Pay close attention to nonverbal cues when a patient appears agitated. Keep family gatherings small. Large groups can produce fear and confusion in those suffering from Alzheimer's Disease.
CHICAGO - The excitement of the holiday season is celebrated with family get-togethers. But for Alzheimer's patients, large groups can produce fear and confusion. The disease causes brain cell deterioration and the ability to rapidly process information diminishes daily.
Macie P. Smith, a licensed social worker and gerontologist, advised paying attention to nonverbal cues when a patient appears agitated.
"If you're going to have a small, intimate gathering, I also recommend doing name tags," Smith suggested. "Go ahead and put the person's name and the relationship to the person on the shirt, so that way they won't have to guess and wonder and try to figure out who this person is. It just helps with the ease of engagement."
Reminiscing over the family photo album is a traditional holiday favorite. Despite the best intentions, Smith explained, asking an Alzheimer's patient to identify a relative can be frustrating. The questions cause them to use brain cells that are severely impacted and could produce combativeness and aggression. She recommended singing or playing music as better choices.
The Alzheimer's Association Illinois chapter reported 311,000 caregivers cook meals, assist with basic hygiene and monitor medication intake. The needs of patients are unpredictable, leaving them with sporadic break times.
Additional stress from gift shopping and work obligations underlines the importance for a caregiver to routinely nurture their physical and mental well-being. Smith advised using a calendar for scheduling enjoyable activities.
"I've asked caregivers, 'So, what do you like to do?' They don't know, or they don't remember, because they have been so engulfed with caring for someone else and depleting everything that they've had, they've lost a sense of self," Smith observed.
For unmanageable situations, Smith recommends contacting a professional respite care service through your local department on aging. The agencies offer vouchers to pay a certified person to sit with your loved one. Another choice is asking for help from a church member, trusted neighbor or a Medicare or Medicaid-funded adult day service.
Dear Editor,
Should Illinois legalize assisted-suicide? Some state senators think so. If allowed, vulnerable people who are sick, elderly, disabled, and those with mental illness and dementia will become targets.
As the father of a Downs Syndrome toddler, I am extremely alarmed by this proposal.
No one should be comfortable with promoting a cheaper, easier alternative to life’s struggles in order to ignore their responsibilities to people who need their help.
Canada’s law, with 79% support, was promoted as a last resort for the terminally ill. Support has plummeted to 30% because of the disregard toward vulnerable citizens such as anyone with an illness and those who are disabled.
Canadians facing homelessness and poverty are feeling compelled to end their lives rather than be a “burden” to society.
In 2023, 76.2% of Belgium euthanasia was administered to people with physical and psychological issues, including personality disorders, depression, and Alzheimer’s.
A Netherland law that took effect on February 1, 2024, allows parents to euthanize their children even if the child doesn’t want to be killed.
Proponents can call it “dignity,” but it is cruel and heartless to disregard human life.
If you agree, please let your state senator know.
David E. Smith, Executive Director
Illinois Family Institute
PEORIA - Roughly in one year's time, two major names in Hollywood received a similar diagnosis of frontotemporal dementia (FTD) and aphasia.
In February 2024, actor Bruce Willis’ family announced his aphasia diagnosis had progressed into FTD. In February 2024, former talk show host Wendy Williams' care team announced the same.
“In 2023, after undergoing a battery of medical tests, Wendy was officially diagnosed with primary progressive aphasia and frontotemporal dementia (FTD). Aphasia, a condition affecting language and communication abilities, and frontotemporal dementia, a progressive disorder impacting behavior and cognitive functions, have already presented significant hurdles in Wendy's life,” her care team released in a statement.
Williams is most well-known for “The Wendy Williams Show." Before that, she was a radio host in Philadelphia and New York City.
FTD affects between 50,000-60,000 Americans. Most patients are between 45-65 years old, according to the Alzheimer’s Association.
Dr. Deepak Nair
The disease is progressive, meaning symptoms get worse over time. Dr. Deepak Nair, a neurologist with OSF HealthCare Illinois Neurological Institute, says while someone might not die as a result of FTD, it can lead to other health problems that do cause death. He calls the brain and nervous system the “master control” over every other organ system.
"It's sort of like what happened in the COVID era. People are talking about 'are the people dying from COVID or with COVID?' Same problem. When people die with dementia, there's a lot of other things that can lead to their death. But the processes of dementia, over time, will start to affect other organ systems. In that sense, any of the known dementias will ultimately lead to death from another reason, though,” Dr. Nair says.
Dr. Nair says his team works with speech language pathologists to help detect subtle cognitive impairment or to confirm the presence of aphasia.
Are they able to name objects? Can they repeat phrases or sentences? He says Bruce Willis’ family opening up about his diagnosis could help other families.
"Having this discussed publicly is a powerful thing. People are now going to pay attention to this,” Dr. Nair says. “I'm sure there are a lot of Google searches about FTD and aphasia. Some increase in public awareness is a huge benefit to all of us."
