Alzheimer’s disease – 7 tips to manage the condition

Alzheimer’s disease – 7 tips to manage the condition

Around 6.2 million people in the country above 60 suffer from Alzheimer’s. This irreversible and progressive disease of the brain shrinks the blood cells and typically has an effect on a person’s memory and thinking skills. And as the disease advances, the person gradually loses the ability to do the most basic and simple tasks. Knowing the following seven tips can benefit one when it comes to managing Alzheimer’s disease:

Continue with treatment
The FDA has approved several prescriptions for treating Alzheimer’s symptoms and one in June 2021 to treat its underlying biology. There are no approved non-prescription treatments. One must follow the doctor’s guidelines to the T to get the optimum benefit of the available treatments. To explore alternative treatments, one must do it by consulting their doctor. Without a structured treatment, the disease may progress quickly.

Manage comorbidities
Hypertension, coronary heart disease, diabetes, stroke, Parkinson’s disease, COPD, and depression are some of the most common comorbidities of Alzheimer’s disease. It is important to continue the treatment of these illnesses. Worsening symptoms of existing diseases can cause additional pain and distress to patients. For example, fluctuating or poorly managed blood sugars can further weaken their cognitive abilities. Hence, along with treating Alzheimer’s, one must continue treating any preexisting diseases.

Train family members
Alzheimer’s disease has multiple physical, emotional, and psychological impacts. One can anticipate changes in their communication and cognitive abilities, personality and behavior, intimacy, and sexuality. To help them cope with these changes, family members and caregivers must receive training to identify unusual symptoms. As the disease progresses, they may get confused with noises, faces, rooms, floors, signs, and mirrors. They are also trained to notice physical or cognitive changes and are taught when to reach a doctor. Caregivers and family members are taught to:

  • Maintain eye contact
  • Communicate with the person using the right language and tone
  • Promote two-way conversation
  • Listen and be patient in case of emotional outbursts

Increase safety around the house
A person with Alzheimer’s disease tends to wander. Keep the main door locked but allow them enough space to move inside the house. Remove objects that can cause injuries like cables, wires, carpets, electrical, and sharp objects. Ensure proper lighting in the places they frequent to prevent the scope of tripping.

Set up a daily routine
A person with advanced Alzheimer’s disease needs the help of others to do even their basic and routine tasks. Right after diagnosis, one of the first things to do is set up a daily routine for regular chores like brushing, bathing, or eating. Once can schedule walks or activities that they enjoy doing. This can help their mood, relieve stress, and reduce the scope of any emotional or angry outbursts. Patients can make time for physical, social, and spiritual activities. A set routine can help them be occupied and reduce quite a bit of frustration they may go through.

Get the right nutrition
Poor appetite, no interest in eating, difficulty swallowing, and agitation during mealtimes are common in Alzheimer’s disease Lack of adequate nutrition can lead to malnutrition, weight loss, and fatigue. They are exposed to a higher risk of infection and delayed recovery in case of viral or bacterial infection. It is important to give them food they like. Serve food that is appealing and smells good. Instead of eating three full meals, one can serve them four or five smaller meals that are nutritious. One must include the following food for managing Alzheimer’s disease:

  • Vitamin-rich leafy greens like Swiss chard, spinach, kale, or collard greens
  • Flavonoid-rich berries like cherries, blueberries, and blackberries.
  • Nuts like peanuts, walnuts, almonds, cashew, and pecans
  • Omega-3 fatty food like tuna, mackerel, salmon, flax seed, and olive oil
  • Vegetables like broccoli, cauliflower, and Brussels sprouts
  • Seeds like pumpkin seeds and sunflower seeds

The following foods need to be avoided:

  • Sugary desserts
  • Red meat
  • Processed food
  • Refined grains
  • Alcohol
  • Saturated oils
  • High-calorie food

Engage with an occupational therapist
Occupational therapists can help train and guide patients to improve balance and coordination. This is crucial to prevent injuries from falls and slips as they may begin to face difficulty in moving around the house. They also recommend and teach exercises that can improve endurance and maintain mobility. Occupational therapists can also train family members and caregivers to cope, handle frequent emotional outbursts, and teach them how to communicate with their wards. Care for an Alzheimer’s disease patient can be overwhelming, physically demanding, and emotionally draining. Occupational therapists can also help caregivers and families cope with the continuous care and the resulting physical and emotional stress.

