Thursday, March 31, 2011

Alzheimer's Blog:

Today on my ambulance it was an eventful day. I met a man whom in his time was a surgeon. I know he must have tales he could tell only this terrible disease took over his mind and body. Now he is lying in a bed refusing to eat, having to have oxygen on all the time, and pees in a foley cath.

I wonder if he ever thought about this disease when he was an inspiring surgeon. We all are in denial and hoping that dementia doesn't catch us. Is this the way he would want to live now?

I was told that in another week a feeding tube will be placed in his belly for nourishment. If he could make the choice would he approve of this?

There is no right or wrong answer. I saw a man who had glazed looking eyes, a body that kept shaking, and had no idea what was going on with a confused look on his face. The nursing home put in an IV to try and keep him hydrated. This patient took it out after a couple of days and the nurses had to put it back in. What will keep him from pulling out a feeding tube?

This is my thought for the day.
Sincerely,
Marie Fostino
Alzheimer's A Caretakers Journal
Seaboard Press An Imprint of James A Rock Pub., Co.
www.mariefostino.com
www.mariefostino.blogspot.com
Alzheimer's Blog:

WE NEED YOUR VOICE!



The Connecticut Home Care Program for Elders is in Jeopardy!


The Connecticut Home Care Program for Elders enables individuals 65 and older to continue to reside in their communities. This program serves Connecticut’s elderly residents by providing assistance with personal care needs such as bathing, dressing, toileting, and eating, as well as periodic needs such as shopping, cleaning, laundry, cooking and transportation. Twenty-two percent (22%) of the program participants are Alzheimer's and dementia patients, and receive critical services that allow them to remain in the community with their loved-ones. Governor Rell is proposing to raise the co-pay and close level 1 of the program and we know this will have a detrimental effect on people with Alzheimer’s currently enrolled! In 2010, nearly 500 seniors dropped out of the CT Home Care Program for elders because they could not afford an additional 15% cost-share. You can help by making a quick phone call! Please call or e-mail Senator Toni Harp and Rep. Toni Walker today and simply say: Please stop the 15% cost-share and keep level 1 open for the CT Home Care Program for Elders, so that individuals with Alzheimer’s and persons of color and low-income can continue to remain in their homes, thank you. Senator Toni Harp: 1-800-842-1420



Representative Toni Walker: 1-800-842-1902


We appreciate your concern for the Alzheimer’s cause and willingness to be a voice for those who need support. Your immediate action is needed and greatly appreciated.


Sincerely,


Laurie Julian


Director of Public Policy Alzheimer's Association Connecticut Chapter






Sincerely,


Marie Fostino


Alzhleimer's A Caretakers Journal


Seaboard Press An Imprint of James A Rock Pub., Co.




Tuesday, March 29, 2011

Alzheimer's Blog:


Advocate Profile — Gerry Sampson


As vice chair of the Alzheimer’s Association National Board of Directors and a longtime board member of the Association’s Greater Dallas Chapter, Gerry Sampson is very familiar with the Association and its events and programs. That's why he couldn't wait to register for the 2011 Alzheimer's Association Advocacy Forum. Gerry was one of the very first registrants and the first national board member to do so.


"It’s so inspiring to be there," he said. "It reinvigorates everyone to look around and see how many other people care about this cause."


Gerry has attended seven past Forums, so he has experience visiting Capitol Hill and meeting with lawmakers to explain the Association's federal priorities. But the Forum is definitely a no-experience-required event, he said.


"The staff is so good at preparing you and educating you on the subjects we need to cover," he explained. "By the time you get to Capitol Hill, you'll have a good understanding of the issues and will feel comfortable and confident speaking up."


Another reason Gerry attends the Forum each year is his leadership position within the organization. He believes that board-member participation sends a clear message about the importance of advocacy, and he encourages other local and national board members to also attend.


"It demonstrates that it's not just the advocates from around the country, but also the leadership of the organization," Gerry said. "From the highest level down, we're committed to this cause."


Gerry added that there's an even greater urgency this year, as Congress looks to lower spending and reduce the deficit.


"It's an extra challenge, but it doesn't mean we can't do it," he said. "We've just got to be more articulate and focused on what we're asking for and make our case loud and clear."


Please check out more on this important issue:

For more information: advocacyforum@alz


Sincerely,

Marie Fostino

Alzheimer's A Caretakers Journal

Seaboard Press An Imprint of James A Rock Pub., Co.


