Families looking after dementia patients at home usually need to employ an attendant who will help them look after the patient. However, in India, it is very difficult to get a trained attendant who understands dementia and what its care involves. This note is a orientation note for dementia care that can be used by family caregivers who want to make sure the attendant they employ understands what to expect and how to help the patient.
Read a detailed discussion on using trained attendants for dementia home care at: http://dementiacarenotes.in/caregivers/toolkit/using-trained-attendants-for-dementia-home-care/
ELT MOOC by Jason R. Levine on WiziQ.
This is a pronunciation lesson by Fluency MC aka Jason.R.Levine about Shrinking and linking.
This is a professional development massive Open Online Course in listening and pronunciation techniques.
MOOC team organisers:
Dr. Nellie Deutsch
Sylvia Guinan
ELT MOOC by Jason R. Levine on WiziQ.
This is a pronunciation lesson by Fluency MC aka Jason.R.Levine about Shrinking and linking.
This is a professional development massive Open Online Course in listening and pronunciation techniques.
MOOC team organisers:
Dr. Nellie Deutsch
Sylvia Guinan
I created a course for students needing additional support when learning about short vowels and their sounds. I know that it is often difficult to differentiate with limited time and added assistance. This lesson allows students to practice independently and helps develop more fluent readers.
Please download this powerpoint and start from the beginning of the show!
Jason Young: Improving Communication With Cognitively Impaired PatientsBertalan Mesko, MD
Jason Young is a Geriatric Clinician and gave a slideshow about Improving Communication With Cognitively Impaired Patients on the 7th of February at 10:00 AM PST (Second Life time) at the Ann Myers Medical Center (http://ammc.wordpress.com).
I created a course for students needing additional support when learning about short vowels and their sounds. I know that it is often difficult to differentiate with limited time and added assistance. This lesson allows students to practice independently and helps develop more fluent readers.
Please download this powerpoint and start from the beginning of the show!
Jason Young: Improving Communication With Cognitively Impaired PatientsBertalan Mesko, MD
Jason Young is a Geriatric Clinician and gave a slideshow about Improving Communication With Cognitively Impaired Patients on the 7th of February at 10:00 AM PST (Second Life time) at the Ann Myers Medical Center (http://ammc.wordpress.com).
Anger, How to manage anger? workplace anger.
you must read. If you really wanted to manage your anger. you need to read it and get it clearly.....................
Everybody, disabled or not, goes through times when they feel ‘down’ or low in mood, sometimes for days or weeks at a time. Sometimes we know why we feel this way – losing somebody close, or having other things go on in our lives which we don’t want, for instance.
any people with long-term physical difficulties don’t like using the word ‘disabled’ about themselves but it is the word that the government uses to talk about people who have a long-term health problem. If you need to claim Benefits then it may be a ‘Disability’ Benefit or if an employer or a college treat you unfairly then it will ‘Disability’ law that is being broken. So we will carry on using this word here.
Many people with long-term physical difficulties don’t like using the word ‘disabled’ about themselves but it is the word that the government uses to talk about people who have a long-term health problem. If you need to claim Benefits then it may be a ‘Disability’ Benefit or if an employer or a college treat you unfairly then it will ‘Disability’ law that is being broken. So we will carry on using this word here.
Dementia care during COVID: Suggestions using infographicsSwapna Kishore
Four infographics presenting tips for caring for someone with dementia during COVID times. Includes protecting the person from COVID infection, adjusting dementia care for COVID, getting medical support, and ways caregivers can get more help, do self- care and reduce stress.
Detailed discussions on these topics are available at the site https://dementiacarenotes.in
Dementia home care during COVID 19 (presented at AP HRDI, May 2020)Swapna Kishore
This presentation was made online on May 27, 2020, at Andhra Pradesh Human Resource Development Institute as part of their Knowledge Sharing Sessions. It starts with an overview of dementia home care and the status in India, to help appreciate challenges posed by COVID 19 in such care. It discusses aspects like how to protect someone with dementia from COVID, how to modify care due to COVID risk and also restrictions due to lockdown and such measures, , and how to manage medical support in these challenging times. As dementia care can be very stressful, it also discusses self-care and suggest some practical ways to manage such care in these times. Finally, it looks at ways caregivers can be supported by systems around us, including how these need to be integrated with other health care and support systems.
Digital interventions to support families living with dementia in IndiaSwapna Kishore
Explores how digital interventions can be used to support dementia in India, especially given the huge gap in support in the coverage of conventional interventions available to the over four million families coping with dementia. Given the rapid growth in ICT across India, digital interventions can reach currently unsupported families from multiple demographics. Identifies digital areas to focus on given the digital usage patterns and trends and existing dementia support gaps, Suggests possible approach and priorities, and discusses integration of digital interventions should integrate with other interventions.
