Better Health 25 Eng

More documents

Recommendations

Info

the presence of certain diseases known to cause dementia. To ensure diagnostic accuracy, the doctor may conduct further tests; brain scans, neurological evaluations and neuropsychological tests are used to confirm whether or not the patient has dementia, and if so, whether it is reversible. “It is very important to identify the type of dementia and its underlying causes,” says Dr. Ketchai. “Doctors need to be sure to leave nothing out, so the patient won’t miss an opportunity to treat the diseases contributing to the dementia.” “By way of example, a relative brought their family member to see me about memory problems. After asking some questions, it was apparent that the patient was normal until the few days before we met, when suddenly he became unable to recognize family members. This didn’t match the profile of dementia caused by Alzheimer’s, but it fit the profile of secondary dementia caused by stroke. Based on that, by treating the stroke first, brain function might eventually return.” Leading cause: Alzheimer’s After ruling out other treatable causes, the next diagnostic step involves identifying the specific brain disorder causing the dementia, and then determining the best course of treatment such as medication. By far the most common cause of irreversible dementia is Alzheimer’s disease; it accounts for about 60 to 80 percent of all cases of dementia. Typically, symptoms of Alzheimer’s only become apparent around the age of 60 to 65. [Cases of earlier onset Alzheimer’s are rare and can usually be traced to gene mutations.] “Alzheimer’s disease is believed to be caused by the buildup of plaque in the brain which interferes with brain cell connections,” Dr. Ketchai explains. “The cells die or lose control over functions such as memory, perception, behavior, and cognitive and language skills.” Maintaining good brain health T hough some cases of dementia cannot be prevented, most people can reduce their dementia risk by incorporating these brain-healthy habits into their daily lifestyle: Maintain a healthy weight; obesity causes a number of chronic conditions that lead to dementia; Make brain-healthy food and supplement choices, including omega-3 in the form of DHA, which helps protect nerve cells; Be sure to get enough sleep every night; Stay socially active and keep contact with family and friends; Learn new things and do something different, e.g. practice using your other hand during meals; Do 30 minutes of aerobic exercise at least four times a week. Courtesy of Sallaya Kongsomboonvej, a US board-certified dietician at the Vitallife Wellness Center. “ Earlier detection of Alzheimer’s disease and progressive dementia can slow disease progression while allowing patients and caregivers to maintain a better quality of life.” Dr. Ketchai Suavansri Alzheimer’s is a progressive disease categorized in three stages: Mild/Early stage Frequent recent memory loss, particularly involving recent conversations and events. Depression and apathy may occur and may be accom- panied by mood swings as patients start to notice their own symptoms. “At this first stage, the caregiver may not know how best to deal with the situation,” says Dr. Ketchai. “It’s fine to remind the patient once or twice if they forget something or their speech rambles on. But don’t pressure the patient to the point where they suffer stress which can lead to depression.” Moderate/Middle stage Symptoms have become more noticeable, making it impossible for the patient to cover up the problem. Patients may fail to recognize their spouse and family members. Mood and behavioral changes are usually seen. “At this stage, patients have become more dependent with everyday activities,” Dr. Ketchai notes. “Pay close attention to the patient’s safety; watch them when they go outside and restrict access to dangerous objects such as knives and fire sources.” Severe/Late stage Symptoms have worsened, with the patient gradually losing ability to remember, communicate, move around or care for himself. “The patient’s health continues to decline,” adds Dr. Ketchai. “The patient cannot be left alone.” Brain cell decline reaches extensive levels, causing grave damage to brain function. The patient’s condition continues weakening, putting them at serious risk for malnutrition and infections, some potentially fatal. Alzheimer’s disease remains incurable at the moment, and current treatments are only able to slow the speed of 16
progression. “It’s very important to detect and diagnose Alzheimer’s disease as early as possible,” says Dr, Ketchai. “Earlier intervention slows disease progression while boosting quality of life for patients and caregivers. It also helps reduce the risk of complications from injury, infection and the patient becoming unable to conduct daily activities. The medical community continues working to develop new medications and potential cures. I believe the chances are good that those efforts will succeed during the next five or ten years.” The importance of caregivers Caregivers play such an important role in helping patients with dementia maintain a quality of life as normal as is possible. Caregivers make numerous sacrifices for the good of their patients; their dedication often requires changes to their schedules and normal daily activities, and the demands that come with caregiving can cause a great deal of physical, mental and emotional stress. “It’s very important that caregivers develop a solid base of knowledge about dementia. The patient’s doctor can help prepare the caregiver to know what to expect and how to Did you know? Among seniors, some symptoms of depression can be difficult to distinguish from symptoms of dementia. These include memory loss, confusion and hallucinations. Neuropsychological testing is used to diagnose depression. handle specific problems,” Dr. Ketchai notes. “More importantly, caregivers must not forget about taking care of their own health, both physical and mental. Caring for a dementia patient is never easy, and it can quickly take a toll on a caregiver’s well-being. “ Dr. Ketchai continues: “Providing loving care requires patience and understanding. Remind yourself that the frustrating symptoms and behaviors you must deal with are not coming from the patient; they are coming from the illness. It also helps to divide up the responsibilities; having at least two caregivers for a patient provides time to rest and relax. That’s a good thing for caregivers, and for their patients, too.” 10 Alzheimer’s disease symptoms you should not ignore 1. Frequent and worrisome forgetfulness 2. Inability to recall recent events 3. Communication difficulties, e.g. inability to use correct wording that people will comprehend 4. Lost away from home – can’t find the way back home after going out 5. Dressing improperly or not taking care of personal hygiene 6. Inability to perform simple math functions like addition or subtraction 7. Irrational misplacement of things, e.g. placing shoes in the refrigerator 8. Unexplained mood swings 9. Rapid changes in personality 10. Rarely responsive or pervasive loss of interest 17
Page 2 and 3: p2 Ad Heathy Max
Page 4 and 5: HEALTHY AGING Aging without disease
Page 6 and 7: Calcium supplements can offset some
Page 8 and 9: ACTIVE AT EVERY AGE Exercise is the
Page 10 and 11: Better flexibility and balance. Exe
Page 12 and 13: M.D. FOCUS Get to know our doctors
Page 14 and 15: p14 Ad BH
Page 18 and 19: Q & A The aging process is a cataly
Page 20 and 21: HEALTH BRIEFS Damaging duo of diabe
Page 22 and 23: 22
Page 24: p24 Ad Arrow Bedding

Better Health 25 Eng

Create successful ePaper yourself

Delete template?

Save as template?