Organic brain disorders are behavioral or psychological disorders associated with transient or permanent brain dysfunction. This document discusses organic mental disorders including various types of dementia like Alzheimer's disease. It describes the classification, symptoms, stages, diagnosis and management of dementia. Dementia is characterized by global cognitive impairment without impaired consciousness. The incidence increases with age from 0.1% below 60 years to 15-20% for those over 80 years. Management involves both medical treatment to relieve symptoms as well as psychological and nursing care to support daily living.
Schizophrenia is one of the most debilitating mental illness which demands immediate attention by the family. There are certain types of schizophrenia based on its symptom presentation and its management mostly depends sxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Mania is a facet of type I bipolar disorder in which the mood state is abnormally heightened and accompanied by hyperactivity and a reduced need for sleep.
Schizophrenia is one of the most debilitating mental illness which demands immediate attention by the family. There are certain types of schizophrenia based on its symptom presentation and its management mostly depends sxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Mania is a facet of type I bipolar disorder in which the mood state is abnormally heightened and accompanied by hyperactivity and a reduced need for sleep.
Depression (major depressive disorder) is a common and serious medical illness that negatively affects how you feel, the way you think and how you act. Fortunately, it is also treatable. Depression causes feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home.
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher Chris Jocham: jocham@fultonschools.org
Depression is the leading cause of disability world wide and is a major contributor to the overall global burden of diseases .At its worst depression can cause suicide .
There are effective psychological and pharmacological treatments for depression
This is a project for a high school AP Psychology course. For any questions about this project or its content please email the teacher, Laura Astorian: laura.astorian@cobbk12.org
Depression (major depressive disorder) is a common and serious medical illness that negatively affects how you feel, the way you think and how you act. Fortunately, it is also treatable. Depression causes feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home.
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher Chris Jocham: jocham@fultonschools.org
Depression is the leading cause of disability world wide and is a major contributor to the overall global burden of diseases .At its worst depression can cause suicide .
There are effective psychological and pharmacological treatments for depression
This is a project for a high school AP Psychology course. For any questions about this project or its content please email the teacher, Laura Astorian: laura.astorian@cobbk12.org
Alzheimer's disease: Clinical Assessment and ManagementRavi Soni
This PPT is a seminar on the Alzheimer's disease which was prepared for sensitizing post graduate psychiatry students on the day of World Alzheimer's Day.
what is dementia and why it is considered only for old age and how it goes to misdiagnose buy the health care professionals and what is infact. in nepal this issues is given low priority in both hospital and public
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. INTRODUCTION
• Organic mental disorders are behavioral or psychological
disorders associated with transient or permanent brain
dysfunction.
3. CLASSIFICATION OF ORGANIC MENTAL
DISORDERS
F00-F09 ORGANIC, INCLUDING SYMPTOMATIC, MENTAL
DISORDERS
• F00 Dementia in Alzheimer’s disease
• F01 Vascular dementia
• F04 Organic amnestic syndrome
• F05 Delirium
• F06 Other mental disorders due to brain damage and
dysfunction and physical disease
• F07 Personality and behavioural disorders due to brain disease,
damage and dysfunction
4. DEFINITION OF DEMENTIA
(CHRONIC ORGANIC BRAIN SYNDROME)
“Dementia is an acquired global impairment of
intellect memory and personality, but without
impairment of consciousness”
Alzheimer’s type dementia is an irreversible
disease marked by global, progressive
impairment of cognitive functioning, memory
and personality.
5. INCIDENCE
• Dementia occurs more commonly in the elderly than
the middle age.
• Equal in male and female.
• It increase with age from 0.1% in those below 60
years.
• 15 to 20 % in those who are 80 years of age.
17. CLASSIFICATION
•Primary dementias are those, such as AD, in
which the dementia itself is the major sign of
some organic brain disease not directly related
to any other organic illness.
•Secondary dementias are caused by or related
to another disease or condition, such as human
immunodeficiency virus (HIV) disease or a
cerebral trauma.