Also includes suggestions for how families living with dementia currently can make use of existing interventions.
This appeared as a chapter in "Dementia in India 2020" (Citation of report: Kumar CTS, Shaji KS, Varghese M, Nair MKC (Eds) Dementia in India 2020. Cochin: Alzheimer’s and Related Disorders Society of India (ARDSI), Cochin Chapter, 2019)
Navigating Support Systems for Dementia Home Care in India (ARDSICON2019)Swapna Kishore
In India bulk of dementia care happens at home and is the responsibility of family members. Additionally, dementia and care related awareness and support is very poor. Families don’t know what may be needed and where to start. They face challenges in care and also in navigating systems around them. They may not reach suitable education or guidance, or reliable services that can help. Most training and advice focus on actual dementia related care tasks, but offer very little in terms of how to achieve acceptable levels of these in the current environment.
This presentation looks at how family caregivers in India look for information and support and their experiences related to support. It looks at challenges families face given inadequate support systems. Personal stories provide insight into real life experiences of families. The presentation may help caregivers appreciate support realities and provide them ideas on what they can consider. Persons supporting caregivers (professionals, volunteers, social entrepreneurs) may get input that helps them decide where to focus their effort; this includes ways to help caregivers navigate existing systems better as well as how to prioritise creation of new interventions.
Understanding dementia diagnosis from a caregiver perspective (Ardsicon2018, ...Swapna Kishore
A dementia diagnosis can be a gateway for treatment and better care and support, but this does not always happen. In India, where only 10% of the families receive a diagnosis and this, too, happens usually later in the dementia, we need to understand diagnosis experiences better if we want to improve diagnosis-related experiences.
This presentation looks at how caregivers in India perceive dementia symptoms, obtain diagnosis, and understand and respond to the diagnosis. Experiences of several caregivers are used to understand what makes families seek medical help and look at barriers and hesitations that delay diagnosis, or delay the families from benefiting from the diagnosis. Areas where we can reconsider our dementia awareness and diagnosis approach to improve diagnosis experiences are discussed.
This presentation was made at the International Symposium on Dementia and 22nd Annual Conference of ARDSI (Alzheimer’s and Related Disorders Society of India), held at the Indian Institute of Science, Bangalore (India) on September 14 to 16, 2018.
Under-discussed challenges of dementia home care in India (Ardsicon2017)Swapna Kishore
There are many serious challenges faced by home caregivers that are not acknowledged and discussed openly. Lack of such discussion makes many caregivers feel isolated and unsupported. General advice given may be inappropriate and insensitive, It results in unintended silences because everyone assumes these issues are rare.
This presentation was made at the International Conference on “Advances in Dementia” & “XXI National Conference of ARDSI” held on 22nd, 23rd & 24th September, 2017 at Kolkata (India). It discusses four serious areas that pose extreme challenge using dementia home care in India as the context. Data is shared to show how serious and prevalent these are, and why we should not ignore these. The purpose of the presentation is to create some recognition around these under-discussed issues in the hope that this will enable creative approaches and better support. The four areas discussed are: Financial problems; Situations where caregivers have a past history of being abused; Lack of support to understand, believe, and begin acting on a diagnosis; and Lack of explanations and support for late-stage dementia care.
Using the Internet for improving dementia awareness and support: Practical su...Swapna Kishore
Concerned organizations and volunteers often want to tap the potential of the Internet and create a "good" website that can help dementia awareness and support. However, in practice, they face problems and may not be able to reach their target audience and meet their intended purpose.
This presentation was made in the International Conference on “Advances in Dementia” & “XXI National Conference of ARDSI”, held on 22nd, 23rd & 24th September, 2017 at Kolkata (India). This presentation shares key issues related to creating and maintaining websites. It focuses on practical ways to approach website creation including factors to consider, decisions to take, components to plan for, how to proceed, and so on. The aspects to consider while setting priorities for website content are discussed. Common problems faced are discussed, and practical suggestions offered. Topics include Audience and Purpose, Content Creation and Presentation, Maintenance and Enhancements, Other Issues, and Moving Ahead.
Reduce Your Risk Of Dementia: A presentation in Hindi Swapna Kishore
This presentation explains what the risk factors for dementia are and what you can do to reduce your chance of getting dementia.
