Spring Arbor Living Blog

Alzheimer’s disease can be challenging for the person diagnosed and for their family members and loved ones. Each day can bring new demands as the Alzheimer’s patient and family tries to cope with changing levels of ability and new patterns of behavior. Caring for a loved one with Alzheimer’s disease can often seem overwhelming, but the more information you have, the better you can handle the future. Start by learning about ways to care for a loved one with Alzheimer’s disease, as well as where to find support, and how to determine the long-term care options that are best suited to you and your loved one.

There are some Alzheimer’s care preparations that should be done in the early stages of the disease. It may be hard to consider these questions, however, making preparations early helps for a smoother transition for everyone. Depending on the stage of Alzheimer’s at diagnosis, it is important to include the patient in the decision-making process as much as possible.
 
Questions to consider in preparing for Alzheimer’s and dementia care:

Who will make healthcare/financial decisions when the person no longer can? While a difficult topic to bring up, if your loved one is still lucid enough, getting their wishes down on paper means they’ll be preserved and respected by all members of the family.

How will the memory care needs be met? Sometimes other family members assume that a spouse or nearest family member will be the caregiver, but that is not always the case. Caregiving is a large commitment that gets bigger over time. The patient will eventually need round-the-clock care. Communication is essential to make sure that the needs of the Alzheimer’s patient are met, and that the caregiver has the support to meet those needs.

Where will the person live? Is his or her home appropriate, or is it difficult to access or make safe for later? If the person is currently living alone, for example, or far from any family or other support, it may be necessary to relocate or consider an assisted living community with support and custom care plans based on the level of memory care needed.

For information on memory care in North Carolina and Virginia contact Spring Arbor.

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Assisted living communities provide a type of housing for people who need various levels of medical and personal care. The goal of Spring Arbor Living is to provide a home-like setting and is designed to promote the patients’ independence. Services are offered to assist residents with daily living.

What Services Do Assisted Living Communities Provide?
Generally the services provided by assisted living communities vary from facility to facility. Services in various facilities often include:

• One to three meals a day
• Monitoring of medication
• Personal care, including dressing and bathing
• Housekeeping and laundry
• 24-hour emergency care
• Varying medical services
• Social and recreational activities

How Can I Know What Services my Loved One Needs?
Talk with your family, caregivers and patient about what services are needed from an Alzheimer’s Care Facility. Take time to consider what services are important before you visit the assisted living communities. This will help ease the transition. Think about these questions:

• How soon do you want/need to change the patients’ residence?
• What daily activities do they need help with (bathing, dressing, toileting, eating)?
• How often do they need help?

For more information or to set up an appointment contact Spring Arbor Living in your area.

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As our population ages, people with chronic cardiovascular disease, including atrial fibrillation (or irregular heartbeat), are living longer. In a study reported in the journal Heart Rhythm (Volume 7, page 433) researchers reported that atrial fibrillation may be associated with an increased risk of developing dementia and Alzheimer's disease.

Over 37,000 people, average age 60, from the ongoing Intermountain Heart Collaborative Study database were evaluated for signs of atrial fibrillation and for Alzheimer's disease or vascular, senile or nonspecific dementia. During an average of five years' follow-up, 4 percent developed dementia and 27 percent developed atrial fibrillation.

Atrial fibrillation was associated with each of the four types of dementia, independent of other cardiovascular diseases. The youngest group with atrial fibrillation (under age 70) had the highest risk of dementia; dementia is linked to older age, so this finding suggests the relationship between atrial fibrillation and dementia is particularly strong. Atrial fibrillation was also linked with the highest risk of death.

Take away: Because subjects with atrial fibrillation were identified as having higher risks of dementia and death, people with cardiovascular diseases -- who are urged to consider measures like diet, exercise, medication and avoiding tobacco for their heart disease -- might want to take these steps also to prevent or delay the development of Alzheimer's.

All the facts you need to make informed decisions if you have to confront Alzheimer's disease -- the most common cause of dementia

Written by Dr. Peter V. Rabins, director of the Division of Geriatric and Neuropsychiatry at the Johns Hopkins School of Medicine and Medical Editor of the Johns Hopkins Memory Bulletin, Diagnosing and Treating Alzheimer's Disease is an indispensable resource for anyone concerned about Alzheimer's disease. This new report provides all the facts you need to make informed decisions if you have to confront Alzheimer's disease. You'll learn how Alzheimer's is currently diagnosed ... the existing drugs that are used to treat it ... and various new therapies that may someday provide better treatment.

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