Scope it Out. Floss, Brush and Wash — Forget the Booze

I had a small canker sore the other day. So I went for the mouthwash. It’s funny how certain events can trigger some old memories. This is what went through my mind.

First, I remind myself that I am a physician and NOT a dentist. My formal training in oral hygiene is based only upon good sound medical principals. So here I go.

Before I went to medical school, I dated a young lady who was a dental hygienist. She used to tell me repeatedly to quit wasting my money on mouthwash and to just take good care of my teeth and to stick with old fashioned water to keep the month from smelling bad. She would tell me that the best ways to get rid of bacteria are flossing, brushing and cleaning the tongue twice a day. It’s like showering to get rid of body odor. You’re not really killing bacteria when you’re taking a shower. You’re physically removing them. After they bathe, people put on deodorant—just as they use mouthwash after they brush their teeth. The mouthwash is not as important as physically removing the bacteria. You don’t need a mouthwash, she said. Yea, right, I thought. But I figured she knew more about it than I did. So I went mouthwash free! Water it was…

I suppose bad breath (halitosis) is like death and taxes. And it’s one of those personal hygiene embarrassments. We’ve all been there. The source of the odor is often particles of food stuck in between the teeth and an accumulation of bacteria in the back of the throat. When you get a high level of bacterial-producing malodorous chemicals coming from the lack of oral hygiene. It has the equivalent odor of feces – that much I did learn in med school.

Mouthwash does not eliminate bad breath. The mouthwash works at first—killing lots of germs. But the bad breath gets even worse. The alcohol content present in many mouthwashes can dry your mouth out. When the saliva glands are dry, they are unable to help wash away bacteria so the stinky stuff flourishes. Did you ever notice that babies have sweet breath because they manufacture lots of saliva; they are drooling all the time. This constant draining of saliva, among other things, helps to keep baby’s breath clean.

After all these years, I’ve resorted to just the basics: Floss all of your teeth well. Use non-alcoholic mouthwashes Keep your mouth moist by drinking lots of water And just like Mom always told me—brush for at least two minutes, including brushing your tongue.

Do I ever use mouthwash now? Yep, I sure do. But I AVOID any mouthwash or rinse that contains alcohol since I don’t want it drying out my mouth and causing gum damage. Sometimes I still just use plain water too.

If one of the rinses has the following ingredients, then I don’t worry. I just use them.

  • Cetylpyridinium chloride
  • Zinc chloride
  • Chlorhexidine
  • Chlorine dioxide
  • Zinc gluconate
  • Eucalyptus oil
  • Mint
  • Thymol
  • No alcohol

However, if I had to take just one mouthwash with me to a desert island, I would want it to at least contain eucalyptus oil, mint and thymol!

Have you guessed yet which mouthwash I use?

David

Taking Namenda? Should I take Robitussin or Robitussin DM?

Well, today is the day I raise my dose of Namenda from 15-mg up to 20-mg. I’m supposed to take 10-mg twice daily. Since I’ve had a robust response to this drug overall, I’ll be very curious to see how the increased dose will work.

 

Are you taking Namenda? The prescribing information and package insert for Namenda contains this statement: The combined use of Namenda with other NMDA antagonists (amantadine, ketamine, and dextromethorphan) has not been systematically evaluated and such use should be approached with caution.

DM stands for dextromethorphan. DXM is another abbreviation for it. It is a cough suppressant which is chemically related to codeine. It isn’t addictive and it doesn’t work for pain though. It’s an active ingredient in over 120 nonprescription cough and cold medications. When used in normal doses it is usually OK. It’s a good over the counter agent for coughing, etc. Most people don’t have any problems so I’m not intending for the average person to stop using it or to scare anyone. It is usually safe in the 15- to 30-milligram dosages recommended for treating cough or colds. It is a very good agent when used safely!

This is the drug that teenagers are now abusing and getting “high” from. In high doses (100-milligrams or more), it can cause a mildly euphoric and stimulating effect similar to that of ecstasy. At even higher doses, the drug’s “stoning” effect increases and hallucinations may occur. The highest plateaus are characterized by ELABORATE HALLUCINATIONS AND OUT-OF-BODY EXPERIENCES. During such out-of-body experiences, users perceive a complete disconnection from their body and surroundings, WITH NO AWARENESS OF WHAT THEY ARE DOING (OR HAVING DONE TO THEM).