Importance of caring for Alzheimer’s patients
On average, people diagnosed with Alzheimer’s live between three to eleven years from the time of diagnosis. It varies based on the person’s age, current physical health, and existing comorbidities. There are hundreds of groups of researchers and doctors currently working on a cure. Without a cure, the impact of Alzheimer’s disease is irreversible or stoppable. Doctors, therefore, work on managing the disease with the following approaches:

  • Slowing the progression of the disease and preventing cognitive decline using prescription therapies.
  • Maintaining overall health using nutrition, exercise, regular physical exams, and care.
  • Managing behavioral symptoms using non-prescription treatment with the help of social workers, nurses, and support groups.
  • Modifying the home environment to make it safe for the patients.
  • Educating and supporting family and caregivers to prevent burnout, frustration, or depression.
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Understanding arthritis – A common joint condition

The joints are constantly working while we move our limbs, so, understandably, people may develop certain joint conditions that cause pain and compromise mobility, especially with age. One of the common joint conditions is arthritis, which leads to joint inflammation and mild to severe pain. While there are several types of arthritis, the two most common types are rheumatoid arthritis and osteoarthritis. Stages Rheumatoid arthritis has four stages: Stage 1: At this stage, inflammation occurs inside the joints, and swelling, stiffness, and joint pain are the common symptoms. Stage 2: The inflammation of the joint lining, synovium, aggravates at this stage and results in cartilage damage. The affected joints’ range of motion is also compromised, causing pain and discomfort. Stage 3: At this stage, the severity of the joint condition increases, and it leads to bone damage. This results in more pain, loss of mobility, and weakness of muscles. The bones rubbing against each other can cause bone deformity as well. Stage 4: This is the final stage where the joints stop functioning completely. It leads to more pain, stiffness, and swelling, and the bones may even fuse, which is known as ankylosis. Osteoarthritis also has four stages of progression: Stage 1: Wear and tear may affect the knee joints, and minor spur growths on the affected bone can also be seen, but the condition does not cause too much pain at this stage. Stage 2: The bone spur growths increase and cause pain, and the knee joints become stiffer. Stage 3: This stage is characterized by joint inflammation leading to increased pain and stiffness. Walking can also cause popping sounds in the joints. Stage 4: The space between the bones in the joints becomes very narrow, causing the cartilage to wear down. Also, a chronic inflammatory response caused by the breakdown of cartilage aggravates discomfort and pain. Diagnosis of arthritis These joint conditions can be diagnosed using several tests. A physical examination reveals whether a patient has red, warm, and tender joints, and this test also helps examine the fluid around the joints. A rheumatologist can analyze the level of inflammation in the joints to determine the type of arthritis an individual is affected with. Also, blood tests are undertaken to check for antibodies like anti-CCP, rheumatoid factor, and antinuclear antibody. In addition, X-ray, CT scans, and MRI are also performed to check the condition of the cartilage and bones. Prevention of arthritis A family history of joint conditions like arthritis or aging can increase one’s risk of developing arthritis, but making certain lifestyle changes can also help lower the chances of developing the condition. To start with, one should include more foods with omega-3 fatty acids in their diet as these healthy fats are anti-inflammatory. One should also exercise regularly, keep their weight under check, reduce stress on their joints, and try to avoid injuries. Also, if one notices any symptoms of arthritis, they should consult a doctor immediately as early diagnosis goes a long way in managing the condition effectively through timely treatment.