ALZHEIMER'S BLOG: Have you checked out Alzheimer's Weekly this week yet. Let me share with you an article on wondering.

CAREGIVERS ARTICLE - Understand what causes wandering and how to reduce a person's need to wander. (HealthDay News) -- Wandering is a common but dangerous symptom of Alzheimer's disease - a degenerative disease of the brain that affects memory and cognition. Alzheimer's patients may suddenly walk off and become lost, frightened and confused about where they are, and many do not even know where they are trying to go. Since many of these people can't identify themselves or where they live, wandering in unconfined and unsecured areas can be very dangerous. Disorientation, medication, stress, fear or anxiety, and restlessness may all cause an Alzheimer's patient to wander.


To keep patients safe and minimize wandering, the Alzheimer's Association of Los Angeles offers these suggestions: •Make sure the patient is always comfortable and doesn't need to use the restroom and isn't hungry or thirsty. •Try to make sure he receives regular exercise and activity to reduce restlessness and boredom. If he is still capable, let the patient help with daily chores like laundry or light cooking or housekeeping. •Tell the person often that you are there to help him, and make sure he understands he doesn't need to be anywhere but right where he is. •Keep the environment quiet and relaxing -- avoid noise and confusion that may frighten the patient into trying to scamper away. •If possible, keep doors locked and secured to prevent wandering into the street and getting lost. •Devise a plan of action in the event the patient does become lost -- keep current information on hand, like height and weight, and a recent photograph. Also, keep a list of places where the person has wandered previously, or places he used to frequent that he may be trying to find.


If you have a loved one with Alzheimer's than you have experienced the wondering stage. It is frightening for both the Alzheimer's patient and for the caregiver. I remember when my father in law walked away from the house one day and my husband was following him in the car. He walks slow so Jimmy decided to drive around the block and catch back up with him. But to his surprise when he came back to the same spot my father in law was missing. I was just getting back into town, and you can only imagine how scared I was when my husband said Dad is gone. If it wasn't for a kind soul who found dad in a ditch covered in mud, we would have never found him. There are bracelet's to put on your loved ones with their name, address and allergies written on them. Yes, allergies are important. What if something happened to them, and they ended up in the emergency room and you were not notified yet. It could be life threatening if the doctors gave a medication that your loved one was allergic to.


Just a thought. Hope this helps.

Sincerely,

Marie Fostino

Alzheimer's A Caretakers Journal

Seaboard Press An Imprint Of James A Rock Pub., Co.


Saturday, March 26, 2011

alzheimer's Blog:

Subject: You Are Invited!

The largest gathering of Alzheimer's disease researchers, medical experts, caregivers and policy makers in Arizona's history will gather Friday, May 21 to continue the urgent battle against the disease that today has more than 78,000 victims in Arizona alone.

About 1,200 people are expected to attend the 12th Annual Conference of the Arizona Alzheimer's Consortium. The free event will be held at the Renaissance Hotel in Glendale, Ariz. The gathering is attracting experts from around the United States who will present their scientific breakthroughs and participate in round-table discussions.

Joining the list of internationally-known experts is Paul Aisen, M.D., from the University of California, San Diego (UCSD), an industry leader in evaluation of promising new treatments for Alzheimer's disease. Dr. Aisen will provide the latest update on the development of new Alzheimer's disease treatments.

"This year's event offers an outstanding group of speakers, who will provide practical information for patients and family caregivers and share some of their latest scientific findings with other researchers," said Eric Reiman, M.D, Director of the Consortium and executive director of the Banner Alzheimer's Institute.

As part of the day-long conference, policymakers will have the opportunity to hear from people with Alzheimer's disease, caregivers, family members and the general public. The Arizona Governor's Office on Aging will be conducting a State Alzheimer's Priority Plan Forum from 2:30 – 4:30 p.m. This open forum and roundtable is designed so that the voices of people affected by the seventh leading cause of death can be heard and help shape Alzheimer's policy in Arizona.