18. STAGES OF DEMENTIA
STAGE I : EARLY STAGE
(2 TO 4 YEARS)
STAGE II : MIDDLE STAGE
( 2 TO 12 YRS)
STAGE III : FINAL STAGE
(UPTO A YEAR)
19. STAGE-I EARLY STAGE(2 to 4 years)
Forgetfulness
Declining interest in environment
Poor performance at work
Hesitancy in initiating actions
20. STAGE-II MIDDLE STAGE (2 to12 years)
Progressive memory loss
Hesitates in response to questions
Has difficulty in following simple instructions
Irritable, anxious
Neglects personal hygiene
Social isolation
wandering
21. STAGE-III FINAL STAGE(up to a year)
Marked weight loss
Unable to communicate
Does not recognize family
Incontinence of urine & feces
Loses the ability to stand & walk
Death is usually caused by aspiration pneumonia.
23. Stage 1. No apparent symptoms
•There is no apparent decline in
memory.
24. Stage 2. Forgetfulness
•The individual begins to lose things or forget names of
people.
•Losses in short term memory are common.
•The individual is aware of the intellectual decline and may
feel ashamed, becoming anxious and depressed, which in
turn may worsen the symptoms.
•Maintaining organization with lists and a structured
routine provide some compensation.
•These symptoms often are not observed by others.
25. Stage 3. Mild cognitive decline
• In this stage, there is interference with work
performance, which becomes noticeable to co workers.
•The individual may get lost when driving his or her car.
•Concentration may be interrupted.
•There is difficulty recalling names or words, which
becomes noticeable to family and close associates.
•A decline occurs in the ability to plan or organize.
26. Stage 4. Mild-to-moderate cognitive decline; confusion
• At this stage, the individual may forget major events in personal
history, such as his or her own child’s birthday;
• experience declining ability to perform tasks, such as shopping and
managing personal finances; or be unable to understand current
news events.
• He or she may deny that a problem exists by covering up memory
loss with confabulation (creating imaginary events to fill in
memory gaps). Depression and social withdrawal are common.
27. Stage 5. Moderate cognitive decline; early dementia
• In the early stages of dementia, the individual loses the ability to
perform some activities of daily living (ADLs) independently, such
as hygiene, dressing, and grooming, and requires some assistance
to manage these on an ongoing basis.
• They may forget addresses, phone numbers, and names of close
relatives.
• They may become disoriented about place and time, but they
maintain knowledge about themselves.
• Frustration, withdrawal, and self-absorption are common.
28. Stage 6. Moderate-to-severe cognitive decline;
middle dementia
• At this stage, the individual may be unable to recall recent
major life events or even the name of his or her spouse.
•Disorientation to surroundings is common, and the person
may be unable to recall the day, season, or year.
•The person is unable to manage ADLs without assistance.
Urinary and fecal incontinence are common.
•Sleeping becomes a problem. Psychomotor symptoms
include wandering, obsessiveness, agitation, and
aggression.
29. CONTI…
• Symptoms seem to worsen in the late afternoon and evening—a
phenomenon termed sundowning.
•Sundowner syndrome: It is characterised by drowsiness,
confusion, ataxia; accidental falls may occur at night when
external stimuli, such as light and interpersonal orienting cues are
diminished.
• Communication becomes more difficult, with increasing loss of
language skills.
• Institutional care is usually required at this stage.
30. Stage 7. Severe cognitive decline; late dementia
•In the end stages, the individual is unable to
recognize family members.
•He or she most commonly is bedfast and
aphasic.
•Problems of immobility, such as decubitious and
contractures, may occur.
32. Clinical features
( For Alzheimer’s type)
Personality changes:
•Lack of interest in day to day activities
•Easy mental fatigablity
•Self-centered
•Withdrawn
•Decreased self-care
40. MANAGEMENT
MEDICAL (pharmacology)
Tacrine hydrochloride (cognex)
Donepezil hydrochloride (Aricept)
Hydrergine
Papaverine
Mamantine
MOA: This drugs inhibit the enzyme
acetylcholinesterase in the CNS,
increasing the level of acetylcholine.
