Do you find it difficult to maintain a conversation with older adults who are living with dementia? Many people find that once they get past talking about the weather, how they slept that night or what they had to eat today, they struggle to find ways to stimulate conversation in a way that is meaningful, interesting and mutually rewarding.
The premise of a microbial-brain link suggests restoring gut microbial balance might be able to improve a healthy brain. Yet, figuring out the best method to accomplish this goal has been a challenge. One of the more promising routes involves fecal transplantation. Yet this method has yet to gain significant approval and has not been tested in regards to Alzheimer's disease.
You don't have to be a senior to experience a "senior moment," meaning you forget an otherwise familiar word or name, or can't exactly remember what you planned to do the next minute. It happens throughout life, it just seems to happen more frequently with age. But it's not always due to mental decline in our later years that we lose track of things.
The main reason we want to put chores, roles or tasks back into the world of those living with dementia is that each person needs to enjoy a life filled with meaning and purpose, regardless of physical and mental health. My favourite expression, which speaks to this, is "The purpose of life, is a life with purpose."
Let's start with some basic numbers. Excellent data from Canada indicates that eight per cent of people over the age of 65 will be diagnosed with dementia, and about two-thirds of those will have Alzheimer's disease. The risk of developing Alzheimer's disease doubles for every five years of life beyond age 65, making older age one of the most significant and predictable risk factors.
Placement in long-term care is one of the more difficult decisions facing caregivers of patients with dementia. Let me start by stating that my personal bias is to try and keep my patients at home as long as possible, assuming that their safety and health, as well as the caregiver's health, is compatible with this goal.
As a memory doctor, the most difficult thing I have to do is to tell the patient and their family about the diagnosis of dementia. The second most difficult thing I have to do is recommend driving cessation. There's no question that driving cessation has potentially dramatic effects on independence and quality of life for patients (and their spouses).
In recent years, an aging population and the rise of non-traditional marriages have become issues that are increasingly relevant to estate planning considerations in Canada. As society shifts over time, it is important that estate planning methods and strategies are capable of adaptation to suit changing needs.
Personal Support Workers attend to the diverse needs of individuals who rely heavily on the help of others. They have a variety of roles including caring for a person's hygiene, making sure they are nourished, dressed, toileted, validated, comfortable and happy. Most importantly, PSWs may be the only human connection some individuals receive in a single day. Yet, while they are offering their valuable support, it can feel thankless when trying to bathe and clean an uncooperative incontinent person, soothe the irritable and feed the ungrateful who are not longer able to do things themselves.
The Parliament's Special Joint Committee on Physician-Assisted Death, nevertheless, urged the federal government not to exclude individuals with psychiatric conditions from being considered eligible. Their reasoning comes down to this: Mental suffering is no less profound than physical suffering, so denying individuals with mental illness access to physician hastened death would be discriminatory and a violation of their Charter rights. It's an excellent point, and one worth seriously discussing.
It is important to correct the person with dementia when they say things that are not true - FALSE. The cardinal rule is "never argue with a person with dementia". A person with dementia is simply taking files from their memory bank that come from another place and time. They are sure they are telling the truth.
One of the biggest threats to quality of life and health in aging is the loss of cognitive abilities and functional autonomy that are associated with dementia, including Alzheimer's disease. The projections of the number of Canadians living with dementia are staggering with over 750,000 individuals affected today.