Friday, May 24, 2013

Wednesday, October 03, 2012 student17 asks

Q: How does Alzheimer's change a loved one and what behavioural changes can be expected?

I am a student writing a short story about a sufferer of Alzheimer's and in particular the effect the disease has on them and the people they are closest to. I would appreciate any information you could provide me on how sufferers change and how you as a carer, family member or friend cope with this change. Thank you for your help, it is much appreciated and needed to make my story accurate.

 

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Answers (2)
AFA Social Services, Health Guide
10/ 4/12 8:57am

First, Alzheimer’s disease is considered a progressive neurodegenerative illness, which means that the illness will cause more and more brain cells to become damaged over time.  The result of this ongoing brain damage is a continual loss in the ability to think and function correctly.  Alzheimer’s disease affects the whole brain in time, but not all at once.  This is why in the early stages there are minor symptoms in some areas of functioning, and later in the illness there are major symptoms in nearly all areas of functioning. Currently, there is no cure for Alzheimer’s disease, all of the available medical treatments approved by the FDA may slow the progression of symptoms of the illness, but do not reverse the damage and fix the symptoms. 

 

The important aspect of this disease to recognize is that no case of Alzheimer’s disease is the same. In general, symptoms typically progress two to 20 years, with an average of eight years. There are certain symptoms that are characteristic of Alzheimer’s disease—but, again, they do not appear in every individual. These include a loss of short term memory (what they ate for breakfast or what was said five minutes ago), problems expressing thoughts or comprehending requests (trouble finding the right words or calling something by the wrong name), difficulty or inability to carry out activities of daily living (dressing, bathing, paying bills), changes in personality (becoming aggressive when they were always mild-mannered), confusion or disorientation to time, place, or person, unexplainable mood swings, loss of initiative in starting or completing activities, aggression, agitation, and depression. People with Alzheimer’s disease tend to experience confusion and disorientation, which can influence their perception of reality.

 

The Alzheimer’s Foundation of America recently released a Harris Interactive survey, “Alzheimer’s Caregivers: Behavioral Vs. Cognitive Symptoms,” which will provide you with more insight into symptoms and how caregivers are coping. One major finding is that the majority of caregivers cope by talking to family and friends, and doing physical and mental activities. You can read the survey findings at: http://www.alzfdn.org/Surve /Alzheimer%27s%20Caregivers%20Study%20090612.pdf

 

Along these lines, there are multiple resources that can help individuals cope with this disease process. Getting educated is a big starting point—whether by attending educational conferences, reading Web sites, obtaining information from national and local Alzheimer’s groups, etc. Support groups are an enormous help. Support groups not only provide a source of helpful information and tips on care strategies and services, but they also offer a safe and confidential place to simply unload some of the intense emotions brought on by the caregiving role.  Many qualified professionals, such as social workers and nurses, offer support groups at various community settings. In addition, individuals find going to 1:1 therapy helps alleviate the stress, anger, and frustrations when caring for an individual with Alzheimer’s disease. Lastly, it is important for caregivers to focus on their self-care so that they have the energy and health needed to continue caring for their loved ones.  Many caregivers find exercising, eating a balanced diet, and getting enough sleep will alleviate some of the stress brought on by caring for someone with Alzheimer’s disease. Having a strong support network, such as friends, family and colleagues is important, because these relations can provide emotional support when necessary.

 

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10/ 4/12 2:15pm

Thank you so much for the feedback!

This information is really helpful and vitally needed in order for my story to be accurate and truly representative of this illness. 

 

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Dorian Martin, Health Guide
10/30/12 12:16pm

Hi, Student 17,

 

I'm sorry for the delay in answering your question. In my Mom's case, some things remained the same while other times, Mom was totally different.

 

Let me describe --

 

Mom remained the same in that she was strong willed and wanted to remain independent. I joked with the nursing home staff that Mom would go up and "fire" them when they didn't do what she wanted, which I think was a throw back to her years running a small business (although she never fired anybody).

 

However, she did change. She became paranoid about things. I often had to use a "white lie" to help calm her down. For instance, she was sure that my dad was stealing from her. That wasn't the case. The lie I told was that my cousin (who is a stockbroker and who Mom trusted) had told me that all was well for her financially and that she shouldn't worry. That seemed to ease her mind....until she forgot about it and then would make the same claim. So it often was a broken record.

 

I also saw Mom have more mood swings due to the Alzheimer's. I learned that as a caregiver, if I could project a calm "Zen-like" approach to her, she'd eventually mirror it back to me and relax.

 

Another change that I saw was that Mom couldn't make decisions. Prior to Alzheimer's, Mom had been very creative and had co-owned a fabric store with my father. She loved to create complex outfits with various color combinations. However, she lost that ability when she had Alzheimer's. That was reinforced for me when I took a coloring book and a box of 96 crayons into the nursing home as an activity. Mom was really stumped about picking colors and ended up selecting three gray crayons. I was just amazed to see this change and realized then that I really needed to simplify any conversation, task or activity that she was engaged in so that she could handle it.

 

I hope this helped. Good luck with your story!

 

Dorian

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By student17— Last Modified: 10/30/12, First Published: 10/03/12