Drug used in causing
symptomatic relief.
Benzodiazepines : for insomnia and
anxiety
Antidepressants: for depression
Antipsychotic : Risperidone,
Haloperidol to decrease verbal and
physical aggressiveness to alleviate
halluciantions and delusions
Anticonvulsants to control seizures
41. Conti…..
Agents under
investigation:
• Estrogen, Non steroidal
anti inflammatory agents,
prophylactic nutritional
agents as vitamin E
PSYCHOLOGICAL
MANGEMENT
•Brief Psychotherapy
techniques such as reality
orientation, memory
training
•Reminiscence therapy
44. NURSING DIAGNOSIS
1. Risk for trauma related to : impairment in cognitive and
psychomotor functioning.
2. Disturbed Thought process related to: cerebral,
degeneration evidence by disorientation, confusion,
memory, deficits and inaccurate interpretation of the
environment.
3. Self –care Deficit related to disorientation, confusion and
memory deficits inability to fulfill ADLS .
46. 1. Daily Routine
• Maintaining a daily routine includes drawing up a fixed timetable for the patient
for waking up in the morning, toilet, exercise and meals.
• This gives the patient a sense of security.
• Patients often deteriorate after dark, a phenomenon known as 'sun downing'.
• Additional care must be taken during the evening and at night.
• Orient the patient to reality in order to decrease confusion;
• clock with large faces aid in orientation to time.
• Use calendar with large writing and a separate page for each day.
• Provide newspapers which stimulate interest in current events.
• Orientation of place, person and time should be given before approaching the
patient.
47. 2. Nutrition and Body Weight
• Patient should be provided a well-balanced diet, rich in protein, high in
fiber, with adequate amount of calories.
• Allow plenty of time for meals.
• Tell the patient which meal it is and what is there to eat; food served
should be neither too hot nor too cold.
• Many patients have sugar craving. Care should be taken that such
patients do not gain weight.
• The diet should take into account other medical illnesses which require
diet modification, such as diabetes or high blood pressure.
• Semisolid diet is the safest while liquids are the most dangerous as these
can be easily aspirated into the lungs.
48. 3. Personal Hygiene
• Particular care should be taken about the patient's personal
hygiene including brushing of teeth, bathing, keeping the skin clean
and dry, particularly in areas prone to perspiration, such as the
armpits and groin.
• Caustic substances such as spirit or antiseptic solutions should not
be used routinely on the skin.
• Remember to check finger and toe nails regularly, cut them if the
person cannot do it by himself.
• People with dementia may have problem with the lock on the
bathroom door; if this happens it is advisable to remove the lock.
• Compliment the patient when he/ she looks good.
49. 4. Toilet Habits and Incontinence
• Toilet habits should be established as soon as possible and
maintained as a rigid routine.
• This includes conditioned behavior such as going for bowel
movement immediately after a cup of tea.
• The patient should be taken to urinate at fixed interval, depending
on the season and amount of fluid intake.
• Prostate trouble common in elderly men leads to discomfort as it
causes urgency and frequency of urination particularly in winters. A
doctor should check this.
50. CONTI…
• Incontinence is very distressing to the patient and family. Once
incontinence sets in, the undergarments, pants of the patient and the
house in general start reeking of foul smell. Toilet habits, established in
healthy years must be maintained as long as possible by gently persuading
the patient to go to the toilet and use it. When the first sign of
incontinence appears doctor should check for an underlying cause if any,
such as urinary infection or urinary tract damage.
• Constipation is a frequent cause of discomfort to the patient.
• The quantity of faeces passed each morning should be checked to ensure
that the patient is not constipated. Constipation can be avoided by adding
fiber supplements and roughage to the diet on a daily basis.
51. 5. Accidents
• Great care should be taken to avoid accidents caused by tripping over furniture,
falling down the stairs or slipping in the bathroom.
• The reasons for falling include loose and poorly fitting footwear and wrinkled
carpets.
