Wednesday, April 24, 2013

For Alzheimer's Caregivers, Patience and Compassion Are Key

Expert advice for those facing the challenges

By Serena Gordon

HealthDay Reporter

FRIDAY, Feb. 22 (HealthDay News) -- The picture isn't necessarily pretty when it comes to Alzheimer's disease.

More than 5 million Americans currently have the degenerative brain condition, there's no sure way to prevent it and current treatment options don't work for everyone. Even more millions are tasked with the sometimes difficult and frustrating daily care of those stricken with the memory-robbing disease, often with little experience or training.

But as the number of Americans with Alzheimer's has risen in the past few decades and continues to spiral upward, anecdotal and research evidence has accumulated on ways to make everyday life more bearable for those with the disease and to help those caring for them. It includes expanded knowledge of what works and what doesn't in areas of medication, living situations, everyday contact and more, and ranges from complex to simple solutions.

"There are times that it can be difficult to handle someone with Alzheimer's, but you have to have patience, and you have to put yourself in their shoes," said Teresa Dinau, a caregiver for Home Care Assistance, based in Palo Alto, Calif. "It's important to try to understand what they're going through."

Dr. Jacobo Mintzer, chairman of the Medical and Scientific Advisory Board for the Alzheimer's Foundation of America, said that the biggest initial problem for caregivers is often that "they're trying to preserve the person they knew as long as possible."

"That's usually where they get themselves into trouble," he said. "Because of this desperate need to try to preserve the person, caregivers will put themselves in dangerous situations, like letting the person with Alzheimer's drive because it has always been important to them."

Not pushing someone with Alzheimer's to be who they used to be makes some caregivers feel like they've given up on their loved one, added Mintzer, who's also a physician at the Ralph H. Johnson VA Medical Center in Charleston, S.C.

But he said that's not the case and that there are plenty of safe ways to keep a connection. If someone with Alzheimer's used to like to swing dance, for instance, and you put on music and swing dance with them, it will often be calming, he said. Or, people with Alzheimer's usually enjoy looking at photos from the past, according to the Alzheimer's Association.

Mintzer said there are no treatments currently available to alter the course of the disease. However, two types of medications have been approved in the United States to help with memory loss: a group of drugs called cholinesterase inhibitors (brand names include Aricept, Exelon, Razadyne and Cognex) and memantine (brand name Namenda). However, the Alzheimer's Association reports that these medications don't work for everyone and, on average, delay worsening of symptoms only by about six to 12 months.


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Health Tip: Help Control Eye Allergy Symptoms

Title: Health Tip: Help Control Eye Allergy Symptoms
Category: Health News
Created: 2/22/2013 8:35:00 AM
Last Editorial Review: 2/22/2013 12:00:00 AM

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Cancer Rates Vary Widely by State, Race: CDC Report

Title: Cancer Rates Vary Widely by State, Race: CDC Report
Category: Health News
Created: 2/21/2013 2:36:00 PM
Last Editorial Review: 2/22/2013 12:00:00 AM

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Salmonella Fears Spur Major Recall of Pet Treats

Title: Salmonella Fears Spur Major Recall of Pet Treats
Category: Health News
Created: 2/21/2013 2:36:00 PM
Last Editorial Review: 2/22/2013 12:00:00 AM

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Study: Electronic Prescribing Cuts Medication Errors

Title: Study: Electronic Prescribing Cuts Medication Errors
Category: Health News
Created: 2/21/2013 12:35:00 PM
Last Editorial Review: 2/22/2013 12:00:00 AM

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Tuesday, April 23, 2013

U.S. AIDS-Relief Plan a Success, Report Finds

Title: U.S. AIDS-Relief Plan a Success, Report Finds
Category: Health News
Created: 2/21/2013 12:35:00 PM
Last Editorial Review: 2/22/2013 12:00:00 AM

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'Smarter Lunchroom' May Lead to Healthier Choices

Attractive positioning of fruits and veggies

By Robert Preidt

HealthDay Reporter

FRIDAY, Feb. 22 (HealthDay News) -- A few simple and inexpensive changes to school cafeterias can help encourage children to eat healthier foods at lunch, a new study finds.

The changes included improving the convenience and attractiveness of fruits and vegetables (such as placing fresh fruit in nice bowls or tiered stands next to the cash register) and having cafeteria staff prompt children to choose fruits and vegetables by asking them questions such as, "Would you like to try an apple?"

The "smarter lunchroom" makeover took no more than three hours in one afternoon and cost less than $50, according to the researchers at the Cornell Center for Behavioral Economics in Child Nutrition Programs, in Ithaca, N.Y.

The program was tested in the cafeterias of two junior-senior high schools (grades 7 to 12) in western New York. After the makeover, students were 13 percent more likely to select fruits and 23 percent more likely to take vegetables, according to the study, which was published Feb. 22 in the Journal of Pediatrics.

When researchers recorded what was left on trays after lunch, they found fruit consumption had increased 18 percent and vegetable consumption rose 25 percent. The likelihood that students would eat whole servings of fruits or vegetables increased 16 percent and 10 percent, respectively, they said.

This low-cost, effective approach could help combat rising rates of childhood obesity in the United States, said study author Andrew Hanks. Last year, the U.S. government introduced regulations to make school lunches more nutritious. But children can't be forced to eat these healthier lunches.

The "smart lunchroom" makeover "not only preserves choice, but has the potential to lead children to develop lifelong habits of selecting and consuming healthier foods even when confronted with less healthy options," Hanks noted.

These changes could also prove effective in the cafeterias of hospitals, retirement homes, businesses and other organizations, he suggested.

More information

The Nemours Foundation has more about children and healthy eating.


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