Thursday, August 28, 2008

Early Stage Alzheimer's Patients 'Don't Want to be Stigmatized'

According to an article by Mary Brophy Marcus in USA TODAY, being treated with dignity is a universal human need, and perhaps even more so if you have early Alzheimer's disease, a new report indicates.

After a year of listening to the thoughts of more than 300 people diagnosed with early-stage Alzheimer's disease, the Alzheimer's Association today releases "Voices of Alzheimer's Disease," which reveals many patients in the early stages of dementia feel they are prematurely perceived as debilitated — even by close friends and relatives.

Those who have early-stage Alzheimer's don't want to be defined by their memory loss or functional decline, says Peter Reed, senior director of programs at the Alzheimer's Association.

"We are seeing a growing trend of people in early Alzheimer's who really retain the capacity to contribute," Reed says. "They don't want to be stigmatized. They are saying, 'We are still vibrant contributing members of the community.' "

About half of the 5.2 million Americans estimated to be living with the disease — a form of dementia that slowly destroys memory and a person's ability to function independently — are in the early stage. The report says top concerns include:

• Frustration with how the stigma and misconceptions affect their relationships.

• Dissatisfaction with the medical community, including difficulties in getting the right diagnosis, treatment and follow-up care.

• A lack of knowledge about the availability of support services.

• The prospect of relying more on friends and family to meet daily needs as memory fails.

• The desire to stay involved.

"These are the voices of our mothers, fathers, sisters and brothers, husbands and wives, and they are telling us that Alzheimer's is a significant but not insurmountable problem," says Michelle Barclay, a gerontologist and vice president of programs at the Alzheimer's Association Minnesota/North Dakota chapter in Minneapolis.

Barclay says the feedback describes situations that communities and care systems can improve.

"Alzheimer's is like a monster under the bed. You have two choices: You can either look under the bed and scope out the monster and see what tools you have to fight him, or you can sit there and wait for him to come. There's so much you can do if you know early on."

Educating the public about early dementia will increase earlier diagnoses and could help boost participation in drug trials, says Samuel Gandy, associate director of the Alzheimer's Disease Research Center at Mount Sinai School of Medicine in New York. "It will almost certainly be these early-stage patients who will lead the way toward new drugs since they are poised to benefit from them."

The report, Reed says, is "a call on the part of people with early-stage Alzheimer's … to continue to treat them with respect and dignity and help them maintain their personhood and humanity."


Sunday, August 24, 2008

Nominate the "Alzheimer's Disease: Early Detection Matters" project today. With your support, it could get funding from American Express!

With just a few clicks, you can help make a huge impact in the fight against Alzheimer's disease.

The American Express Members Project encourages everyone to nominate project ideas that create positive change in the world. The winning project (and associated organization) receives $1.5 million from American Express to fulfill their vision.

Nominate the "Alzheimer's Disease: Early Detection Matters" project today! (Find it in the Health | Education and Outreach section.)

Here's how:

  1. Click or paste this link: http://www.membersproject.com/project/view/OGSSPK to the Members Project site in your browser to see the Alzheimer's project.
  2. Click "Nominate this project." You will be prompted to log in as a Cardmember or guest.
  3. You'll return to the main page. Search for "Alzheimer's Disease: Early Detection Matters" project. There are two ways to find it:

· Search by project ID: Enter OGSSPK into the search box.

· Find the category: The project is under the category "Health | Education and Outreach."

  1. Once you get to the project page, confirm that it has project ID: OGSSPK.
  2. Click "Nominate the project."

Nominate today and bring us one step closer to a world without Alzheimer's disease!

Thursday, August 21, 2008

Overthinking Can Be Good for Us!

According to a recent article in USA TODAY by Mary Brophy Marcus, people who tend to overthink things might be protecting themselves from Alzheimer's, according to research presented at the International Conference on Alzheimer's Disease this past July in Chicago. A slew of studies were presented at the meeting in Chicago that looked at how certain lifestyle factors, like rumination, and family history may affect a person's risk for dementia. Among their findings:

• Overthinking family and work troubles may be a good thing when it comes to late-life brain health, according to Israeli researchers. More than 9,000 men in midlife were asked to rate their tendency for rumination on a scale from 1 (always forget) to 4 (usually ruminate) when it comes to family and work difficulties. The scientists followed up three decades later performing dementia assessments in 1,892 of the 2,606 men who had survived. Dementia prevalence was up to 40% less in men who said they ruminated about life's matters more often, compared with men who had the lowest ruminating scores.

So, this is good news, and even has a humorous twist to it for those of us "mental types" who sometimes suffer from over-active brains!

Wednesday, August 20, 2008

Reflections, Suggestions, and Seed Thoughts

I included a section at the end of each chapter in my book, THE MAJESTY OF YOUR LOVING: A Couple's Journey Through Alzheimer's, to highlight psychological and spiritual perspectives that may illuminate the process of caring for someone with dementia. These reflections, suggestions, and seed thoughts--simple, prayer-like statements--were included to help guide and encourage you along the way. In this blog, I will highlight these approaches and mantras each week to help you refocus and uplift your mind in challenging moments.

Reflections
One of the most critical moments in life is learning that one has a life-threatening illness. Whether you are the patient, spouse, family member, or friend, acknowledge the enormity of receiving this news and the time it takes to integrate the new reality into one's life.

Suggestions
Who can you turn to for support? Consider sitting down with your spouse, family members, or trusted friends and brainstorm what your resources are: supportive family members, friends, minister or rabbi, therapist, financial advisor, and so forth. Find out what Alzheimer's resources there are in your area: an Alzheimer's center, support groups, adult day programs for the future. Check out the Internet for further information. Read about Rehabilitation Therapy, a practical program for dementia patients that suggests many effective strategies for handling this disease.

Seed Thoughts
May I accept the challenges of this situation.

May I be gentle with myself.

Let me be calm.