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Alzheimer's Disease     

Alzheimer’s disease interferes with memory and mental abilities.  Although the symptoms may vary for each individual, the disease usually begins to affect people in their mid-60s and continues to progress over time.  The symptoms usually increase in intensity from slight memory loss and mental confusion, to severe mental impairment and physical limitations.  Alzheimer’s is not a result of growing older.  It is a disease caused by changes in the nerve endings and brain cells that interfere with normal brain functions.  At this time, there is no known cure for Alzheimer’s, although proper treatment can relieve some symptoms and help patients feel more comfortable.

What are the Symptoms?
Some of the early signs of Alzheimer’s disease may be so slight that they go unnoticed.  Forgetfulness, shortened attention span and trouble with simple math are some of these early signs.  Others include difficulty in expressing thought, changing or unpredictable moods and less desire to try new things or meet new people.  As Alzheimer’s disease progresses, the earlier symptoms become more intense.  Loss of memory – including how to dress, how to eat, names of family, etc., becomes increasingly severe.  The victim experiences drastic mood and personality changes including outbursts of anger, dissatisfaction or suspicion.  Total loss of judgment and concentration, and the inability to complete routine household tasks becomes more and more difficult for the person with Alzheimer’s.

Suggestions For Working With a Person Who has Alzheimer’s

  • Keep expectations realistic. This will reduce the frustration for both you and the patient.  Learning about the disease will help you know what can be expected from an individual who has a progressive dementia related illness.

  • Maintain a calm atmosphere. Constant activity around the Alzheimer’s patient or requests by the caregiver to hurry up or go faster will confuse and frighten the memory-impaired.  Even small amounts of excitement can cause agitation.
     

  • Be consistent.  Avoid changes and surprises. Individuals with Alzheimer’s generally function better in familiar well-organized environments and consistent routines.
     

  • Limit choices. For a person with Alzheimer’s, this helps reduce confusion.
     

  • Use repetition. Alzheimer’s patients need frequent, patient reminders.  They simply may not remember what they are told.  It is important for the caregiver to remember they have difficulty retaining information.
     

  • Use memory aids. Memory aids can be helpful in promoting better orientation.  Signs, clocks, calendars and a schedule of the day’s activities all help reinforce memory.
     

  • Make the environment safe. Safety is a major concern in daily living. Family members constantly need to be aware of the sources of danger. Three potentially dangerous activities are smoking, cooking and driving.
     

  • Reassure and praise the Alzheimer’s patient.  Provide praise for the tasks accomplished. Treat the person as an adult and help him or her maintain a sense of humor and dignity.

Community Resources
The Alzheimer’s Association of Eastern Washington can answer all of you questions from how to receive respite care, when the support groups meet and other in-home services. The telephone number is 483-8456.