‘ club, and get hold of a copy of the magazine "Alzheimer’s. What is it?“. .

 

Hint two

Where you or any of your kin have been diagnosed with Alzheimer’s, do not panic. This won’t help. Please try to calm down and bear in mind that being nervous or anger will do you no good.

Hint three

Do not enter into any arguments with the patient. The patient in all cases will remain right. Do not attempt to persuade him he is sick. In most cases such patient will seek to prove that it is you who is the sick one. Where the patient refuses to acknowledge the disease, leave it that way – it makes no difference, anyway.

Hint four

The person who takes care of the patient is best familiar with the tricks and other weird things that the patient tends to do. Therefore, medication and nursing are absolutely necessary and indivisible aspects of taking care of such patient. Where the patient’s file does contain the Alzheimer’s code F001 (used by psychiatrists) or F003 (used by neurology specialists), then according to the relevant resolutions of the Ministry of Health of the Republic of Lithuania such patient will not be provided the necessary treatment, even though you might be absolutely sure that you deal with Alzheimer’s. Therefore our very string advice is to have a good look at what is written in the patient’s medical records.

Hint five
 

Alzheimer‘s disease is a neurological disorder. Therefore carefully avoid the patient getting used to any antidepressants, sedatives, downers any other chemical psychotropic medication. That may destroy the patient’s balance of mind and you will be the one to face the consequences and bear the hardships!

Hint six

Do not forget yourself! Take very good care of yourself, too!
Spare your nerves and your peace of mind!
Where you, as the one taking care of an Alzheimer’s patient, lose your strength, there will be nobody else to take care of your dear person. Of course, if the patient is someone who is dear and precious to you.

Hint seven

Make sure you still have your own life, and maintain your freedom for action. Do not rush to do anything the patient wants or try meeting all his fancies. For instance, one minute the patient is dying for smashed potatoes, and a second later he wants a cup of tea. So, whatever you make for him will be good enough, only make sure it is fresh and sufficiently nutritive. You might often see the patient, immediately after a meal, complaining to other members of the family that nobody gives him any food. But do not argue with him, let it stay his way.

Hint eight

Where you have noticed the patient finds it difficult to memorise your verbal instructions or requests, write out notes. Use short, very specific and clear wording.

Hint nine

When addressing the patient, speak short sentences. Avoid giving numerous tasks at a time.

Hint ten

Let the patient keep himself occupied with something that he is used to, or is well familiar with. Avoid changing the location of any items. Do not deprive him of a possibility to do something he likes. Sure at the same time stay watchful whether the patient is not doing something he should not.

Hint eleven

Every person has some clothing he likes most of all. Where the patient‘s clothing becomes worn out replace them with some clever explanation - tell him you have taken his belongings to the dry cleaner’s or brought to a seamstress to have them fixed.

Hint twelve

An Alzheimer’s patient may develop a great liking for sugar and start using sugar in big quantities. Simply take the sugar away, hide it somewhere, keep it away from his reach; though put a little more than usual into his tea or coffee.

Hint thirteen

Where the patient you are taking care of likes to go out alone - no problem where you have been living in the house or a location for a long time already. However, do not forget to put into the patients' pocket a note with the patient's name and address, to be on the safe side, write down one or several telephone numbers. Where the place is new to you and the patient it may turn quite dangerous – the patient may easily lose his way. Stay alert!

Hint fourteen

Where the patient refuses to carry the note of his name and telephone number, think of something else. Maybe a plastic card would do, and it looks nicer too. Or you might think of a metal chain on the hand with the important data engraved on it, and a hint to the peculiarities of the disease, or you might think of fix a little cloth tag to his clothes with the patient’s data.

Hint fifteen

It is advisable to more often offer to the patient something to drink, use more liquids.

Hint sixteen

If the patient is anxious and restless offer him valerian or some sedative herbal tea.

Hint seventeen

The patient may develop fear of darkness, however he would often not dare to admit. You might notice at night time he does not switch off the light in his room. Let it be. Bring for him a little reading lamp, put it close to his bed and patiently teach him to switch it on and off.

