Category: Dementia
Articles about dementia care including the various types of dementia often in the terminal stage including caregiver tips and instructions for comfort care.
How to Respond to a Dementia Patient Asking About a Deceased Family Member
When a dementia patient inquiries about a family member who has passed away but still believes them to be alive, it's essential to respond with empathy and understanding. Here are some tips on how to handle such situations with compassion and sensitivity:
Read MoreHow to Respond to a Dementia Patient Asking About a Deceased Family MemberUnderstanding Memory and Cognitive Testing for Dementia
Caring for a loved one with dementia can be a challenging journey, filled with complex emotions and difficult decisions. As families and caregivers, it's crucial to understand the nature of dementia and the various tools available to help assess and manage the condition. This article aims to provide a comprehensive guide to the seven most common memory tests used to evaluate if a person has dementia. These include the Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog), Mini-Mental State Examination (MMSE), General Practitioner Assessment of Cognition (GPCOG), Montreal Cognitive Assessment (MoCA), Self-Administered Gerocognitive Exam (SAGE), Neuropsychological evaluation, and Short Test of Mental Status. Each of these tests offers unique insights into the cognitive abilities of an individual and can be instrumental in the early detection and management of dementia. By understanding these tests, you can better navigate the path of dementia care and ensure your loved one receives the best possible support.
Read MoreUnderstanding Memory and Cognitive Testing for DementiaMinimizing Dementia Progression in Loved Ones: Beyond Medications
Dementia is a progressive disease that affects memory, thinking, and behavior. While there is no cure for dementia, there are ways to minimize its progression and improve the quality of life for those living with the disease. Here are some activities to do, activities to avoid, dietary changes to make, and activities to perform to minimize the progression of dementia.
Read MoreMinimizing Dementia Progression in Loved Ones: Beyond MedicationsStatins Increase the Risk of Dementia or Worsening Dementia
Pharmaceutical advertisements often highlight the benefits of a particular drug, including its ability to reduce the risk of various health conditions. However, the actual risk reduction these drugs provide may differ from what is portrayed in the advertisements. It is the opinion of the author that if cardiologists and other providers told their patients the absolute risk reduction of statins is 0.8% for all-cause mortality, 1.3% for myocardial infarction and 0.4% for stroke and the side effects of going on a statin include dementia, worsening dementia, confusion, muscle problems, such as aches, pains, weakness, muscle breakdown, falls, nausea, constipation, diarrhea, and increase the risk of type 2 diabetes, would you or anyone else ever agree to take a statin?
Read MoreStatins Increase the Risk of Dementia or Worsening DementiaHow to Use the Pain Assessment in Advanced Dementia Scale (PAINAD) to Determine Discomfort in Your Loved One with Dementia
If you have a loved one with dementia, it can be difficult to know if they are in pain or discomfort. The Pain Assessment in Advanced Dementia Scale (PAINAD) is a tool that can help you determine if your loved one is uncomfortable. The Pain Assessment in Advanced Dementia Scale (PAINAD) is different from other pain assessment tools for people with dementia in several ways:
Read MoreHow to Use the Pain Assessment in Advanced Dementia Scale (PAINAD) to Determine Discomfort in Your Loved One with DementiaWhy Patients with Dementia Thrive in a Family Home Setting
As an experienced hospice registered nurse case manager specializing in compassionate end-of-life care, I've had the privilege of working closely with terminally ill patients, including those battling dementia. Through years of dedicated service, I've observed a significant difference in the well-being and quality of life of dementia patients in family home settings versus facility-based care. In this article, we'll explore why patients with dementia often experience better outcomes in the comfort of a family home.
Read MoreWhy Patients with Dementia Thrive in a Family Home SettingUnderstanding Lewy Body Dementia: A Guide for Families
Lewy Body Dementia (LBD) is a complex and challenging condition that affects millions of individuals worldwide. As a hospice nurse with years of experience, I understand the importance of providing families with clear and compassionate information about what to expect when a loved one is diagnosed with LBD. This article will discuss what LBD is, its common symptoms and progression, and practical tips for providing care and support throughout the journey, from onset until the end of life.
Read MoreUnderstanding Lewy Body Dementia: A Guide for FamiliesEarly Detection of Serotonin Syndrome in Dementia Patients: Three Case Studies
Serotonin syndrome is a potentially life-threatening condition caused by an excess of serotonin in the body. Detecting this condition early is crucial, but it can be particularly challenging when dealing with dementia patients due to communication barriers and the complexity of their symptoms. In this article, we will present three case studies that highlight the early detection and successful management of serotonin syndrome in patients with different types of dementia: Alzheimer's disease, vascular dementia, and Lewy Body Dementia.
Read MoreEarly Detection of Serotonin Syndrome in Dementia Patients: Three Case StudiesUnderstanding Vascular Dementia: A Guide for Families
If your loved one has been diagnosed with Vascular Dementia, it is natural to have questions and concerns about what lies ahead. This educational article aims to provide you with an overview of what to expect over the course of the disease, the changes you might see in your loved one, and how to best care for them from onset until the end of life.
Read MoreUnderstanding Vascular Dementia: A Guide for FamiliesUnmanaged Pain in Dementia Patients
Dementia is a condition that affects millions of people worldwide, and it can cause a range of symptoms, including pain and discomfort. Unfortunately, pain is often under-detected and undertreated in people with dementia, leading to significant suffering and a reduced quality of life. In this article, we will explore the prevalence of pain among dementia patients, the impact of unmanaged pain on their quality of life, behavioral changes that may indicate pain, and the use of the PAINAD pain scale as a tool for assessing and managing pain in dementia patients.
