For more information about the author, click to view their website: https://www.saintalphonsus.org/location/saint-alphonsus-regional-medical-center-boise-1
Alzheimer’s
and Dementia – What’s the Difference?
People often ask, what is the difference between Alzheimer’s
and dementia.
Alzheimer’s is one of many types of dementia. In fact, it is
the most common type of dementia. Dementia is the umbrella term for diseases
that present as a decline in memory and/or thinking skills resulting in
impairment of daily functioning observed over six or more months. Dementia,
also called major neurocognitive disorder, can be caused by many different
medical and neurological conditions. Other types of dementia include but are not
limited to vascular dementia, Lewy Body dementia, frontotemporal dementia and
Parkinson’s dementia.
Alzheimer’s dementia is due to amyloid plaques and tau
tangles in the brain that cause cell dysfunction and death eventually resulting
in loss of daily function. It develops over more than 20 years before it starts
to cause symptoms. People often first notice trouble with short term memory.
While all of us can experience some difficulty with short term memory as we
age, memory loss is worrisome for possible dementia when it interferes with the
ability to complete routine daily tasks such as managing finances, medications,
driving, or cooking.
You should see a health care provider if you are worried
about memory loss so they can explore this with you further. Your health care provider may be able to
identify reversible or treatable causes of memory loss that are not dementia
such as depression, a sleep disorder or medication side effects. Your provider may choose to run some blood
tests and conduct head imaging (brain scan) to further understand cause(s) of
your memory loss.
Aside from brain autopsy we do not have one definitive,
widely available test for Alzheimer’s disease.
This means a health care provider will do a series of tests to determine
the most likely cause of your symptoms.
There are some recent advancements in blood tests, cerebral spinal fluid
tests and head imaging that help us with the diagnosis of Alzheimer’s dementia,
but these are not often covered by insurance. These tests will likely be
covered by insurance in the future once we have more effective treatment
options for the disease.
Currently there are only a few treatment options for Alzheimer’s
dementia, none of which cure the disease. These medications are only thought to
slow the cognitive decline in select group of individuals. One group of
therapies are called acetylcholine esterase inhibitors such as donepezil
(Aricept) or rivastigmine (Exelon) The other class is NMDA receptor blocker
called memantine (Namenda). These two classes of drugs have been around a long
time with limited benefit.
Recently a new class of Alzheimer’s drugs have been
approved, anti-amyloid monoclonal antibody infusion therapies; aducanumab and
lecanemab. Aducanumab was the first to
be approved which did demonstrate a reduction of amyloid in the brain but studies
resulted in no clinical data to support that it provides any observable benefit
to the patient. The other medication lecanemab reduced amyloid in the brain as
well and demonstrated minimal to moderate slowing of cognitive decline in clinical
trials. Neither of these two newer drugs are covered by insurance but they may be
covered in the future. Veterans
Administration does currently cover lecanemab for veterans who meet specific
criteria. There are many more
anti-amyloid and anti-tau drugs in the clinical trials, and I suspect we will
see more diagnostic tests and treatments for Alzheimer’s gain FDA approval over
the next several years.
Most importantly, everyone should know that 40% of all
dementias can be prevented or the onset delayed by adopting a healthy lifestyle
and addressing potentially modifiable risk factors (e.g., hypertension,
diabetes, hearing loss). There is
scientific evidence to support that the following are effective ways to reduce
your risk of developing dementia; regular exercise, a healthy Mediterranean
diet, weight loss, treating heart disease especially hypertension, getting
restorative sleep, quitting smoking, avoid excessive alcohol use, early
treatment of hearing loss, and stay socially and intellectually engaged.
By the end of 2023 Saint Alphonsus will be starting a new
state of the art Memory Center where we will provide a thorough
multidisciplinary assessment of memory loss, explore access to the latest tests
and treatments and offer you enrollment in our comprehensive Brain Health
Program. For more information, please continue to check this website. You can
however see one of geriatrics teams today for a memory assessment as well.
Please ask your primary care provider for a referral to Saint Alphonsus Geriatrics
Consult Clinic.