Even in normal individuals, especially the elderly and those with dementia, it can also cause confusion, impaired judgment, loss of coordination, paranoia, excessive sweating, psychosis, brain damage, rigid muscle tone or involuntary muscle movement and decreased ability to regulate body temperature, which can lead to heat stroke. Other side effects can be severe dizziness, anxiety, restless feeling, or nervousness, slow, shallow breathing, dizziness, nausea, seizures, panic attacks, and addiction, coma and death, blurred vision and/or slurred speech, numb fingers or toes, dry mouth, itchy skin, irregular heartbeat and high blood pressure.

The take home message is this. Individuals with dementia already have a lot of the above symptoms. And they are more sensitive and susceptible to them when taking the DM form of Robitussin. If you are not sure whether to take this or not, please check with your physician.

DXM products are known in the street as Skittles, Red Devils, Robo (from Robitussin) or Triple C’s. The high that dextromethorphan produces is called “robotripping” or “skittling.”

Robitussin is one of the brand names for guaiphenesin. It is usually the main ingredient in many of the “tussin” drugs. It is a common over the counter  drug which dissolves thick mucus sold over the counter and usually taken by mouth to assist the bringing up (“expectoration”) of phlegm from the airways in acute respiratory tract infections. The active ingredient in Mucinex and Robitussin is guaiphenesin. So, Robitussin becomes Robitussin DM when dextromethorphan is added to it.

Guaiphenesin also comes in tablets which are easier to take. I try to avoid the thick liquid cough syrups. Bitter tasting medicine!

By the way, when it comes to these old fashioned medications, I personally prefer the generics. They are much cheaper and just as effective as the brand names. Only my opinion.

Now, that I am on Namenda, I’ll have to be cautious this winter. I’ve always relied on the long-acting form of dextromethorphan for my coughs such as Delsym. Never had much luck with the regular dose of dextromethorphan which is in the Robitussin DM form. Guess I just try a small dose of it when I need it in order to make sure all is well.

(I have no financial interest in any of the above mentioned medical products).

David

Sleep Deprivation — Detriments and Disadvantages

 

The last several days have been unpleasant for me –I’ve not been sleeping well at all. Wednesday and yesterday were much worse. Thanksgiving Day was pretty good. By yesterday the sleep deprivation was really catching up to me. How did I ever stay awake when I was in training for 36 hours at a time? I guess the aging process finally catches up.
 
I slept a little better last night but the effects of sleep deprivation don’t just disappear after one good night’s sleep. Today I still feel a little out of it. But I’m forcing myself to blog. It is so hard to concentrate on the keys, I’m not even sure why I’m doing this. Thank God for spell checkers!
 
I’ve been thinking about the aging process in general and how the elderly do not always get adequate sleep. In the demented population, the effects can be greatly magnified. And, yes. When the patient doesn’t sleep well, then the caregiver begins to experience sleep deprivation. So, it can affect others at the same time. Imagine many members of a household being sleep deprived on a chronic basis!
 
I’ve listed some common symptoms of sleep deprivation some of which are short-term while others are long-term. The green highlighted ones are the ones I’ve been feeling the most.

Short-term effects of sleep deprivation: 

  1. Decreased daytime alertness. Loss of 1 ½ hours sleep can result in a 30-35% reduction in daytime alertness.
  2. Tiredness and feeling a need for 0a nap
  3. Irritability, edginess and moodiness
  4. Headache
  5. Loss of balance and coordination
  6. Inability to tolerate stress
  7. Memory lapses and difficulty concentrating
  8. Learning, behavioral or social problems
  9. Blurred vision
  10. Vague body discomfort
  11. Changes in appetite
  12. Feeling lazy
  13. Hypnagogic hallucinations (the state between being awake and falling asleep. For some people, this is a time of visual and auditory hallucination.
  14. Uncooperative attitude
  15. Hallucinations, delusions and illusions (Hallucinations are false perceptions that occur in the absence of appropriate external stimuli, whereas illusions are misinterpretations of external stimuli that are, in fact, present).
  16. Slowing and slurring of speech and difficulty naming common objects.
  17. Episodes of fragmented thinking
  18. Paranoia
  19. Expressionless appearance or looking and feeling dazed
  20. Monotone speech
  21. Feeling frustrated if not being able to nap

Long-term effects of sleep deprivation:

  • Impaired immune system
  • Frequent infections
  • High blood pressure
  • Heart attack
  • Heart failure
  • Stroke
  • Psychiatric problems such as depression and other mood disorders
  • Mental impairment
  • Increased mortality risk
  • Relationship problems with a bed partner
  • Obesity

Perhaps on another occasion, I can discuss sleep in more depth.