• Ideally, patients should be made to wear soft slip-on shoes with straps which fit
securely.
• Any floor covering must be firmly secured. Older people have been driving for
years and in modem cities many people are dependent on their personal cars for
transportation.
• Once early signs of the disease appear, patients should be gently persuaded to
stop driving as this can pose a hazard to them and others. Make sure that lights
are bright enough. Keep matches, bleach, and paints out of reach.
• Do not allow the patient to take medication alone
52. 6. Fluid Management
• The patients require as much fluid as normal people and this
depends on the season.
• Ideally, sufficient fluid should be given during the day and
only the minimum essential amount of fluid (some water with
dinner) after 6pm. The last cup of tea should be given around
5pm. After that no beverages including tea, coffee, cocoa or
any other caffeine containing drinks should be given, as all
these promote urination.
• Proper fluid management will reduce bed-wetting and also
reduce the number of times the patient will need to get up
during the night.
53. 7. Moods and Emotions
• Some patients of Alzheimer's disease have abrupt change in their moods
and emotions.
• These changes can be unpredictable.
• Mood changes are best controlled by keeping a calm environment with
fixed daily routine.
• The patients should not be questioned repeatedly or given too many
choices, such as what they want to eat or what they want to wear.
• Mood changes are also amenable to distraction, particularly if topics
related to the past are discussed or favorite pieces of music played. For
example, if music that reminds the patients of their childhood is played,
the pleasant associations put them in a nostalgic mood. If patient behavior
and emotions are distressing to the family members the doctor may
prescribe some medications to calm the patient.
54. 8. Wandering
• Patients of Alzheimer's disease often lose their geographic
orientation and can get lost even in familiar surroundings.
• They may be found wandering aimlessly either in the
neighborhood or far away. It is advisable to have some
identification bracelet or card always in their possession.
• The doors of the house should be securely locked so that the
patients cannot leave unnoticed.
• The patient should always be accompanied while going for walks
or for simple chores outside the house.
55. 9. Disturbed Sleep
• Sleep disturbances are extremely distressing to the family. If the
patient is restless at night or wanders and talks at night, the entire
family is disturbed.
• Sleep patterns must be maintained. Napping during the day
should be avoided.
• Sleeping pills are best avoided as their effect is temporary and
frequently unpredictable in patients of Alzheimer's disease.
Causes of discomfort at night, such as pain, uncomfortable
temperature or prostate trouble, should be checked.
56. 10. Interpersonal Relationship
• Verbal communication should be clear and unhurried.
• Questions that require 'yes', or 'no' answers are best.
• Reinforce socially acceptable skills. Give necessary information
repeatedly. Focus on things the person does well rather than on
mistakes or failures.
• Try to make sure that each day has some thing of interest for the
patient- it might be going for a walk, listening to music; talk about the
day's activities.
• Try to involve him with old friends for a chat, reminiscing about the past.
Family members should be aware of early warning signs which may
suggest that one of the older members may be on the verge of
developing Alzheimer's disease.
57. CONTI…
• Early diagnosis and early intervention can be beneficial both to the
patient and the family. As the disease progresses, the family
remains the main pillar of support for the patient.
• Alzheimer's associations around the world provide practical and
emotional help and information to families, health care
professionals and the community.
• Alzheimer's and Related Disorders Society of India (ARDSI)started
in 1992, a national organization dedicated to dementia care,
support and research.
59. You can refer following link also
• https://www.youtube.com/watch?v=HobxLbPhrMc
• https://www.youtube.com/watch?v=v5gdH_Hydes
• https://www.youtube.com/watch?v=WgC3D-eG7EI
• https://www.youtube.com/watch?v=hgVMKEnkvHo
• https://www.youtube.com/watch?v=v5gdH_Hydes&t=331s
• https://www.youtube.com/watch?v=8lc0nvHU56E
• https://www.youtube.com/watch?v=GQznQMAi8E0
• https://www.youtube.com/watch?v=nLdLfmFzLSo