The 1980s-era medical alert pendants made famous by their television advertising (“I’ve fallen, and I can’t get up!”) are now among a wide array of devices that can help keep an eye on aging parents and get them help when they need it.

Available technologies include:

• Sensors in the home to track an older person’s movement, from the front door to the medicine cabinet to the refrigerator to the stove. The sensors are linked with computers that can issue alerts when people deviate from their routine.
• Global positioning system devices, using the GPS technology that’s become so common in cars, that can help locate someone with dementia who’s wandered from home.
• Computerized pillboxes that track whether medication is being taken on time.

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Studies have shown nursing home residents with dementia spend 70 to 80 per cent of their time with nothing to do. “I’m dying of boredom” was the statement made by a gentleman living in an Alzheimer’s care unit to Wendy Wood of Colorado State University Head of Department of Occupational Therapy.

According to research conducted by Wood and published in the American Journal of Occupational Therapy in May 2009, the remaining cognitive, social, and emotional capabilities of persons with dementia living in Alzheimer’s units were rarely tapped into, promoting “excess disability” or disability beyond what is directly attributable to the disease itself. This could lead to a more rapid decline.

Because concerns about the use of certain medications to manage behaviours in persons with dementia are being raised, new approaches – such as music, dancing, art, and storytelling – are being tested and have been found to be effective in the care for persons with dementia.

The common element in all of them is engagement – or doing. Even routine tasks are beneficial for persons with dementia. Having the person help with dressing, setting the table, getting the mail, or answering the door are all tasks that can be assigned, as long as directions are also given. Targeted care incorporating daily engagement is key and has many benefits.

Even Chocolate

There are some caregivers -in family settings- or in nursing homes that have found that allowing people with dementia practically anything that brings comfort to them, improves the mood, decreases agitation, and soothes them in a higher rate that psychotropics medications that usually creates undesirable side effects in the elder. In a recent article by Pam Belluck for the New York Times, she interviewed Tina Alonzo, director of a nursing home, who states that “… Research suggests that creating positive emotional experiences for Alzheimer’s patients diminishes distress and behavior problems…” . The article also suggests that one-on-one activities instead of big “bingo-groups’ along with individualized menus help to improve people’s mood: “…Comforting food improves behavior and mood because it “sends messages they can still understand: ‘it feels good, therefore I must be in a place where I’m loved…”

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Living Well with memory loss and Alzheimer's

On Episode Six of the Charlie Rose Brain Series, a discussion of the Aging Brain with Brenda Milner of McGill University, Larry Squire of the University of California San Diego, John Hardy of University College London, and Scott Small of Columbia University. Co-hosted by Eric Kandel of Columbia University and the Howard Hughes Medical Institute, we find easy information for the laymen about what occurs in the aging memory related to memory loss and the developing of Alzheimer’s

See the program

The Health Day Article by Dennis Thompson states “…Research into Alzheimer’s disease has reached a point of significant potential, even as the disease’s looming impact on society grows more and more dire, experts say. Some leading scientists, in fact, worry that we may not be doing enough to press forward with key advances and new insights into Alzheimer’s, the most common type of dementia among older people…”

Read the article

Voices of Alzheimer's

A series of videos presented for The New York Times by Karen Barrow explores the frightening and confusing world of Alzheimer’s. She captures the voices of both patients and loved ones who are struggling with issues of independence, long-term care and making the most of the time they have left.

Listening to people who say that Alzheimer’s is not a normal part of aging but a disease that affects the patient and all family members equally, brings your awareness of the challenges of this disease that affects people “just out-of-the-blue…”

A common desire of people affected with Alzheimer’s is that they want to live life at its fullest and stay in their homes for as long as they can.

See the videos: Patient Voices: Alzheimer’s Disease and read the related article: “The Voices of Alzheimer’ by Tara Parker-Pope

Living Well

In a recent article published on the Wall Street Jurnal online, by Shirley Wang (April 28, 2010), we learn that after a panel discussion led by specialists at the National Institute of Health (NIH), there are not clinical or other interventions that had proven effective in the prevention of Alzheimer’s disease. They concluded “…There’s not enough evidence to suggest that medicines or dietary supplements prevent Alzheimer’s disease or cognitive decline, an independent committee of experts convened by the National Institutes of Health concluded today.

The three-day meeting of 15 experts took a critical look at the state of science surrounding the memory-robbing disease, which is now the sixth-leading cause of death in the U.S. The main conclusion: there’s not enough good research out there to show that any intervention prevents the disease. Read the panel’s draft statement here.

Some factors that appear to be related to decreased risk of Alzheimer’s include “cognitive engagement” like training people in reasoning and memory, walking and a Mediterranean diet. But there’s no consistent evidence that multivitamins, gingko biloba or other supplements can do anything to stave off the disease.

The experts didn’t find evidence that Alzheimer’s drugs like Pfizer and Esai’s Aricept and Forest’s Namenda, approved to treat memory loss and other symptoms of the disease, are also effective in slowing or preventing dementia. Read More

Living Well has been doing research for the best practices to assist and support people with Alzheimer’s. Now we have good news.

In an article by Shirley Wang,  in the Wall Street Journal on April 15, 2010, we learned that “…companies specializing in medical imaging are pushing to develop chemical agents to detect Alzheimer’s disease from brain scans, a process that one day may make it possible to predict who will suffer from the progressive ailment before symptoms appear.

Avid Radiopharmaceuticals Inc., a tiny imaging company based in Philadelphia, and multinationals like Bayer,  AG and General Electric Co., are among those working on imaging compounds to help doctors spot signs of the memory-robbing disease. Such chemical compounds would be a first of their kind and would help their makers tap into the multibillion dollar Alzheimer’s diagnostic market. These diagnostic tools will be important to developing new treatments as well. Many experimental Alzheimer’s treatments appear to work better in patients with less severe forms of the disease but are too weak to have an effect on patients by the time they are diagnosed today…” Read more

Living Well Assisted Living at Home, Inc. proposes combining smart technology with specialized services can help to keep these people safe at home. Models like the one they called High Tech-High Touch offers a solution to the challenge of caring for elders who experience any type of dementia or cognitive decline and want to stay at home instead of going to an institution.

At Living Well Assisted Living at Home, we are happy to offer smart technology and comprehensive services that allow people with dementia to continue with their usual lives.

To support this concept, USA Today has been publishing the “Blackwells’ journey into Alzheimer’s”. “…USA Today: Focus on the present helps couple handle Alzheimer’s. The reality of Alzheimer’s disease is different for everybody. Bob Blackwell, an Alzheimer’s Association early-stage advisor, and his  wife, Carol, choose to focus on the present when dealing with his diagnosis. They travel together and blog about their Alzheimer experience, and Bob continues to exercise and partake in photography, his favorite hobby. The couple also traveled to Washington, D.C., to lobby their elected officials at the Alzheimer’s Association Alzheimer’s Action Summit. Read the USA Today article