By Kara Kuntz, MD, Geriatrician, Saint Alphonsus
As your parents age, you may find yourself taking on the role of caregiver, especially if they wish to remain in their own home. While caring for aging parents can be rewarding, it also presents unique challenges. This comprehensive guide offers essential advice for caregivers navigating this important responsibility.Creating a Caregiving PlanDeveloping a structured approach is crucial when caring for aging parents. Start by creating an elder care checklist to ensure you're addressing all aspects of their well-being:Assess their living situation and home safetyReview financial and legal mattersEvaluate health and medical needsConsider emotional and social supportPlan for emergenciesA well-organized caregiving plan helps manage tasks efficiently and reduces stress for both you and your loved one.Assessing Living Arrangements and SafetyOne of the first steps in caring for elderly parents is evaluating their living situation:Conduct a thorough home safety assessmentInstall grab bars and improve lightingRemove tripping hazardsConsider a medical alert systemExplore aging in place options or assisted living if necessaryEnsuring a safe environment is crucial for maintaining your loved one's independence and well-being.Managing Financial and Legal MattersAddressing financial and legal concerns is a critical aspect of elder care:Review bank accounts, investments, and assetsInvestigate long-term care insurance and government benefitsEnsure essential legal documents are in place:Valid willPower of attorney for finances and healthcareAdvance directive or living willOrganizing these matters early can prevent complications and provide peace of mind.Coordinating Health and Medical CareEffective management of your loved one's health is paramount:Compile a list of medications and dosagesSchedule and attend medical appointmentsCoordinate care between healthcare providersMonitor for changes in health or behaviorAssess needs for assistance with activities of daily living (ADLs)Regular communication with healthcare professionals ensures your loved one receives appropriate care.Providing Emotional and Social SupportMaintaining your loved one's emotional well-being is as important as physical care:Watch for signs of depression or anxietyEncourage social interactions and activitiesConsider counseling or support groupsResearch local senior centers or community programsArrange transportation for social outingsKeeping your loved one engaged and connected can significantly improve their quality of life.Practicing Self-Care as a CaregiverCaring for yourself is essential when caring for others:Set realistic expectations and boundariesJoin a caregiver support groupMaintain your own health through regular check-upsIdentify backup caregivers for breaksExplore respite care optionsRemember, taking care of yourself allows you to provide better care for your loved one.Effective Communication and Family InvolvementOpen communication is key to successful caregiving:Hold regular family meetings to discuss care plansAssign roles and responsibilities among family membersAddress conflicts or concerns openlyKeep a caregiving journal to track changesShare updates with family members regularlyInvolving family members can distribute responsibilities and provide a support network.Preparing for EmergenciesBeing ready for unexpected situations is crucial:Create an emergency contact listDevelop a plan for natural disasters or medical emergenciesEnsure easy access to important documents and medicationsProper preparation can make a significant difference in crisis situations.Considering Professional HelpSometimes, additional support may be necessary:Evaluate the need for in-home care servicesResearch reputable home care agenciesConsider hiring a geriatric care manager for complex situationsProfessional assistance can complement family caregiving efforts and provide specialized expertise.Caring for aging parents is a journey that requires patience, dedication, and adaptability. By following this advice for caregivers and utilizing resources like an elder care checklist, you can provide comprehensive support for your loved one while maintaining your own well-being. Remember, every family's situation is unique, and it's important to tailor your approach to your specific circumstances. With proper planning and support, you can navigate the challenges of caregiving while cherishing the time spent with your aging loved one.Contact The Caring Mission today for a free assessment and to learn more.
Caring For Your Aging Loved One: A Checklist for CareCaring for an aging loved one is a significant responsibility that requires careful planning and consideration. Here's a checklist to help you navigate this important role:Assessing Living ArrangementsHome SafetyConduct a thorough safety assessment of the home.Install grab bars in bathrooms and stairways.Ensure adequate lighting throughout the house.Remove tripping hazards like loose rugs or cords.Consider installing a medical alert system.Housing OptionsEvaluate if aging in place is feasible.Research assisted living facilities or nursing homes if needed.Consider home modifications for accessibility (ramps, wider doorways).Financial and Legal MattersFinancial PlanningReview all bank accounts, investments, and assets.Create a budget for ongoing expenses and potential care costs.Investigate long-term care insurance options.Explore eligibility for government benefits.Legal DocumentsEnsure a valid will is in place.Set up power of attorney for finances and healthcare.Create an advance directive or living will.Organize important documents (birth certificate, marriage license, property deeds).Health and Medical CareMedical ManagementCompile a list of all current medications and dosages.Schedule and attend medical appointments.Coordinate care between different healthcare providers.Monitor for changes in health or behavior.Daily CareAssess needs for assistance with activities of daily living (ADLs).Create a care schedule for personal hygiene, meals, and medication.Consider hiring in-home care if needed.Emotional and Social SupportMental HealthWatch for signs of depression or anxiety.Encourage social interactions and activities.Consider counseling or support groups for both the loved one and caregiver.Social EngagementResearch local senior centers or community programs.Arrange transportation for social outings.Encourage hobbies and interests.Caregiver Self-CareRespite CareIdentify backup caregivers for breaks.Look into adult daycare options.Consider short-term respite care services.Personal Well-beingSet realistic expectations and boundaries.Join a caregiver support group.Maintain your own health through regular check-ups and self-care.Communication and Family InvolvementFamily MeetingsHold regular family meetings to discuss care plans.Assign roles and responsibilities among family members.Address any conflicts or concerns openly.DocumentationKeep a caregiving journal to track changes and concerns.Share updates with family members regularly.Emergency PreparednessCrisis PlanCreate an emergency contact list.Develop a plan for natural disasters or medical emergencies.Ensure easy access to important documents and medications.Nutrition and ExerciseMeal PlanningEnsure a balanced diet tailored to any health conditions.Consider meal delivery services if cooking is challenging.Physical ActivityEncourage appropriate exercise routines.Look into senior fitness classes or physical therapy if needed.Technology and SafetyHome MonitoringConsider installing security cameras or motion sensors.Explore smart home devices for medication reminders or fall detection.Communication ToolsSet up easy-to-use communication devices (large-button phones, tablets).Teach basic internet skills for staying connected with family.By addressing these areas, you can create a comprehensive care plan that promotes the well-being of your aging loved one while also managing your own responsibilities as a caregiver. Remember that caregiving is an ongoing process, and it's important to regularly reassess and adjust your approach as needs change over time. Every familys situation is unique. Caring Mission provides a variety of services to help aging adults receive care in the comfort of their own home. Contact us today to learn more!