इस प्रस्तुति में देखें: डिमेंशिया/ अल्ज़ाइमर से कैसे बचें
डिमेंशिया (मनोभ्रंश) और सम्बंधित देखभाल के अनेक पहलू हैं. इनपर विस्तृत चर्चा के लिए हमारे वेबसाइट पर अनेक पृष्ठ हैं; देखें: http://dementiahindi.com/
What is Dementia: An introduction in Hindi Swapna Kishore
This presentation provides a basic introduction to what dementia is, the symptoms, types, progression, types, what care may involve, etc.
डिमेंशिया (मनोभ्रंश) और सम्बंधित देखभाल के अनेक पहलू हैं. इनपर विस्तृत चर्चा के लिए हमारे वेबसाइट पर अनेक पृष्ठ हैं; देखें: http://dementiahindi.com/
Dementia Home Care in India: Overview and Challenges ARDSICON 2015Swapna Kishore
Dementia Home Care in India: Overview and Challenges--- A presentation made at ARDSICON 2015, the 19th National Conference of ARDSI (Alzheimer's and Related Disorders Society of India), held at Mumbai, India.
If you are concerned about dementia home care, also see the pages at: http://dementiacarenotes.in/caregivers
Use of the Internet to spread dementia awareness and to support dementia care...Swapna Kishore
The Internet is a powerful tool to reach people. Internet usage is growing in every country, especially because of Internet on the smartphone. Unfortunately, this tool is often neglected or underutilized by volunteers and professionals working in the dementia awareness and caregiving domain. Our current methods of reaching out families affected by dementia are unable to cover many segments of society, and the Internet is a tool we cannot afford to neglect any more.
This presentation was made in the Asia Pacific Regional Conference of Alzheimer’s Disease International, held on 7-9 November, 2014, India Habitat Centre, New Delhi, India. It discusses the possibilities and limitations of using the Internet to make information available and also to support families coping with dementia. It covers topics relevant to persons considering whether and how to use the Internet. These include content creation approaches and criteria, and how to increase the reach of online resources and services. The talk also covers aspects like community building, maintenance of online material, and how online resources can complement other modalities used for awareness and support. The presentation briefly discusses how organizations can approach the project of developing online resources.
Geron 2014: Caregiver Issues and Challenges by Swapna Kishore (Kolkata, India)Swapna Kishore
Caregivers: Issues and Challenges Faced--- A caregiver perspective presented on Sept 6, 2014, as part of the theme symposium at GERON 2014, the 10th Annual National Conference of the Indian Association for Geriatric Mental Health, held at Kolkata, India.
If you are concerned about dementia home care, also see the pages at: http://dementiacarenotes.in/caregivers/
Dementia caregivers: introducing the caregivers (Presentation at ARDSICON 201...Swapna Kishore
Dementia caregivers handle a lot of work and responsibility for many years, but often do not realize how critical their role is. This presentation discusses caregiving in the context of dementia. It covers commonalities and differences amongst various types of caregivers. It looks at a range of caregivers who may vary in terms of their age, gender, relationship with the care-recipient, whether paid or unpaid, and whether living with the person or coordinating care from a distance.
For discussions on how to plan and cope with dementia home care, see: http://dementiacarenotes.in/caregivers/
Dementia Support Group (In-person): Draft Approach/ Guidance Document Swapna Kishore
This detailed draft document for persons who may want to set up an in-person support group.Caregivers need support, and one very important mechanism is a support group where caregivers can meet and talk face-to-face (an in-person support group), or they can discuss a topic with an invited expert, or learn some important skill. This detailed draft document is intended for persons who may want to set up an in-person support group. Feedback/ comments may be sent to cyber.swapnakishore@gmail.com
Dementia Home Care: Context and Challenges in IndiaSwapna Kishore
Most dementia care in India happens at homes and is provided by family caregivers. Volunteers and other concerned persons need to understand the realities of dementia home care in India to be able to provide suitable help and suggestions, while remaining sensitive and respectful of what families achieve in face of so many challenges.
Read discusssions on handling dementia home care in India at: http://dementiacarenotes.in/caregivers/
Introducing the caregiver role to persons new to it. Explains what caregivers need to understand about the disease, the impact caregiving may have, and how to plan for caregiving, coordinate it, set up systems for it, manage it, and also nurture oneself.
Read about caregiving at: http://dementiacarenotes.in/caregivers/
Dementia introduction slides by swapnakishore released cc-by-nc-saSwapna Kishore
Dementia awareness presentation intended for general public/ patients/ potential and existing caregivers/ volunteers interested in spreading dementia awareness.
Visit my site for more information: http://dementiacarenotes.in
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
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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
2. @Swapna Kishore Page 2
Part 1: Simplified introduction to dementia and care
Notes/ examples/ translations
Amma has an illness that has shrunk
her brain. She has symptoms called
"dementia."