 

David

Dementia and Alzheimer’s Caregivers Make the Holidays Wonderful

I wish a very Happy Thanksgiving to all!

I found this article to be powerfully helpful! http://www.articlesbase.com/elderly-care-articles/dementia-and-alzheimers-caregivers-make-the-holidays-wonderful-656355.html

 

David

The History of Thanksgiving

The following narrative of the History of Thanksgiving comes directly from History.com at http://www.history.com/minisite.do?content_type=minisite_generic&content_type_id=872&display_order=1&mini_id=1083. I do not take any credit for writing this article.

 

In 1621, the Plymouth colonists and Wampanoag Indians shared an autumn harvest feast which is acknowledged today as one of the first Thanksgiving celebrations in the colonies. This harvest meal has become a symbol of cooperation and interaction between English colonists and Native Americans. Although this feast is considered by many to the very first Thanksgiving celebration, it was actually in keeping with a long tradition of celebrating the harvest and giving thanks for a successful bounty of crops. Native American groups throughout the Americas, including the Pueblo, Cherokee, Creek and many others organized harvest festivals, ceremonial dances, and other celebrations of thanks for centuries before the arrival of Europeans in North America.

 

Historians have also recorded other ceremonies of thanks among European settlers in North America, including British colonists in Berkeley Plantation, Virginia. At this site near the Charles River in December of 1619, a group of British settlers led by Captain John Woodlief knelt in prayer and pledged “Thanksgiving” to God for their healthy arrival after a long voyage across the Atlantic. This event has been acknowledged by some scholars and writers as the official first Thanksgiving among European settlers on record. Whether at Plymouth, Berkeley Plantation, or throughout the Americas, celebrations of thanks have held great meaning and importance over time. The legacy of thanks, and particularly of the feast, have survived the centuries as people throughout the United States gather family, friends, and enormous amounts of food for their yearly Thanksgiving meal.

 

What foods topped the table at the first harvest feast? Historians aren’t completely certain about the full bounty, but it’s safe to say the pilgrims weren’t gobbling up pumpkin pie or playing with their mashed potatoes. Following is a list of the foods that were available to the colonists at the time of the 1621 feast. However, the only two items that historians know for sure were on the menu are venison and wild fowl, which are mentioned in primary sources. The most detailed description of the “First Thanksgiving” comes from Edward Winslow from A Journal of the Pilgrims at Plymouth, in 1621:

 

“Our harvest being gotten in, our governor sent four men on fowling, that so we might after a special manner rejoice together after we had gathered the fruit of our labors. They four in one day killed as much fowl as, with a little help beside, served the company almost a week. At which time, among other recreations, we exercised our arms, many of the Indians coming amongst us, and among the rest their greatest king Massasoit, with some ninety men, whom for three days we entertained and feasted, and they went out and killed five deer, which they brought to the plantation and bestowed upon our governor, and upon the captain, and others. And although it be not always so plentiful as it was at this time with us, yet by the goodness of God, we are so far from want that we often wish you partakers of our plenty.”

The pilgrims didn’t use forks; they ate with spoons, knives, and their fingers. They wiped their hands on large cloth napkins which they also used to pick up hot morsels of food. Salt would have been on the table at the harvest feast, and people would have sprinkled it on their food. Pepper, however, was something that they used for cooking but wasn’t available on the table.

 

In the seventeenth century, a person’s social standing determined what he or she ate. The best food was placed next to the most important people. People didn’t tend to sample everything that was on the table (as we do today), they just ate what was closest to them.

 

Serving in the seventeenth century was very different from serving today. People weren’t served their meals individually. Foods were served onto the table and then people took the food from the table and ate it. All the servers had to do was move the food from the place where it was cooked onto the table.

 

Pilgrims didn’t eat in courses as we do today. All of the different types of foods were placed on the table at the same time and people ate in any order they chose. Sometimes there were two courses, but each of them would contain both meat dishes, puddings, and sweets.

 

Our modern Thanksgiving repast is centered around the turkey, but that certainly wasn’t the case at the pilgrims’s feasts. Their meals included many different meats. Vegetable dishes, one of the main components of our modern celebration, didn’t really play a large part in the feast mentality of the seventeenth century. Depending on the time of year, many vegetables weren’t available to the colonists.

