May 20, 2012

Chronic Illness-Caring For People

Chronic Illness-Caring For People

Article by Glen Williams









Coping With A Chronic Illness:  In a lot of ways, it’s easier to deal with a life threatening, acute disease than a chronic illness which, barring miracles, isn’t getting any better.  These illnesses can go from a mild case of hypertension, through asthma,  diabetes, some cancers, all the way through cerebral palsy, blindness, deafness, emphysema, stroke, Parkinson’s and rheumatoid arthritis, etc.  The pain, confusion and energy drain can stop you in your tracks, whether you’re the patient or a close loved one.  This is when we need to know our disease and hold to our determination to get through.Pain Management Tips and Tricks:  Knowing our disease helps us learn what can be done without medication to manage pain.  It’s one thing to take meds for a temporary injury, but long-term pain meds can add addiction to an already growing list of problems.  With many diseases, pain can be exercised and massaged away.  Aerobic exercise can put endorphins in your body which are very strong, natural pain killers.  If you have a willing partner, sexual intercourse can flood your body with these endorphins.  Other conditions have spells of pain that come and go, but might be endured rather than take heavy narcotics for pain that will pass by the time the pain-killer begins to work.  Still others may be managed by mental techniques, such as re-living a pleasant memory, or eating an especially enjoyable food.  Of course, if the pain is so sever you can’t manage it any other way, that’s what medicine is for.  If you’re dealing with terminal illness, use the meds as often as needed within your doctor’s guidelines.  If you’re caring for someone suffering some types of dementia, it may be easier to medicate them than to explain the other tips and tricks.  You have to use what resources are available.Managing Personal And Family Resources:  If you have a chronic illness, you already know about managing energy resources.  I have diabetes, hypertension and asthma.  Between blood and breath, I almost never feel like doing anything…even wake up tired.  Still, the only thing that keeps my weight and blood sugar under control and the blood pressure down is exercise…so I do it whether I feel like it or not.  In fact, I feel better after I exercise than before…we all do…because of the endorphins mentioned earlier.  For chronic illness, when it comes to resources, use yours first.  Never let someone else do for you what you can do for yourself.  This accomplishes at least 3 things for you:1.  It provides you a sense of accomplishment and worth which helps keep a fighting attitude.2.  It keeps you healthier, slowing progression of the disease.3.  It saves family and other resources for when you really need them.If you’re the one caring for a chronically ill loved one, I can relate.  I was in charge of my mother while she suffered the last 2 years of COPD, osteoporosis and Alzheimer’s disease.  You may not know it, yet, but you must manage your personal resources, as well.  Take care of yourself, first, so you can have what it takes to take care of them.  If you can afford it, have the routine cooking, feeding and cleaning done by others, so you have energy to take care of your loved one, close friends and family.  Get days off and time away during the day or you will burn out.  It isn’t going to do anyone any good if you “hit the wall” while trying to help someone.Learning you or a loved one has a chronic illness can be some of the most devastating news.  I was frozen for a couple weeks after my diabetes diagnosis, tempted to just quit.  Still, most chronic diseases allow us to live a normal, productive happy life for years…if we don’t give up.



About the Author

Glen Williams is Webmaster athttp://www.e-health-fitness.com and Founding CEO of E-Home Fellowship (EHF), Inc.  He has counseled and helped people on life and health issues since 1987.










Caring for People with Dementia (1 of 5)

Download the presentations here: tinyurl.com Caring for People with Dementia: Understanding and Minimizing Aggressive Response Behaviours On October 5, 2010 WorkSafeBC hosted two half-day information sessions on “Caring for People with Dementia: Understanding and Minimizing Aggressive Response Behaviours” for employers and workers in healthcare. Here are the presentations in 5 parts. Part 1: WorkSafeBC Introduction: Presented by Donna Wilson, WorkSafeBC Vice President Industry & Labour Services and Sustainability; AND Reflections on a Rising Tide: Presented by Jean Blake Chief Executive Officer, Alzheimer Society of BC

The Symptoms Of Dementia

The Symptoms Of Dementia

Article by Heather Colman









Dementia is the progressive decline in cognitive function due to damage or disease in the brain beyond what might be expected from normal aging. Particularly affected areas may be memory, attention, language and problem solving, although particularly in the later stages of the condition, affected persons may be disoriented in time, not knowing what day, week, month or year it is, not knowing where they are not knowing who they are.