Dementia is a problem of the brain, like
heart problem is a problem of heart
Her brain has shrunk. It has changed
physically and these changes are
causing problems. There is no cure. It
will only get worse.
Normal people have brains with lots of
cells called neurons. Neurons are
needed to
Remember things
Think about things
Speak correctly
Understand things
In dementia, neurons get damaged.
Also, some neurons die, so there are
fewer neurons. (See the picture on the
last page)
Therefore, Amma gets very confused
3. @Swapna Kishore Page 3
Notes/ examples/ translations
She gets especially confused about
recent things, like whether she has
eaten
She uses wrong words, like saying the
pain is in the head instead of stomach
She forgets what people tell her. For
example, if you tell her you will come
back in five minutes, she may forget
that.
She forgets what is good for her. So she
may do things that harm her, like taking
off her sweater even if it is very cold.
She cannot understand anything easily
Because of all this, she gets very sad
and frustrated
And sometimes, she gets worried and
angry
If she wants something, she does not
know how to ask for it
This makes her sad
Sometimes, she gets angry and shouts
4. @Swapna Kishore Page 4
Notes/ examples/ translations
Dementia even affects her ability to
control her feelings. So once she gets
angry, she is not able to calm down for
some time, even if she has forgotten
why she got angry.
On some days, she can manage to act
normal in spite of her problems; on
other days, she faces more problems.
She gets upset and forgets more and is
not able to do things.
She is very slow in doing things,
because her brain has been damaged by
dementia
She is slow in getting up. You have to
be helpful but patient
She is slow in speaking; you have to
help by pointing at things and making
gestures
But she understands emotions
When she sees you or hears you., she
knows of you are angry or irritated or
sad
5. @Swapna Kishore Page 5
Notes/ examples/ translations
If you are angry or irritated or
impatient, she also gets angry and
worried
She thinks that any loud voice is like a
scolding or anger
If you are calm, she becomes calm after
a while
She can be very affectionate if she is
calm
When talking to her, remember:
Talk slowly
Talk softly but clearly
Use simple sentences
Give one instruction at a time
Repeat if she looks blank (but
stay calm)
Touch things/ make gestures/
point out and explain
Look peaceful
Give her time to do things; remember,
she is slow because of her illness
6. @Swapna Kishore Page 6
Notes/ examples/ translations
Nod to show that you understand. Nod
to reassure
If she gets angry/ frustrated/ worried/
complaining,
stay calm
remember she is ill
try to understand what is
bothering her
distract if it is unimportant
nod and show you understand
reassure
Call us if you are unable to handle
DO NOT get angry/ worried
DO NOT get sad
Her behaviour may look odd to you, but
it is normal for dementia patients
Sometimes she will get angry even if
you have not made any mistake
Do not complain about her in her
presence
7. @Swapna Kishore Page 7
Notes/ examples/ translations
Do not argue with her or try to
"correct" her; that only makes her feel
worse and she gets more upset
If she is complaining, stay quiet. We
(the family members) know that she
may be complaining because she
misunderstood something, because of
her illness. We will talk to you later to
find out what happened
If you complain about Amma when
Amma is there, or if you try explaining
when she is listening, she will get more
angry
We have faced all these sorts of
problems and so we understand
We will discuss this later and explain
how you can handle things
Dementia patients confuse between
reality and imagination
Do not worry
8. @Swapna Kishore Page 8
Notes/ examples/ translations
Just remember this behaviour is
because of an illness. Amma will be
easier to work for if you are calm and
talk to her in ways she can understand
easily.
Even if you make a mistake, do not
worry
We all make mistakes
But you must tell us the truth of what
happened, so that we can explain how
you can avoid the mistake next time
Remember, Amma can be very
affectionate when she is calm and
happy
Our job is to try and make her remain
that way
We help her and try to make sure she
does not get frustrated or sad or angry
Sometimes, we play games with her or
sing bhajans; she enjoys such times
9. @Swapna Kishore Page 9
Notes/ examples/ translations
We do not expect her to play games
properly or remember the rules, but we
can still enjoy spending time with her.
We will show you how we do it
Do not confuse this horrible illness with
old age. Look at the pictures, and see
how her brain is different from normal
brains because of the illness
Remember these points, and looking
after her will be easier
You may even be able to enjoy her
company and feel her love
10. @Swapna Kishore Page 10
Part 2: Pictures
Images are courtesy of the National Institute on Aging/National Institutes of Health;
images depict healthy brains and brains affected by Alzheimer's Disease (AD)