 

The pilgrims probably didn’t have pies or anything sweet at the harvest feast. They had brought some sugar with them on the Mayflower but by the time of the feast, the supply had dwindled. Also, they didn’t have an oven so pies and cakes and breads were not possible at all. The food that was eaten at the harvest feast would have seemed fatty by 1990′s standards, but it was probably more healthy for the pilgrims than it would be for people today. The colonists were more active and needed more protein. Heart attack was the least of their worries. They were more concerned about the plague and pox.

 

People tend to think of English food at bland, but, in fact, the pilgrims used many spices, including cinnamon, ginger, nutmeg, pepper, and dried fruit, in sauces for meats. In the seventeenth century, cooks did not use proportions or talk about teaspoons and tablespoons. Instead, they just improvised. The best way to cook things in the seventeenth century was to roast them. Among the pilgrims, someone was assigned to sit for hours at a time and turn the spit to make sure the meat was evenly done.

 

Since the pilgrims and Wampanoag Indians had no refrigeration in the seventeenth century, they tended to dry a lot of their foods to preserve them. They dried Indian corn, hams, fish, and herbs.

 

The biggest meal of the day for the colonists was eaten at noon and it was called noonmeat or dinner. The housewives would spend part of their morning cooking that meal. Supper was a smaller meal that they had at the end of the day. Breakfast tended to be leftovers from the previous day’s noonmeat.

 

In a pilgrim household, the adults sat down to eat and the children and servants waited on them. The foods that the colonists and Wampanoag Indians ate were very similar, but their eating patterns were different. While the colonists had set eating patterns—breakfast, dinner, and supper—the Wampanoags tended to eat when they were hungry and to have pots cooking throughout the day.

 

Source: Kathleen Curtin, Food Historian at Plimoth Plantation

Signs and Symptoms of Winter Dehydration in the Elderly and 8 Ways to Avoid Them

It’s Winter! Dehydrated? How could I be? Dehydration can occur anytime of the year. We think of summer time as being a time to avoid the sun as well as heat stroke and heat exhaustion. Here are some tips to keep you and your elderly loved ones well hydrated this winter. And to better health!

Dehydration can kill. It is crucial for anyone to stay properly hydrated but it is even more important for seniors who have other comorbidities as well as dementia like diseases. One of the reasons that the dehydration threat is higher for seniors is because of thinner skin that comes with aging. The thinner skin makes a person more prone to losing fluid. Another issue that makes seniors more open to fluid loss is their medications, some medicines can cause you to become easily dehydrated.

A wide array of medical issues can lead to dehydration. Considering that our bodies are made up of 50% to 65% water, this element is critical to virtually all our physical functions. Every organ and system of the body depends on water, so a shortage of fluid can naturally lead to serious health consequences. Dehydration is one of the most frequent causes of hospitalization among people over the age of 65. Worse, at least one study has found that about one-half of those hospitalized for dehydration died within a year of admission. Older people are at greatest risk for dehydration because the mechanism that normally triggers thirst becomes less sensitive with age. In addition, as we age, a lower percentage of our body weight is water, so dehydration can occur more rapidly. Those elderly individuals most vulnerable to dehydration live alone, especially when they are ill. In addition to fluid lost from fever from flu, or diarrhea from a stomach virus, sickness usually interferes with normal eating and drinking patterns.   We lose water in many ways.  

  1. Breathing results in humidified air leaving the body
  2. Diarrhea is the most common reason a person loses excess water. A significant amount of water can be lost with each bowel movement. Worldwide, dehydration from diarrhea accounts for many of the deaths in children.
  3. Vomiting can also be a cause of fluid loss; as well, it makes it difficult to replace water by drinking it.
  4. The body can lose significant amounts of water when it tries to cool itself by sweating. Whether the body is hot because of the environment (for example, working in a warm environment), intense exercising in a hot environment, or because a fever is present due to an infection, the body loses a significant amount of water in the form of sweat to cool itself. Depending upon weather conditions, a brisk walk will generate up to 16 ounces of sweat (a pound of water).
  5. In people with diabetes, elevated blood sugar levels cause sugar to spill into the urine and water then follows. Significant dehydration can occur. For this reason, frequent urination and excessive thirst are among the symptoms of diabetes.
  6. Burn victims become dehydrated because water seeps into the damaged skin. Other inflammatory diseases of the skin are also associated with fluid loss.
  7. The inability to drink adequately is the other potential cause of dehydration. Whether it is the lack of availability of water or the lack of strength to drink adequate amounts, this, coupled with routine or extraordinary water losses, can compound the degree of dehydration.
  8. One common side effect of many medicines is increased frequency of urination. You need to compensate for these additional lost fluids by drinking more than usual. Medications that often cause this problem are diuretics, blood pressure drugs, antihistamines and psychiatric drugs.
  9. The aging process can diminish our natural sense of thirst, but if you also suffer from incontinence, you may be reluctant to drink fluids throughout the day. Sipping often in small amounts is essential to avoid becoming dehydrated. 

