Live Free Home Health Care, LLC. - Bristol, New Hampshire

All posts within: depression

Friday, November 13, 2009

Alzheimer’s: The Rising Epidemic

Activities and Communication Tips for a Better Quality of Life

(Central New Hampshire – November 4, 2009) – Alzheimer’s Disease has been a hot topic in recent headlines, and for good reason. The progressive, degenerative neurological disease for which there is presently no cure affects an estimated 35 million people worldwide – a 10 percent increase over 2005. According to the 2009 World Alzheimer Report, the number of people with Alzheimer’s is projected to double every 20 years, to 65.7 million in 2030 and 115.4 million in 2050. Worldwide, the estimated annual economic cost of dementia is $315 billion. Every 70 seconds, someone in the US develops Alzheimer’s, according to the Alzheimer’s Association. As the more than 77 million American baby boomers begin reaching the age of greater risk, this disease and its effects simply cannot be ignored.

Because many in our local community are affected in some way by Alzheimer’s or dementia, Live Free Home Health Care is helping raise awareness of the enormous impact of this increasing epidemic. The disease can take a physical, emotional and mental toll on patients, families and caregivers. As communication skills fade for a person with Alzheimer’s, caregivers often find it frustrating to support the person’s sense of self while trying to minimize skills that may be compromised due to the disease.

“With Alzheimer’s, a daily routine is essential,” said Jennifer Harvey RN, BSN, Owner, Clinical Director of Live Free Home Health Care. “Activities that are done regularly, even at the same time every day if possible, may help establish routine and increase the person's sense of stability. Following structured activity ideas that involve and interest the person w/ Alzheimer’s will help minimize the disturbing behaviors associated with the disease,” such as agitation, anger, frustration, depression, wandering or rummaging.

Harvey offers the following structured activity ideas for helping Alzheimer’s patients experience a better quality of life:

• Motor: Take a walk, do chair exercises, stretch, or even do a dance using just the hands – the important thing is to encourage some sort of movement.
• Sensory: Listening to music on tapes or CDs (not the radio, as commercials can be confusing) while looking at old photographs, watching TV or movies, looking at picture books, sniffing perfume, soap and spices, or working on basic art projects are beneficial to the patient. Be careful to avoid sensory overload by eliminating competing noises.
• Interactive: Invite friends or relatives over for tea or coffee, reminisce, asking basic questions while looking at old photos, play simple card or board games, or try pet therapy (be sure to match the animal’s activity and energy level with that of the individual).
• Cognitive: Practice computerized memory exercises, do simple crossword puzzles or word finds, play games such as “Simon Says” or “I Spy”.

Because Alzheimer’s gradually diminishes a person’s ability to communicate, it is important to help people with dementia express their thoughts and emotions, as well as help them understand others. Here are some tips to help in communication and understanding:

• Create a ‘kind voice,’ talking slower, lower and clearly, smiling in the process.
• To orient the person and obtain his or her attention, call the person by name, identify yourself, and be sure to approach from the front so there are no surprises.
• Ask one question at a time, using short simple words and sentences.
• Avoid using logic and reason, as well as quizzing.
• Avoid criticizing, correcting or arguing, and do not take any negative communication personally.
• Let the person know you are listening and trying to understand what is being said by maintaining eye contact, being careful not to interrupt.
• Patiently wait for a response as extra time may be required to process your request; repeat information and questions. If there is no response, wait a moment before asking again.
• Focus on the feelings, not the facts, as sometimes the emotions being expressed are more important than what is being said.
• Let the person think about and describe whatever he or she wants.

If you fear someone you love may be showing signs of dementia or early stages of Alzheimer’s disease, Live Free Home Health Care recommends a memory screening. Though a memory screening is not used to diagnose any particular illness and does not replace consultation with a qualified physician or other healthcare professional, it is a good first step towards diagnosis and treatment. For more information about memory screenings in the local community or dementia and depression in older adults, please contact Live Free Home Health Care.

About Live Free Home Health Care, LLC:

Serving central and northern New Hampshire, Live Free Home Health Care, LLC is dedicated to providing top quality care in the comfort of home as an alternative to assisted living facilities or nursing homes. Family owned and operated, Live Free Home Health Care offers a wide range of services, from companion care and assistance with activities of daily living to skilled nursing, and all care is supervised and updated by a registered nurse. Live Free Home Health Care also offers medical alert systems to provide extra peace of mind should an emergency care need arise. Whether the need is for short or long term care, Live Free Home Health Care’s compassionate staff promises to treat each client respectfully and like a cherished family member. For further information, contact (603) 217-0149 or visit www.LiveFreeHomeHealthCare.com.

