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Microsoft word - forget alzheimers.doc

Mild Cognitive Impairment
• Some memory problems… usually able to live independently. Common Changes in Mild AD
• Cognitive break. • Impaired memory and thinking skills. • Requires assistants with life skills. • Loses spark or zest for life - does not start anything. • Starts to notice they are having a problem. • Loses recent memory without a change in appearance or casual conversation. • Loses judgment about money. • Has difficulty with new learning and making new memories. • Has trouble finding words - may substitute or make up words that sound like or mean • May stop talking to avoid making mistakes. • Has shorter attention span and less motivation to stay with an activity. • Easily loses way going to familiar places. • Resists change or new things. • Has trouble organizing and thinking logically. • Asks repetitive questions. • Withdraws, loses interest, is irritable, not as sensitive to others' feelings, uncharacteristically angry when frustrated or tired. • Won't make decisions. For example, when asked what she wants to eat, says "I'll have • Takes longer to do routine chores and becomes upset if rushed or if something • Forgets to pay, pays too much, or forgets how to pay - may hand the checkout person a wallet instead of the correct amount of money. • Forgets to eat, eats only one kind of food, or eats constantly. • Loses or misplaces things by hiding them in odd places or forgets where things go, such • Constantly checks, searches or hoards things of no value. • Changes in behavior, concern for appearance, hygiene, and sleep become more • Mixes up identity of people, such as thinking a son is a brother or that a wife is a • Poor judgment creates safety issues when left alone - may wander and risk exposure, poisoning, falls, self-neglect or exploitation. • Has trouble recognizing familiar people and own objects; may take things that belong to • Continuously repeats stories, favorite words, statements, or motions like tearing tissues. • Has a restless, repetitive movement in late afternoon or evening, such as pacing, trying • Cannot organize thoughts or follow logical explanations. • Has trouble following written notes or completing tasks. • Makes up stories to fill in gaps in memory. For example might say, "Mama will come for • May be able to read but cannot formulate the correct response to a written request. • May accuse, threaten, curse, fidget or behave inappropriately, such as kicking, hitting, • May become sloppy or forget manners. • May see, hear, smell, or taste things that are not there. • May accuse spouse of an affair or family members of stealing. • Naps frequently or awakens at night believing it is time to go to work. • Has more difficulty positioning the body to use the toilet or sit in a chair. • May think mirror image is following him or television story is happening to her. • Needs help finding the toilet, using the shower, remembering to drink, and dressing for • Exhibits inappropriate sexual behavior, such as mistaking another individual for a spouse. Forgets what private behavior is, and may disrobe or masturbate in public. Common Changes in Severe AD
• End-stage Alzheimer’s • Doesn't recognize self or close family. • Speaks in gibberish, is mute, or is difficult to understand. • May refuse to eat, chokes, or forgets to swallow. • May repetitively cry out, pat or touch everything. • Loses control of bowel and bladder. • Loses weight and skin becomes thin and tears easily. • May look uncomfortable or cry out when transferred or touched. • Forgets how to walk or is too unsteady or weak to stand alone. • May have seizures, frequent infections, falls. • May groan, scream or mumble loudly. • Sleeps more. • Needs total assistance for all activities of daily living. Communication Techniques AD
• Approach from the front to prevent the “Startled Syndrome”. • Listen closely. • Maintain eye and verbal contact. • Use short, simple sentences and speak slowly and clearly. • AD patients will use a “Start Æ Æ Æ Stop Æ Æ Æ ReboundÆÆÆ Start approach to communication. Help them to return to Start and move through the process. • Minimize distractions – patients are hypersensitive to their emotions and the emotions of • Do appear to be rushed or impatient – leads to increased anxiety. • Keep facial expressions warm and friendly. • Do not overwhelm with information or emotions. • Patients often respond by shutting down, anger and frustration. • Repeat your question or statement with the same phrase or wording. Remember “Start Æ Stop Æ Rebound Æ Start”. The Wandering AD Patients
• 4% - 26% are Nursing Home residents. • 59% of patients living in community. • Restless due to boredom or lack of exercise. • Confusion as to time of day. Internal clock. • Change in physical environment. • Over stimulated from crowds or noise. • Fear causing delusions and hallucinations. • Medication side effects. Common Medications for AD Patients
• Aricept (donepezil hcl) – used in early stage. • Excelon (ribastigmine) – used in latter stages. • Reminyl (falantamine hydrobromide) – used in latter stages. • Namenda (mematine) – New drug waiting for FDA approva – used in latter stages. Alzheimer’s Organization and Information
www.alzheimers.org www.mayoclinic.com www.alz.org Alzheimer’s Safe Return Program
Safe Return Crisis Line - 800.772.1122 Provides search database for recovery, clothes tag, bracelets and caregiver bracelet.

Source: http://www.tmrservices.org/PDF/Articles/Forget%20Alzheimers.pdf

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Saikia et al.: Use of microbes from seabird faeces to evaluate heavy metal contamination in Antarctic region USE OF MICROBES FROM SEABIRD FAECES TO EVALUATE HEAVY METAL CONTAMINATION IN ANTARCTIC REGION 1Industrial Toxicology Research Centre (CSIR), Lucknow 2Central Institute of Medicinal and Aromatic Plants (CSIR), Lucknow, India Allahabad-211007, Uttar Pradesh, India (Received

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