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7 tips to manage schizophrenia

Schizophrenia is a treatable mental illness characterized by distortions in speaking, thinking, and behavior accompanied by auditory and visual hallucinations. It is estimated that 3.5 million people in the country have been diagnosed with schizophrenia and other related mental illnesses. However, most symptoms significantly improve with treatment. But since there are too many myths and half-truths about the condition, you must learn the following tips to manage schizophrenia: Learning the truth and facts about schizophrenia Lack of awareness has resulted in the proliferation of myths about schizophrenia. It can confuse the person affected and their immediate circle of family and friends who may be their caregivers. Knowing the truth is essential for both patients and caregivers. Schizophrenic patients are not dangerous. They have a mental illness. They do not have a split personality or multiple personality disorder. They can get better with a structured and continuous treatment. Parental or societal influences do not cause schizophrenia. Learning about symptoms A person with schizophrenia may exhibit one or more of its typical symptoms. Knowing the typical symptoms can help one prepare to take adequate preventive measures per the doctor's advice. While an individual can work on managing stress independently, it is advisable to go to a doctor if they experience severe and intense mood changes, thoughts, or symptoms of a psychotic episode. Some typical symptoms of schizophrenia include: Absentmindedness Changes in behavior and mood Frequent bickering with people around you The inability to focus, concentrate or plan for activities Inability to express any feelings Lack of energy and constant fatigue Lack of interest in routine activities Paranoia Seeing or hearing things Unusual thoughts Being optimistic Though schizophrenia is a chronic condition with no cure, extensive studies and research have helped doctors create new and effective treatment methods and therapies. Behavioral therapies, cognitive behavioral therapies, psychotherapies, counseling, social skills training, and supported employment have helped improve their lives. Do not hesitate to talk to family, friends, and caregivers about the condition and seek their support whenever it is needed. There are numerous examples of people becoming better after receiving continuous treatment. Being positive about an individual's or their loved one's health can help recover faster. Working proactively to cope with stress Stress can worsen schizophrenia, as the affected person may be unable to cope with too many things around them. Loud noise or too much activity around them can cause stress and trigger symptoms. Faster heartbeat, nausea, headache, sweating, and grinding of teeth are some physical symptoms that they are going through stress. They may also repeatedly process old and unhappy memories. They will likely go through phases of fear, irritability, mood swings, and paranoia. They may walk up and down, cry without reason, take drugs or alcohol, isolate themselves, hide or lash out at people next to them. If the following symptoms are noticed, one can do the following to manage stress: Turn off the lights, lie down or take a nap Listen to music or do anything relaxing Practice deep breathing Stop doing high-energy activities Talk to a dear one about the symptoms Connecting with support groups Numerous organizations work with people with schizophrenia. These groups educate them, provide advocacy, support employment, and can connect them with other people with schizophrenia. One can register with leading support groups like National Alliance on Mental Illness (NAMI), Schizophrenia Alliance, or any active group. One can also connect with other patients diagnosed with schizophrenia and learn how they managed their illness. Being prepared for an emergency Despite best efforts, there may be a situation where a person could not read the symptoms correctly. An individual could face a situation where they may experience abnormal symptoms or see a loved one experience symptoms like: Inability to differentiate between real and unreal situations – this is known as a psychotic episode Hearing and seeing things others cannot hear or see Repeated suicidal thoughts or thoughts of hurting themselves or others Inability to wean off drugs or alcohol In such cases, it is best to reach out immediately to family, friends, or 911 so they can receive appropriate treatment. Doctors may also suggest hospitalization based on the intensity of the symptoms. Preparing a detailed plan for recovery Relapses during treatment are common and could be triggered by stress, use of alcohol, other illness, abrupt treatment discontinuation, or fatigue. It is best to discuss with the doctors and plan to do things that help reduce stress. Pay attention, identify the early warning signs, and contact the doctor immediately if the signs are noticed. Please do not assume that the symptoms may go away on their own. Set up a routine and plan the day so that one has adequate time for rest and a minimum of eight hours of sleep. What are the early warning signs of a relapse in schizophrenia? There are multiple early warning signs that one may have a relapse after a period of lull. Develop awareness of the physical and mental changes an individual may go through. Some early warning signs of a potential relapse are: Blushing Decision-making problems Feeling numb Hastened heartbeat and breathing Hearing voices Hiding Inability to take part in or listen to conversations Isolation and withdrawal Mood swings characterized by anger Sudden sweating Unnecessary worry about mundane things and situations Talk to the caregivers, and take time to figure the thoughts out. If one cannot do it independently, talking to primary responders and requesting medical attention will be beneficial.

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