The Conference also will include presentations by the top researchers in Alzheimer's disease in the country, including:

* Alzheimer's Disease: Diagnosis and Treatment Options, by Richard Caselli, MD

* Understanding the Behavioral Aspects of Alzheimer's Disease, by Alfred Kaszniak

* Oral presentations about research conducted by consortium members, including Banner Sun Health Research, Banner Research Institute, Banner Alzheimer's Institute, the Mayo Clinic, Barrow Neurological Institute, Translational Genomics Research Institute (TGen) and Arizona State University

* Scientific poster presentations describing other research findings from consortium members

For more information about this free event, including a detailed agenda, please visit www.azalz.org or call 602-239-6901. To register, visit www.azalz.org or call our RSVP line (480) 440-7177.

The Arizona Alzheimer's Consortium (AAC) capitalizes on the complementary resources of its seven member institutions to promote the scientific understanding and early detection of Alzheimer's disease and effective disease-stopping and prevention therapies. Established in 1998, the Consortium also seeks to educate Arizona's residents about Alzheimer's disease, research progress in the state and the resources needed to help patients, families and professionals manage the disease. The AAC is comprised of both the NIA-funded Arizona Disease Core Center (ADCC) and the state-funded Arizona Alzheimer's Research Center (AARC). The AAC's member research institutions include Arizona State University, the Banner Alzheimer's Institute, the Barrow Neurological Institute, Mayo Clinic Arizona, Banner Sun Health Research Institute, the Translational Genomics Research Institute (TGen) and the University of Arizona.


Sincerely,
Marie Fostino
Alzheimer's A Caretakers Journal
Seaboard Press An Imprint Of James A Rock Pub., Co.
www.mariefostino.com
www.mariefostino.blogspot.com

Wednesday, March 23, 2011

Alzheimer's Blogging:

For anyone who is new to my blog, I work as a paramedic for a private ambulance company. I do 911 calls but I also do calls at nursing homes involving senior citizens which is my favorite part of my job. So at two am I get a call for a 76 yr old female in respiratory distress. When we arrived at the nursing home and went into the patients room the nurse came running in asking us if the woman was still breathing. It seems that this patient is on oxygen all the time, but her 02 sats dropped while on the oxygen into the 70's at around one am. Now that is bad because our 02 sats are usually in the middle to high 90's. This nurse was a good nurse and gave this patient an albuterol SVN treatment which helped her. We found her in labor breathing, with diminished lung sounds and wheezing.

Now I just want you to put yourself in this patients shoes. She has a shunt in her head, a feeding tube and not allowed to eat, a foley to go to the bathroom in, always on oxygen and dementia/Alzheimer. Is this the way you want to live?

Sincerely,
Marie Fostino
Alzheimer's A Caretakers Journal
Seaboard Press an Imprint of James A Rock Pub., Co.
www.mariefostino.com
www.mariefostino.blogspot.com

Sunday, March 20, 2011

Alzheimer's Blog:

How long can one with Dementia drive safely?

Carol was a sales executive who spent a great deal of time on the road in the course of her business. Because her services were much in demand, Carol rarely had much time to visit with her children and grandchildren, but holidays were the exception. She always drove her son’s family to her daughter’s home in the next town, even in the worst weather.

That changed the day Carol became confused on the road, telling her son she didn’t recognize the highway and must have taken a wrong turn. It was Christmas Eve, and Carol had driven that stretch all her life, but now it looked strange and it worried her. She refused to go any farther, and insisted her son take over.

For the first time Carol and her family began to think about whether she could continue to drive, but the doctor was not surprised. He had expected this day.

When should a person with Alzheimer’s disease stop driving? Is it always necessary? After all, to some people it can represent a devastating loss of independence.

To continue this article click on the link http://www.alzheimersweekly.com/content/how-long-can-one-drive-safely

I remember when we moved into my father-in-law's house. My sister-in-law already warned us that she had taken his car keys away. The story goes he was driving and hit the back of one car and kept on going till he hit the back of another car. The police called my sister-in-law to come and get him and take him home. After that she hid his keys. When ever I would forget to lock my car, dad would get behind the wheel and try to figure out how to start my car, without my keys. It is sad but it is also true.

One day when I was driving him back from a lunch outing, we passed a semi. My father-in-law use to drive them. He scared me when he punched the dash board before he stated that he missed driving trucks. My heart broke. Luckily he forgot all about that a few minutes later.

I hope you find the article above helpful.
Sincerely,
Marie Fostino
Seaboard Press An Imprint of James A Rock Pub., Co.
www.mariefostino.com
www.mariefostino.blogspot.com