The body’s initial signs and symptoms of dehydration are:  

  • Thirst
  • Decreased urine output. The urine will become concentrated and more yellow in color.
  • Fatigue
  • Headache
  • Dry nasal passages
  • Dry, cracked lips dry mouth the eyes stop making tears sweating may stop muscle cramps nausea and vomiting lightheadedness (especially when standing). weakness will occur as the brain and other body organs receive less blood.
  • Coma and organ failure will occur if the dehydration remains untreated.
  • Irritability & confusion in the elderly should also be heeded immediately. 

Here are some easy remedies and ways to prevent dehydration: 

  1. As is often the case in medicine, prevention is the important first step in the treatment of dehydration.
  2. Fluid replacement is the treatment for dehydration. This can include: water, juice, soups and clear broths, Popsicles, Jell-O, ice cream, milk, puddings, decaffeinated beverages, Kool-Aid, nutritional drink supplements (Ensure, Boost, Sustacal, Resource and instant breakfast drinks), and replacement fluids that may contain electrolytes (Pedialyte, Gatorade, Powerade, etc.)
  3. Reduce or eliminate dehydrating beverages such as coffee, tea and soft drinks (unless decaffeinated). But even decaffeinated drinks can contribute to dehydration. Beware of alcohol intake too. Alcoholic beverages increase risk of dehydration because the body requires additional water to metabolize alcohol and it also acts as a diuretic.
  4. If you drink the unhealthy beverages, you need to add even more water to you daily total. The dehydration caused by those drinks must be compensated for by increasing the water.
  5. Eat lots of fruits and vegetables. Most have a high water content.
  6. Drink water all day long in small amounts. It is not good to suddenly gulp down 64 ounces of water. You can fill a 24-32 ounce tumbler in the morning, refill it by late morning and refill again for the afternoon. Consume that by 5 PM. Most people need to start limiting fluids 1-3 hours before bedtime.
  7. Individuals with vomiting and diarrhea can try to alter their diet and use medications to control symptoms to minimize water loss. Acetaminophen or ibuprofen may be used to control fever.
  8. If an individual becomes confused or lethargic; if there is persistent, uncontrolled fever, vomiting, or diarrhea; or if there are any other specific concerns, then medical care should be accessed. Call 911 for any patient with altered mental status – confusion, lethargy, or coma. 

Remember that the lack of a sense of thirst is not a reliable indicator of the need for water. You need water long before you feel thirsty.  

[This Article was written for Ezine Articles]

 

David

Personal Review of “Life in the Balance” by Thomas Graboys, M.D. with Peter Zheutlin

Life in the Balance

A Physician's Memoir of Life, Love, and Loss with Parkinson's Disease and Dementia

Today I thought I would write a little bit about the book “Life in the Balance” written by Thomas Graboys, M.D. with Peter Zheutlin.

I must remind myself that I am not an expert professional book reviewer. The following is strictly my personal opinion seen through the eyes of another physician. I am fully aware that many will disagree with me.

The thought that leaped at me as I read the book was the tone rather than the content of his writing. It is a book of his memoirs which permits him to express himself in anyway he chooses. Dr. Graboys and Peter Zheutlin are direct and honest.

They nicely describe part of his background of being in a boarding school, part of his college days and his love of sports. The description of the Boston medical community is superb! There is a pervasive belief among physicians that he or she is “special” and unique and can only be understood by, or should associate with, other special or high-status people (or institutions). The sense of self-importance seems to reign high as well as the need to be recognized as superior and successful. They tend to avoid their weaknesses and work hard for prolonged periods of time under colossal fears of failure, anxieties, expectancies and stress. I have attended many medical conferences in Boston. The majority of the speakers and lecturers appear to require excessive admiration. It appears that they give off a false sense of modesty. These characteristics are also seen in other medical communities around the country as well as in many physicians working in the private sectors, perhaps to a lesser degree. When discussing these leading experts, many physicians attending the meetings would refer to them as “snobs” and as being pretentious.