Hint eighteen

An Alzheimer‘s patient may lose his feeling of hunger or fullness. You should take good care that the patient has regular, healthy and sufficient meals. The patient may refuse saying he is not hungry. Do not argue and do not try to make him eat. Simply stay calm and invite him to have his meal. He may angrily refuse, so just wait a couple of minutes later and call him again like nothing happened.

Hint nineteen

Where the person you are nursing prefers to cook himself - that's very good. Try to ensure he keeps the habit alive as long as possible. Only make sure he could do that absolutely safely.

Hint twenty

Do not try to do everything for the patient!
You might think that you may do that quicker and easier, but that is a wrong attitude. Compose all your patience and try as calm as you can watch whatever the patient is doing very slowly. Although very slowly let him continue doing whatever he prefers – wash his face, get dressed, prepare a meal for himself, make himself a cut of tea, peel potatoes or wash up. Whenever you feel it is necessary, give him a calm advice, or you could even encourage him in some subtle way to continue.

Hint twenty one

Avoid injuring the patient’s self-esteem – do not speak of him as a disabled, particularly, in his presence, do not let him feel to be a burden. Only if the patient feels he is respected and loved, it will be much easier to communicate with him and come to terms. If an awkward situation develops your sense of humour may help you find a way out.

Hint twenty two

Alzheimer’s patients very often have some favourite toys (a stuffed toy, pillow, own or his parents' picture in youth), a favourite food (an apple, tea, honey), or some favourite occupation (go through some old album, listen to music or knit). Offer the patient to do something he likes whenever you wish to keep him occupied or calm him down.

Hint twenty three

It would be much better if you simply say it out to you family friends and neighbours of the disease that your family member got sick with. Then you will be able to continue communicating with them and will not have to stay isolated within the four walls. Let everybody know that Alzheimer‘s disease is not a mental disease, and any of us may develop it, and that this is not something to be ashamed of, but is rather an overwhelming problem.

Hint twenty four

Where you feel really bad, try to recall something that is good!
Try to think of something beautifu!
Look at a flower and enjoy its perfect beauty.
Open up your favourite book and read an interesting paragraph!
Pick up some old photographs and and try to remember the old days.

Hint twenty five

Try to locate other people that are dealing with a similar situation. Talk to them, share your feelings and concerns – you will find it much easier to deal with your problems and cope with all difficulties.

Hint twenty six – the one that could be repeated over and over again

DO NOT argue! DO NOT try to prove anything! DO NOT get nervous!

Hint twenty seven

The patient may find it difficult to speak, or pick up the right words. He may even cease being able to speak articulately whatsoever. Try to console and comfort him – that is a symptom of the disease. Only talk to him, try to maintain conversation, only avoid growing impatient or nervous.

Hint twenty eight

If you see the patient eating slowly and his meals last long – let him do that. Do not rush him. Stay polite, calm and self-possessed – that‘s what makes you strong!

Hint twenty nine

The patient is slowly getting dressed, is messing around, growling and complaining about it being too hard for him – ignore it. Let him take as much as he needs to get dressed. If you are not in a hurry, keep on doing whatever you have to, or make yourself a cup of coffee – just to have a minute of relief.

Hint thirty

Your patient may be quite unhappy about you leaving the house. Do not give in! Do not show to the patient you feel bad about that! Do not let him terrorize you. If you give in once, later on finding a compromise will become even more difficult. Whenever you feel like just going out for a walk and getting away from your daily routine – do not say this to your patient. Just mention you need to go shopping or run some other errands.

Hint thirty one

Would you think your patient could find cross-words amusing. That would be perfect! Let him keep himself busy solving cross-words, just provide some of those for him.

Hint thirty two

Where  you see the patient reading the same magazine or book he likes over and over again, do not attempt to take it away from him. Let him continue reading whatever he likes.

Hint thirty three

Do not attempt to change the environment that normally surrounds the patient. Even taking him to hospital can grow for him into an extremely stressful experience. You might find placing the patient to hospital relieving for some time, but when he comes home the difficulties and concerns may have grown more acute as they had been before.