DEMENTIA STAGES – TIME LINE

While every person with dementia has a different experience and progression. For dementia symptoms that follow the decline due to Alzheimer's disease, these changes can be tracked in the following way. Mild Cognitive Impairment: Very early changes … [Continue reading]

WHAT DOES THE PERSON WITH DEMENTIA NEED?

The person with dementia needs to feel safe, but not in a way that they feel restricted. The person with dementia has a need to understand. The person with dementia has a need to be understood. The person with dementia has a need to be healthy and … [Continue reading]

GETTING LOST IN THE COMMUNITY – WHY DO PEOPLE WITH DEMENTIA WANT TO WALK AWAY?

Harry was out to dinner with his family, and stood up saying he had to go to the bathroom. Soon it was noticed that Harry hadn't returned. When a member of the family went to look for Harry they discovered he was no longer in the building. Two hours … [Continue reading]

KNOWING THE PATIENT – PERSON CENTERED CARE

Knowing the patient?  We never knew Mabel. Mabel died today. Minutes later, a nurse hurried down the hall carrying two old books. She stopped and excitedly showed me what the staff found when they cleaned Mabel's room. She held up books on … [Continue reading]

SUDDEN CONFUSION – Part III

May is 89 years old and suffers from sudden confusion and dementia. While her story is sad and even tragic, it really demonstrates how the combination of extreme life stressors and the smaller brain can lead to equally extreme confusion. Until … [Continue reading]

SUDDEN CONFUSION DUE TO ENVIRONMENTAL TOXINS – Part II

Sudden confusion is related to the reduced capacity of the aging brain (size of the brain)and the many environmental abuses experienced. Reduced brain capacity happens over many years due to a variety of factors. The size of the brain at birth is … [Continue reading]

SUDDEN CONFUSION DUE TO TOXINS – Part I

Sudden confusion due to toxins may be expected and at times unexpected. Ralph was 86 when he decided that he was finished with dialysis. Ralph had end stage renal disease related to diabetes, and was on dialysis for over 10 years. Now Ralph decided … [Continue reading]

THE HIGH COST OF DEMENTIA TO SOCIETY, FAMILIES AND MOST OF ALL TO THE INDIVIDUAL

There is a high cost of dementia both to society as well as the individual and family. The cost to society through Medicare payments is not only high it is skyrocketing. Currently 1 in every 5 dollars spent is on elderly with dementia. The per-person … [Continue reading]

WHY A GUIDE FOR VISITING IN THE NURSING HOME?

The statistics are in, 60% of Nursing Home residents never get a visitor. These elderly are the new orphans in society. What is so difficult about visiting in the nursing home? When you observe so many visiting families, they just don't seem to … [Continue reading]

HOW OBAMACARE HAS CHANGED THE MEDICARE PAYMENT SYSTEM

Obamacare changed the Medicare payment system, by going from a pay for service system to a system based on patient outcomes. In 1980 the largest change came to the Medicare payment system,  since the 1960's. Medicare would now give a set amount … [Continue reading]