As a psychiatrist, I highly suspect that this is a defense mechanism to skirt their feelings of flaws, shortcomings and imperfections. I ask myself, “Are they ever satisfied with themselves?” Part of me feels sorry for them for having to maintain the status quo. Their internal naggings must be considerably excruciating.

Beginning with the forward, there seems to be a bright portrayal of Dr. Graboys being the “perfect” physician. A godlike physician on a pedestal. Having an “Ozzie and Harriet” like family. However, to his credit, Dr. Graboys openly discusses his insecurities and his strong sense of pride, e.g., not easily being able to tell others in public that he has Parkinson’s disease which results in embarrassment as he fumbles with his hands or stumbles as he walks. Many people see these as weaknesses but I sense Dr. Graboys is attempting to turn them into his friends and strengths as he grapples with the devastating symptoms of Parkinson’s disease and Lewy Body dementia.

He has an illusive style of teaching. Although he aptly describes Parkinson’s disease there seems to be a paucity of details of his probable Lewy Body symptoms.

He has a phenomenal support system and credit must be given to his wife and his family. He also has a strong support system with friends and professional colleagues. He clearly refuses to surrender to the painful effects of his disease. He is honest with his feelings. I like his self sensitivity as well as his profound sensitivity for others. He has not given up and perseveres daily to maintain a sense of balance and of well being.

Why does he continue to drive? Why does he put himself and others at risk? Even if he is driving only short distances. Why does he continue to go to his office? Perhaps it is to help preserve his sense of self and sense of importance. Something we all need. Even though he may not be prudent in driving a car given the severity of his symptomatology, I applaud him for exploring many other avenues of daily living. Spinning seems to soothe him intensely. Forcing himself to continue to socialize and going to parties is an asset even though difficult to do.

His ponderings and reflections on marriage, friendships, love and children enlighten me on how important they are. Something which many of us take for granted. The ongoing ruminating description, however, tended to bore me. I had to put the book down too many times. Not because of the content of the book but because of the lack of movement and provocation for me. Dr. Graboys suggests that he is able to live one day at a time. However, I did not feel uplifted with hope by the time I finished reading the book.

Overall, the book is a persuasive and heartrending depiction of a physician who disallows his illness to pilfer his joy and dignity.

 

Please feel free to post a comment.

 

David

Adorable Photographs of Our Baby: Meaningful, Mind Stimulating Activities and More for the Memory Challenged, Their Loved Ones, and Involved Professionals

The author, Susan Berg, is donating a portion of the proceeds of the sale of this book to the Alzheimer’s Association.

In light of recent research, activities should take on a whole new dimension in long-term care. Activities can no longer be thought of as leisure time fillers, but rather, as opportunities to provide mental stimulation. If done thoughtfully, activities can help those with Alzheimer’s disease hold on to their remaining cognitive skills longer and enhance mood. In a word, activities should be “therapeutic”. Susan Berg’s book is a treasure-trove of therapeutic activities that can bring joy and purpose to those with a cognitive impairment.

Paul Raia, Ph.D, Director of Patient Care and Family Support
Alzheimer’s Association, Massachusetts Chapter

 

Susan Berg’s book is a must have for the Activities Professional and anyone who is caring for an individual with dementia. The baby pictures are delightful. The discussion questions will stimulate many memories, and the additional activity ideas will aid in holding the attention of dementia persons. This is a great tool for someone who has never assisted an individual with dementia, and it is also beneficial to the seasoned Activities Professional.

Brenda Bogart, A.D. Activities on a Shoestring
http://www.angelfire.com/in/shoestring, Crawfordsville, Indiana

 

Therapeutic activities are what we should all strive for when doing activities. I was very impressed with the involvement you created with the dementia population in this book. I am going to incorporate these ideas with the population I serve. God bless you for your caring and concern for others with such a tremendous need. I plan to share this information with caregivers.