Read MoreUnmanaged Pain in Dementia PatientsUnderstanding and Avoiding Caregiver Burnout when Caring for a Loved One with Dementia
Caring for a loved one with dementia can be a rewarding experience, but it can also be physically, emotionally, and mentally exhausting. Family caregivers often neglect their own well-being while focusing on the needs of their loved ones, leading to burnout. Caregiver burnout is a state of physical, emotional, and mental exhaustion that can happen when caregivers don't get the help they need or try to do more than they are able to do. In this article, we will discuss how family caregivers of a loved one with dementia can avoid burnout and recover if they are already experiencing burnout.
Read MoreUnderstanding and Avoiding Caregiver Burnout when Caring for a Loved One with DementiaUnlocking the Power of Validation Therapy in Compassionate End-of-Life Care
In the realm of hospice care, where empathy and compassion are paramount, a remarkable approach called Validation Therapy has emerged as a beacon of hope and comfort for individuals facing dementia and cognitive disorders in their final journey. As an experienced hospice registered nurse case manager, I've witnessed the transformative impact of Validation Therapy on patients, allowing them to find solace, regain their self-worth, and experience a sense of dignity during their end-of-life phase.
Read MoreUnlocking the Power of Validation Therapy in Compassionate End-of-Life CarePromoting Meaningful Relationships with Dementia Patients through Validation Therapy
Caring for individuals with dementia can be both challenging and rewarding. One approach that has gained recognition for promoting meaningful relationships with dementia patients is Validation Therapy, developed by Naomi Feil. This article will explore how Validation Therapy works, why it does not involve telling a single lie, and why honesty is crucial when dealing with dementia patients.
Read MorePromoting Meaningful Relationships with Dementia Patients through Validation TherapyRecognizing Signs of Dementia in Your Loved One
Dementia is a condition that affects cognitive abilities such as thinking, remembering, and reasoning. It is crucial to recognize the signs and symptoms of dementia early to provide proper support. This article will help you understand the common signs and symptoms of dementia and steps you can take to address them.
Read MoreRecognizing Signs of Dementia in Your Loved OneFrontal Lobe Dementia: Understanding and Caring for Your Loved One
Facing a loved one's diagnosis of frontal lobe dementia can be overwhelming and challenging. This article aims to provide families with essential information about frontal lobe dementia, its progression, changes they might observe in their loved one, and best practices for caregiving from onset until the end of life.
Read MoreFrontal Lobe Dementia: Understanding and Caring for Your Loved OneEye-Opening Lessons on Trusting Nursing Facilities: Advocating for Comfort in End-of-Life Care
As an experienced hospice visiting registered nurse, today offered me profound insights from two interconnected perspectives. The first highlights the blind trust we often place in facility nurses and doctors when caring for our loved ones. The second involves the challenges I encountered while advocating for proper end-of-life care for a patient with Alzheimer's.
Read MoreEye-Opening Lessons on Trusting Nursing Facilities: Advocating for Comfort in End-of-Life CareMy name is Peter, yet the patient called me “Jack”
As a hospice registered nurse, I have encountered numerous heartwarming and challenging experiences throughout my career. One of the most memorable encounters was with a dementia patient, Miss Norma Jean Smith, who affectionately called me "Jack." This endearing nickname, born out of her unique perception, became a symbol of the special bond we shared. In the following account, I will share the poignant journey of building trust, providing compassionate care, and embracing the unexpected moments of joy and sorrow in the life of Miss Norma. This story is a testament to the profound impact of person-centered care and the invaluable lessons learned from the patients we are privileged to serve.
Read MoreMy name is Peter, yet the patient called me “Jack”Detecting Infections in Terminally Ill Geriatric Patients with Dementia
One of the most important roles is detecting and managing infections in terminally ill geriatric patients with dementia. These patients are often at higher risk for infections due to their weakened immune systems, underlying health conditions, and limited mobility. Detecting infections in these patients can be challenging due to their limited communication abilities and other cognitive and physical impairments. However, early detection and management of infections can significantly improve the patient’s quality of life and potentially prolong their life.
Read MoreDetecting Infections in Terminally Ill Geriatric Patients with DementiaBest Practices for Approaching Combative Dementia Patients
Dementia is a progressive brain disorder that affects a person’s cognitive abilities, memory, and behavior. In the later stages of the disease, some patients can become combative and aggressive, making it difficult for caregivers to provide the necessary care. As a hospice nurse, it’s important to know how to approach and manage combative dementia patients to ensure their comfort and safety. Here are some best practices to consider:
Read MoreBest Practices for Approaching Combative Dementia PatientsThe Dark Side of Physical Therapy for Geriatric Patients with Dementia
Explore the ethical dilemma of physical therapy for terminally ill dementia patients. This article examines the potential harm of aggressive interventions, highlighting the importance of comfort-focused care. Learn why hospice professionals often advocate for gentler approaches in end-of-life dementia care.
Read MoreThe Dark Side of Physical Therapy for Geriatric Patients with DementiaValidation Therapy: A Valuable Tool for Families and Healthcare Teams
Naomi Feil is an expert in gerontology and the creator of validation therapy, which is a means of communicating and acknowledging the internal reality of patients with dementia. When properly utilized, validation therapy can enhance the quality of life of patients with dementia as well as reduce stress on the family and caregivers.
While Naomi Feil and her followers (of which the writer of this article may be considered one, at least in form) focus on using this method of communication to maintain health with the potential for a level of restorative health, I want to share how the concepts of this method can be used during times of crisis.
Read MoreValidation Therapy: A Valuable Tool for Families and Healthcare TeamsMy Loved One with Dementia
Caring for a loved one with dementia can be challenging. This article provides insights into understanding dementia, its stages, and practical tips for caregivers. Learn about the FAST Scale, validation therapy, and when hospice care might be appropriate to ensure compassionate and effective support.
Read MoreMy Loved One with Dementia