Symptoms of dementia can be classified as either reversible or irreversible depending upon the etiology of the disease. Less than 10% of all dementias are reversible. Dementia is a non-specific term that encompasses many disease processes, just as fever is attributable to many etiologies.

Early symptoms of dementia often consist in changes in personality, or in behavior. Often dementia can be first evident during an episode of delirium. There is a higher prevalence of eventually developing dementia in individuals who experience an acute episode of confusion while hospitalized.

Dementia can affect language, comprehension, motor skills, short-term memory, ability to identify commonly used items, reaction time, personality traits, and executive functioning. Even without signs of general intellectual decline, delusions are common in dementia (15-56% incidence rate in Alzheimer’s type, and 27-60% incidence rate in multi-infarct dementia). Often these delusions take the form of monothematic delusions, like mirrored self-misidentification.

Elderly people can also react with dementia-like symptoms to surgery, infections, sleep deprivation, irregular food intake, dehydration, loneliness, change in domicile or personal crises. This is called delirium, and many if not most dementia patients also have a delirium on top of the physiologial dementia, adding to the symptoms. The delirium can go away or greatly improve when treated with tender care, improved food and sleeping habits, but this does not affect the alterations in the brain. Affected persons may also show signs of psychosis or depression. It is important to be able to differentiate between delirium and dementia.

Proper differential diagnosis between the types of dementia will require, at the least, referral to a specialist, e.g. a geriatric internist, geriatric psychiatrist or neurologist. However, there are some brief 5-15 minute tests that have good reliability and can be used in the office or other setting to evaluate cognitive status.

Except for the treatable types listed above, there is no cure to this illness, although scientists are progressing in making a type of medication that will slow down the process.

Disclaimer – The information presented here should not be interpreted as medical advice. If you or someone you know suffers from Dementia, please consult your physician for the latest treatment options.



About the Author

Copyright ? 2006, Heather Colman. Find more Dementia resources at dementia-nucleus.info.










Music And Art Therapy As An Effective Treatment For People With Dementia

Music And Art Therapy As An Effective Treatment For People With Dementia

Dementia is a word for a group of symptoms caused by disorders that affect the brain. People who dementia have significantly impaired intellectual functioning that interferes with normal activities and relationships. Memory loss is a common symptom of dementia, memory loss by itself does not mean that a person has dementia.

Research is pursuing a variety of promising findings for the treatment of dementia. Pharmacological interventions are available but have limited ability to treat many of the syndrome’s features. Little research has been directed towards non-pharmacological treatments. In this review the evidence for music and art therapy  as a treatment is examined.

Previous studies from the Fundació ACE, Institut Català de Neurociències Aplicades in Barcelona, Spain, and the University of Pittsburgh School of Medicine have indicated that  increasing brain activity, especially in regards to memory and cognition, may help stave off cognitive loss in people with Alzheimer’s.

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Music and art therapy can help people with dementia revive memories and offer enjoyment. Art therapy can help them come to terms with their feelings by identifying and working through anger, resentment and other emotions. By drawing, a person with dementia who can no longer speak can show how he or she feels. This can give them some sense of control over their feelings so they can relax and relieve the stress.

Music can act as a stimulus to awaken buried memories, or evoke emotional responses which may otherwise be inaccessible. In this way, it may obtain results which might take weeks of more usual talking psychotherapy. It can be a useful route to healing for people of any age or background and it can be very valuable in the care of people with dementia. The part of the brain which responds to music is the most long-lasting, and a person may continue to be able to play or sing, to appreciate music and be calmed by it, after most other faculties have gone.

The value of the arts for human survival tends to be underestimated in our society. Song, music, dance, drama, and art have been the most fundamental and consistent forms of expression throughout human history, and very important to the survival of civilisations. They are essential for societies to thrive. In psychiatric settings, they may provide more profound and long-lasting healing than more standard forms of treatment.

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