Lisa Patton CSS Technician, Adult Life Programs
Hickory, North Carolina

 

Brenda I have had the pleasure of using Susan Berg’s book with residents having various stages of Alzheimer’s disease in both large and small group settings. This book is full of great ideas for discussion and reminiscing groups. I recommend this book to Activity professionals, caregivers and family members, alike.

Patrick, Dementia Unit Activity Coordinator
Beverly, Massachusetts

 

The book was very insightful. I especially enjoyed the pictures that the staff and family can use. They will help me communicate with the memory challenged and provide a personal touch while I am doing it. The ideas were also very helpful because they can involve people with all stages of dementia and can easily be adapted for verbal and nonverbal individuals. I give the book two thumbs up.

Vernessa LuShaun Burgess, CNA
Delray Beach, Florida

 

Susan Berg’s book is filled with heart-warming pictures of endearingly adorable babies that will leave any person feeling pleased and enchanted. The pictures reflect on many daily routines accompanied by discussion ideas that may help guide you through a therapeutic conversation with a person(s) affected by dementia. The book can be used as a tool in providing mentally stimulating one-to-one and/or group discussions.

Andrea Wolfram, Recreation Facilitator
Winnepeg, Manitoba

What is Lewy Body Dementia?

The following is extracted from the Lewy Body Dementia Association website:

Lewy body dementia (LBD) is a progressive brain disease and the second leading cause of degenerative dementia in the elderly. The clinical name, “dementia with Lewy bodies” (DLB), accounts for up to 20% of all dementia cases, or 800,000 patients in the US. Over 50% of Parkinson’s disease patients develop “Parkinson’s disease dementia” (PDD), which accounts for at least 750,000 patients. (PDD is also a Lewy body dementia.)

Other names for the Lewy body dementias are:

  • Lewy body disease (LBD)
  • Diffuse lewy body disease (DLBD)
  • Cortical Lewy body disease (CLBD)
  • Lewy body Variant of Alzheimer’s (LBV)(LBVA)
  • Parkinson’s disease with dementia (PDD)

In the early 1900’s, while researching Parkinson’s disease, the scientist Friederich H. Lewy discovered abnormal protein deposits that disrupt the brain’s normal functioning. These Lewy body proteins are found in an area of the brain stem where they deplete the neurotransmitter dopamine, causing Parkinsonian symptoms. In Lewy body dementia, these abnormal proteins are diffuse throughout other areas of the brain, including the cerebral cortex. The brain chemical acetylcholine is depleted, causing disruption of perception, thinking, and behavior. Lewy body dementia exists either in pure form, or in conjunction with other brain changes, including those typically seen in Alzheimer’s disease and Parkinson’s disease. 

Horn of Plenty

–Mark L. Madden

When a music student brought his French horn to my shop for repair, he complained that the instrument “felt stuffy” and he couldn’t blow air through it. It’s not unusual to find partial blockages in brass instruments if small items get lodged in the tubing, but when I tested the instrument, the horn was completely blocked. After much probing and prodding, a small tangerine dropped out of the bell. “Oh,” said the musician when I handed him the fruit. Seeing the bewildered look on my face, he explained, “My mom used the horn for a cornucopia in a Thanksgiving centerpiece.”

 

David

Behind the Mask

 

Behind the Mask

Behind the Mask

I received another complimentary book on dementia yesterday. This one is from Helene Moore called

 “Behind the Mask.” Her blog can also be found at her blog. I told her that I’m becoming a book reviewer on dementia. Smile, smile. I’m finishing up Graboys’ book and am ready to start Louise Morse’s book, “Could it be Dementia.”

Helene also has an Adopt A Caregiver program as well. She says:

The most important things in my life are my family and friends; my passion for writing, reading and knitting; and my self respect.

My book, Behind the Mask, shows the complete range of emotions a new caregiver goes through each day.

Alzheimer’s disease is not contagious, yet the caregivers are usually left alone without the support of friends and neighbors, even family. This disease can last for many years, leaving the caregiver worn out and alone.

Adopt A Caregiver is my unique way of giving back. All you have to do is check your neighborhood, your social clubs, church, synagogue, your doctor’s office, the Alzheimer’s Caregiver’s message boards, and the Mayo Clinic message boards.

Just send an email or phone the person who needs a friend, listen and come back often to let him/her know you care and are thinking of them. Just being there to listen is a huge help.

Adopt a Caregiver. Give something back: Contribute to the well being of people who are so busy caring for others.

 

Thanks to Helene and Louise for all their hard work and continued dedication!

David

 

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