Spring Arbor Living Blog

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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Taking care of a relative suffering from Alzheimer’s can be trying, stressful and emotional as the disease progresses.

Yet many families want to keep their relative close, and provide the best care they can from home. It’s important to remember, however, that you can’t care for someone else if you get too run down yourself.

Here are some tips for caregivers that can help you stay healthy and be better able to provide the patience and understanding necessary to the care of their loved one.

1. Share the responsibility. Being the sole person responsible for your loved one’s care can be too much. When you’re run down, stressed out or frustrated you won’t be a good caregiver, and you won’t be doing yourself any favors. Going on too long without a break can lead to emotional and physical health deterioration in your health. Get other family members to help so you have time to yourself as well.

2. Take time for yourself. Make time for the activities that you love at least once a week. Lowering your stress levels will reduce your risk of illnesses and make you feel mentally better. You also want to make sure that you’re nurturing your relationship with your children and family. Caring for a loved one takes a lot of time, but spend time with others as well.

3. Don’t blame yourself. When caring for someone with a disease like Alzheimer’s, accidents will inevitably happen now and again no matter how careful you are. Don’t put all the blame on yourself and further stress yourself out. If you’re doing the best you can, understand that you cannot plan for or prevent every possibility. Learning to relax a little and step back will give you some perspective and lower your stress levels.

4. Join a support group. Don’t go through the stress of caring for someone with Alzheimer’s alone. Caretakers can find support groups. There are numerous websites and blogs dedicated to providing advice, support and laughs to lighten the mood. Finding emotional support is key to keeping yourself mentally healthy and able to care for your loved one.

While being a caregiver can sometimes feel like an all-consuming task, it’s important to pull out a few moments each day to think about yourself and your health. If you are happy, healthy you will be able to provide care and take care of your life as well.

Understand that there are Alzheimer’s care facilities that can meet your needs where your loved one can be happy. Contact Spring Arbor Living in your area for information when the time comes where you feel you or your loved one may be better off with professional care.
 
Original article – Alzheimer’s Reading Room

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Alzheimer's is the most common type of dementing disease afflicting the elderly. There are approximately 4 million people suffering from this disease. The millions of people who suffer from this disease must be cared for either at home or in a care facility.

Caring for an Alzheimer's patient at home

About two thirds of those suffering from this disease are cared for at home by family, usually a spouse. As the disease progresses it carries with it a huge burden both physically and psychologically on the care givers. It is vital that the care giver access support systems that can provide reassurance, support groups, literature and strategies for coping with someone who has the disease.
 
Too often the strain becomes too much for a spouse trying to cope all alone with an Alzheimer's sufferer and they themselves have a physical or mental breakdown.

Choosing the right type of care facility

As the burden of care increases many families seek care for their family member outside the home. Finding the right Alzheimer’s care facility can be a difficult process encompassing many concerns.

Understanding the level and type of care facility where your family member is most appropriately cared for is critical. Choosing Assisted Living communities with levels of care is important. Too often families will place an Alzheimer sufferer at the wrong level, either in a facility that offers more assistance than the family member needs or worse making the family member cope with living in a facility that doesn't have the necessary support services required to meet their needs.

Contact Spring Arbor in your area. We understand the needs of those suffering from Alzheimer’s disease we can match their needs with our custom care plans.

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If you have a loved one suffering from Alzheimer’s Disease, visits are hard. You may try to convince yourself that you don’t need to go; they don’t know you are there. But visitors are important to people with Alzheimer's. They may not always remember that you came, or who you are, but the human connection has value. If you or someone you know is planning on visiting someone with the disease in an assisted living community, here are some ideas.

• Visit at the time of day when the person with Alzheimer's is at his or her best.
• Bring along an activity, something familiar to read or photo albums to look at, but be prepared to skip it if necessary.
• Be calm and quiet. Don’t talk loudly or talk to the patient as if they are a child.
• Respect the patient’s space, don’t get too close.
• Try to establish eye contact and call the person by name to get his or her attention.
• Remind the person who you are if he or she doesn’t seem to recognize you.
• Don't argue if the person is confused. Be responsive to their feelings. Distract the patient to a different topic if needed.
• Please don’t take it personally if your loved one doesn’t recognize you, is unkind, or responds angrily. They are reacting out of confusion.

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If you or someone you know is experiencing any of the signs of Alzheimer’s Disease, please see a doctor. Early diagnosis gives you a chance to seek treatment and come up with a plan for the future.

Memory loss that disrupts daily life
One of the most common signs of Alzheimer's is memory loss, especially forgetting recently learned information. Others include forgetting important dates or events; asking for the same information over and over; relying on memory aides or family members for things they used to handle on their own.

Challenges in solving problems
Some people may experience changes in their ability to develop and follow a plan or work with numbers. They may have trouble following a familiar recipe or keeping track of monthly bills.

Difficulty completing familiar tasks at home
People with Alzheimer's often find it hard to complete daily tasks such as driving to a familiar location, managing a budget at work or remembering the rules of a favorite game.

Confusion with time or place
People with Alzheimer's can lose track of dates, seasons and the passage of time. They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are or how they got there.

Trouble understanding visual images and spatial relationships
For some people, having vision problems is a sign of Alzheimer's. They may have difficulty reading, judging distance and determining color or contrast. In terms of perception, they may pass a mirror and think someone else is in the room. They may not realize they are the person in the mirror.

New problems with words in speaking or writing
People with Alzheimer's may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may repeat themselves. They may struggle with vocabulary; have problems finding the right word or call things by the wrong name.

Misplacing things and losing the ability to retrace steps
A person with Alzheimer's disease may put things in unusual places. They may lose things and be unable to go back over their steps to find them again. Sometimes, they may accuse others of stealing. This may occur more frequently over time.

Decreased or poor judgment
People with Alzheimer's may experience changes in judgment or decision-making especially with money.  They may pay less attention to grooming or keeping themselves clean.

Withdrawal from work or social activities
A person with Alzheimer's may start to remove themselves from hobbies, social activities, work projects or sports. They may have trouble keeping up with a favorite sports team or remembering how to complete a favorite hobby.

Changes in mood and personality
The mood and personalities of people with Alzheimer's can change. They can become confused, suspicious, depressed, fearful or anxious. They may be easily upset at home, at work, with friends or in places where they are out of their comfort zone.

If you or someone you love is suffering from any or all of these signs, contact a doctor and visit an assisted living care community with specific Alzheimer’s care options.

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