UTIs and Older Adults: Symptoms and PreventionUrinary tract infections (UTIs) are a prevalent health issue among older adults, often leading to discomfort and potential complications if not addressed promptly. Home care agencies and caregivers play a vital role in managing UTIs, offering tailored support to prevent and treat these infections effectively. Lets explore how they can help.Understanding UTI Symptoms in Older AdultsOlder adults may not exhibit the typical symptoms of UTIs, such as burning during urination or frequent urges to urinate. Instead, they might experience cognitive changes, confusion, agitation, or sudden behavioral shifts. These atypical signs can be challenging to recognize, but trained caregivers are adept at identifying them early, ensuring prompt treatment and reducing the risk of complications like kidney infections or sepsis.Why Are Older Adults More Susceptible to UTIs?Several factors contribute to the increased risk of UTIs in older adults. As people age, both men and women often face challenges in completely emptying their bladders, which can lead to bacterial growth in the urinary tract. In men, conditions like benign prostatic hyperplasia (BPH) can obstruct urine flow, while in women, post-menopausal hormonal changes can alter the balance of bacteria, increasing infection risk.Prevention Tips and Care StrategiesEducation and Awareness: Home care professionals educate seniors and their families about the unique symptoms of UTIs in older adults. By increasing awareness, they empower families to recognize potential infections early. Understanding the signs can lead to quicker interventions, preventing more serious health issues.Hydration and Nutrition: Staying hydrated is crucial in preventing UTIs. Caregivers encourage seniors to drink plenty of water, aiming for at least 64 ounces a day, to help flush out bacteria from the urinary tract. They also promote a balanced diet to support overall health and resistance to infections. Proper nutrition, including foods rich in vitamins and minerals, can strengthen the immune system, making it more effective at fighting off infections.Personal Hygiene: Proper hygiene practices are essential in preventing UTIs. Caregivers assist with daily hygiene routines, ensuring that seniors maintain cleanliness and follow practices such as wiping from front to back. This reduces the chance of bacteria entering the urinary tract. Regular bathing and changing of undergarments also play a crucial role in maintaining hygiene and preventing infections.Regular Bathroom Visits: Encouraging regular bathroom visits helps prevent the buildup of bacteria in the bladder. This is particularly important for seniors with cognitive impairments, who may forget to urinate regularly. Caregivers can remind and assist them in maintaining this routine. Establishing a schedule for bathroom visits can help ensure that seniors empty their bladders regularly, reducing the risk of bacterial growth.Catheter Care: For seniors using catheters, home care providers ensure proper catheter maintenance to reduce infection risks. This includes regular cleaning and monitoring for any signs of infection, which is crucial for preventing UTIs in patients with limited mobility. Caregivers are trained to recognize early signs of infection, such as changes in urine color or odor, and can coordinate with healthcare providers for timely intervention.Lifestyle Modifications: Caregivers may suggest lifestyle changes, such as wearing loose, breathable clothing and avoiding irritants like caffeine and alcohol, which can exacerbate UTI symptoms. These modifications can significantly reduce the risk of infections. Encouraging physical activity, as appropriate, can also support overall health and improve bladder function.Use of Supplements: Some studies suggest that cranberry juice or supplements may help prevent UTIs by preventing bacteria from sticking to the urinary tract walls. Caregivers can coordinate with healthcare providers to determine if such supplements are appropriate for the patient. Additionally, probiotics may support urinary tract health by maintaining a healthy balance of bacteria.UTIs pose a significant health challenge for older adults, but with the right care and preventive measures, their impact can be minimized. Home care agencies provide essential support, from education and early detection to personalized care and lifestyle guidance. These services empower seniors to live healthier, more independent lives while managing their health effectively in the comfort of their own homes. By addressing both the symptoms and underlying causes of UTIs, caregivers play a pivotal role in safeguarding the well-being of older adults.