{"id":117427,"date":"2014-05-18T00:20:00","date_gmt":"2014-05-18T04:20:00","guid":{"rendered":"http:\/\/dominicanewsonline.com\/news\/?p=117427"},"modified":"2014-05-19T00:29:55","modified_gmt":"2014-05-19T04:29:55","slug":"stay-well-sparkle-dementia","status":"publish","type":"post","link":"https:\/\/dominicanewsonline.com\/news\/homepage\/columns\/stay-well-sparkle-dementia\/","title":{"rendered":"STAY WELL & SPARKLE: Dealing with Dementia"},"content":{"rendered":"
\"Dr.
Dr. Sam Christian<\/figcaption><\/figure>\n

We don\u2019t like the idea of getting old, but nobody wants to die young. And besides, what age will we be in heaven anyway?<\/p>\n

You mean to say, am I the only one thrown off by the photo of a dashing 35 year-old gracing the obituary of some 95 yea-old person? I\u2019m waiting for your answer. Take your time…<\/p>\n

You see, the average 95 year-old is likely to be suffering from dementia. This is used interchangeably with Alzheimer\u2019s (\u2018Old Timers\u2019) Disease. This is why it\u2019s so delightful to converse with the elderly who retain full control of their faculties, the likes of Ma Pampo and others.<\/p>\n

5% percent of those around the age of 70 suffer from full-fledged cognitive impairment. I don\u2019t know about you, but I do get a bit nervous when my keys keep playing \u2018hoop sayway\u2019 (hide and seek) more often than I care for. We joke about such, but there are those in their 50\u2019s and occasionally even 40\u2019s showing warning signs.<\/p>\n

Early in my career, I had black pair of working shoes: penny-loafers with tassels. I also had an identical pair in brown. Once, in dawn\u2019s early light, I hastily put on my shoes and dashed off to work. Throughout the day, I traipsed up and down District of Columbia General Hospital issuing orders and saving lives. I thought nothing of it as acquaintances would look down bemused, but said nothing. It was not until later in the afternoon that someone inquired if this was preparation for Halloween costume. Only then did I look down in horror at my mismatched shoes. Boy! With friends like these\u2026<\/p>\n

Well, this is the kind of thing that a person with dementia may do time and again. In their day, they may have been sharp dressers, but now you have to be on the lookout that they don\u2019t leave home with things back-to-front or inside-out.<\/p>\n

Diagnosing Dementia<\/strong><\/p>\n

Once a source of pride, remembering the names of all the grandchildren now becomes a source of frustration. Disorientation really becomes obvious when a person begins to forget the names of their own siblings, daughters and sons. This progresses to problems recognizing the roles of different people in their lives, priest or pastor, nurse or doctor and so on. Loss of peers they can relate to add an element of depression. Attention and ability to concentrate becomes impaired. Activities-of-daily-living (ADL\u2019s) such as setting the table or cooking also become problematic. Watch that they don\u2019t burn the food or worse yet, the whole house.<\/p>\n

Part of the saying, \u2018you cannot teach an old dog new tricks\u2019 refers to inflexibility in \u2018executive functioning.\u2019 They have issues problem-solving and adjusting to new realities. It is very much outside their comfort zone to appreciate changing tastes in music, fashion, liturgy or even sports celebrities. Neuroplastic pathways have become ossified. Casual conversation quickly reveals they are frozen in a time warp.<\/p>\n

Notably, they can recall intimate details of events from their youth or when they were in their prime. However, they easily forget more recent happenings, like, let\u2019s say what they ate for breakfast this morning. Have you ever forgotten where you parked? Thought so! One confused senior citizen got in his car in New Jersey and was declared missing after several hours. He was found over 1000 miles away in Chicago, not knowing where he was or where he was going. Yet, he still stubbornly resisted giving up his driving privileges.<\/p>\n

Old character traits seem to magnify, the good the bad and the ugly. Folks who were frugal and tight-fisted all their lives may degenerate into paranoia about people stealing their stuff. (This is not to say that defrauding the elderly, especially returnees, is not both common and unconscionable). Frisky personalities may crystallize into dirty old men and insatiable, potty-mouthed old women. Families are sometimes simply appalled at the words that erupt from their mouths. On the other hand, there are precious souls who gracefully transform into angels of generosity, kindness and wisdom. They become more altruistic and spiritual, granting us a genuine glimpse of heaven.<\/p>\n

Caregivers<\/strong><\/p>\n

There are those who once seemed to have all who end up lingering in neglected in lonely deprivation.\u00a0 Caregivers must resist the temptation that all the time and energy spent on such patients is wasted. Despite the hardships, service to our loved ones is precisely what distinguishes us as a civilized people. Even before we notice mental capacity diminishing we ought to lock in preferred place of care, last will and testament, power of attorney and advanced directives. Have you? The Dominica Bar Association has a Law Fair on May 31, 2014<\/strong> offering free legal consultation on such matters among others.<\/p>\n

The unanimous verdict is that no one would chose to be dead to world like a vegetable, having to be fed, toileted and lying there 24\/7 nursing bedsores. It is hard self-sacrificing work. The nearest caregiver invariably bears the greatest burden. One of the annoying problems is relatives far from home wanting to have the biggest say in crucial decisions. Families must communicate honestly. Each must commit to shoulder their fair share of material support and taking time off to give a break to those stuck with the daily grind.<\/p>\n

The prognosis or outlook for dementia is that of slow, progressive decline despite availability of expensive cholinesterase inhibiters such as Donepezil (Aricept) and Mematine (Namenda). The Council on Aging, the \u2018Yes We Care Program\u2019, the Infirmary and local nursing homes do a commendable job providing dignified elder care. Yes, doctors still make house-calls. We keep alive the option of viable of end-of-life care in familiar surroundings and provide feedback to loved ones wherever they are. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Healthy lifestyle and senior social stimulation helps maintain maximum mental functioning. In so doing, we prepare to transition seamlessly to that place where we regain loving relationships, no more pain, no more tears and no more dementia. Truly it has not entered it the heart of man that which is prepared for us.<\/p>\n

What if each day in heaven, we get to choose what age we want to be? Maybe one day you just want to let out your inner child: play with your cork gun and burst a few bandits while she combs her doll\u2019s hair. Another day you get to be a parent, or perhaps retired. Oh, never mind! That will be then, and this is now. Bottom line, if we stick around here long enough, we and our loved ones will have to deal with dementia. Because those who think they will never get that old are oftentimes the very ones who do!<\/p>\n

As I was saying\u2026um, what were we talking about again?<\/p>\n

Click here <\/strong><\/a>to jog the memory.<\/p>\n

Dr. Sam Christian runs the Urgent Care on 137 Bath Road. He is Medical Officer of the Dominica Cadet Corps, Medical Adviser to the Dominica Cancer Society and author of the faith and fitness nutrition book, \u2018Mannafast Miracle.\u2019 Dr. Christian can be reached anytime at 440-9133, 615-8345 or by writing to\u00a0<\/strong>urgentcare.da@gmail.com<\/strong><\/a>.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"We don\u2019t like the idea of getting old, but nobody wants to die young. And besides, what age will we be in heaven anyway? 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