Tags:   Alzheimer's Disease, better quality of life, caregiver, communication, dementia, depression, Jennifer Harvey

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Thursday, October 29, 2009

Holiday Blues - Depression in the Elderly

The holiday season is quickly coming upon us. If you are a caregiver for an elderly loved one, you may notice a change in your loved one's mood as the holidays approach. Perhaps you are one of many, who visit elderly parents and family during the holidays who live a distance away. When you visit you may notice that loved ones are not as physically active, or they show symptoms of fatigue or sadness and have no interest in the holiday or in their surroundings.

According to the National Institutes of Health; of the 35 million Americans age 65 or older, about 2 million suffer from full-blown depression. Another 5 million suffer from less severe forms of the illness. This represents about 20% of the senior population -- a significant proportion.

Depression in the elderly is difficult to diagnose and is frequently untreated. The symptoms may be confused with a medical illness, dementia, or malnutrition due to a poor diet. Many older people will not accept the idea that they have depression and refuse to seek treatment.

What causes depression in the elderly?

It is not the actual holiday that causes depression, but the fact that holidays tend to bring memories of earlier, perhaps happier times. Additional contributing factors that bring on depression may be the loss of a spouse or close friend, or a move from a home to assisted living, or a change with an older person's routine.

Depression may also be a sign of a medical problem. Chronic pain or complications of an illness or memory loss can also cause depression. In addition, diet can also be a factor when proper nutrition and vitamins are lacking.

As an example, Selma’s husband passed away, a few months before Christmas. Her family lived close by and would call or drop in often to check on her. Selma seemed a little preoccupied and tired, but this was to be expected as she had been the caregiver for her husband for many years. It wasn’t until the family noticed that her holiday decorations were not out and her yearly routine of Christmas card writing was not happening that they began questioning her mental and physical well being.

A trip to her physician confirmed depression, caused by not only the loss of her spouse, but a vitamin B12 deficiency. There were both mental and physical reasons for her depression.

Symptoms to look for in depression might include:

• Depressed or irritable mood
• Feelings of worthlessness or sadness
• Expressions of helplessness
• Anxiety
• Loss of interest in daily activities
• Loss of appetite
• Weight loss
• Lack of attending to personal care and hygiene
• Fatigue
• Difficulty concentrating
• Irresponsible behavior
• Obsessive thoughts about death
• Talk about suicide

How do you know if it is depression or dementia?

Depression and dementia share similar symptoms. A recent article on Helpguide.org gives some specific differences:

In depression there is a rapid mental decline, but memory of time, date and awareness of the environment remains. Motor skills are slow, but normal in depression. Concern with concentrating and worry about impaired memory may occur.

On the other hand, dementia symptoms reveal a slow mental decline with confusion and loss of recognizing familiar locations. Writing, speaking and motor skills are impaired and memory loss is not acknowledged as a being problem by the person suffering dementia.

Whether it is depression or dementia, prompt treatment is recommended. A physical exam will help determine if there is a medical cause for depression. A geriatric medical practitioner is skilled in diagnosing depression and illnesses in the elderly. If you are a care taker of an elderly person it may be beneficial for you to seek out a geriatric health care specialist. For more information on senior health services go to http://www.longtermcarelink.net/about_senior_health_services.htm or visit our website at www.livefreehomehealthcare.com.

Treating depression in older people.

Once the cause of depression is identified, a treatment program can be implemented. Treatment may be as simple as relieving loneliness through visitations, outings and involvement in family activities. In more severe cases antidepressant drugs have been known to improve the quality of life in depressed elderly people. Cognitive therapy sessions with a counselor may also be effective.

As a care giver or family member of a depressed older person, make it your responsibility to get involved. The elder person generally denies any problems or may fear being mentally ill. You can make the difference in and remove the Holiday Blues from seniors suffering from depression.

The Geriatric Mental Health Foundation offers a “Depression Tool Kit.” To read more about the tool kit and depression in the elderly go to http://www.gmhfonline.org/gmhf/consumer/depression_toolkit.html

Tags:   caregiver, dementia, depression, holiday blues

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