Dr. Nair says there hasn’t been any conclusive research showing a direct correlation between prior injuries causing FTD.
In March 2022, Willis announced his retirement from acting due to aphasia, which impacted his ability to speak and understand language. His family says his condition progressed, leading to the recent diagnosis of FTD.
FTD causes progressive nerve cell loss in the frontal and temporal lobes of the brain. This leads to a loss of function in these brain regions, impacting someone’s behavior, personality and language function.
"That timeframe from when they first recognized the aphasia to now, making this diagnosis, is not surprising,” Dr. Nair says. “Because what that probably suggests is they've seen changes over time in Mr. Willis' function. Not just his language function, but other functions. It was enough to show he now meets the criteria for dementia."
Dr. Nair says many times there are underlying health issues before someone is diagnosed with FTD.
“For aphasia to arise suddenly and spontaneously without some acute injury, then you start often thinking about if there is some underlying degenerative process," he adds.
Dr. Nair says early intervention and being attentive to our loved ones is extremely important.
StatePoint Media - 2023 was a landmark year for Alzheimer’s disease research, including advancements in treatment, risk factors and diagnosis. Here are five significant discoveries made this year:
There are three new approved treatments for Alzheimer’s, with a fourth on the way
In July, the U.S. Food and Drug Administration (FDA) granted traditional approval for Leqembi for mild cognitive impairment due to Alzheimer’s and mild Alzheimer’s dementia. This treatment slows cognitive decline and can help people with early Alzheimer’s maintain their independence.
In June 2021, the FDA granted accelerated approval to Aduhelm for the same purpose. At the Alzheimer’s Association International Conference (AAIC) in July 2023, Lilly reported positive results for a third similar treatment: donanemab. The company expects FDA action in early 2024.
In May, the FDA approved the first treatment for agitation in people with Alzheimer’s — brexpiprazole.
Hearing aids could slow cognitive decline for at-risk older adults
In the largest clinical trial to investigate whether a hearing loss treatment can reduce risk of cognitive decline, researchers found that older adults with hearing loss cut their cognitive decline in half by using hearing aids for three years.
The intervention included hearing aids, a hearing “toolkit,” and ongoing instruction and counseling. Though the positive results were in a subgroup of the total study population, they are encouraging and merit further investigation.
Blood tests for Alzheimer’s are coming soon.
Blood tests show promise for improving how Alzheimer’s is diagnosed. Advancements reported for the first time at AAIC 2023 demonstrate the simplicity and value to doctors of blood-based markers for Alzheimer’s.
Blood tests are already being implemented in Alzheimer’s drug trials. And they are incorporated into proposed new diagnostic criteria for the disease. Blood tests — once verified and approved by the FDA — would offer a noninvasive and cost-effective option for identifying the disease.
First-ever U.S. county-level Alzheimer’s prevalence estimates
The first-ever county-level estimates of the prevalence of Alzheimer’s dementia — in all 3,142 U.S. counties — were reported at AAIC 2023. For counties with a population of more than 10,000 people age 65 and older, the highest Alzheimer’s prevalence rates are in:
• Miami-Dade County, Fla. (16.6%)
• Baltimore City, Md. (16.6%)
• Bronx County, N.Y. (16.6%)
• Prince George’s County, Md. (16.1%)
• Hinds County, Miss. (15.5%)
Certain characteristics of these counties may explain the higher prevalence, including older age and a higher percentage of Black and Hispanic residents, which are communities disproportionately impacted by Alzheimer’s disease. According to the Alzheimer’s Association, these statistics can help officials determine the burden on the health care system, and pinpoint areas for culturally-sensitive caregiver training.
Chronic constipation is associated with poor cognitive function
Approximately 16% of the world’s population struggles with constipation. This year, researchers reported that less frequent bowel movements were associated with significantly worse cognitive function.
People in the study with bowel movements every three days or more had worse memory and thinking equal to three years of cognitive aging. These results stress the importance of clinicians discussing gut health with their older patients.
To learn more about Alzheimer’s and dementia research, plus available care and support — and to join the cause or make a donation — visit the Alzheimer’s Association at www.alz.org.
While there is still much to learn about Alzheimer’s, 2023 was a year of discovery, giving researchers and families impacted by the disease hope for the year ahead.
Holidays can be a wonderful time of year when families get together and catch up on each other’s busy lives. All too often is also the time that you may find that things aren’t quite the same with our aging family members.
Those twenty-minute calls once or twice a month made everything seem a okay with the parents or grandparents. But now, you have noticed the signs and symptoms of dementia are starting to show.
Although the COVID-19 pandemic turned the world upside down, the rapid development of multiple vaccines has spurred hope that treatments – or even potential cures – may be found for other devastating conditions. One such candidate is Alzheimer’s Disease.
ROCKFORD -- Actor Chris Hemsworth recently made headlines when he announced that he's taking time off from acting after undergoing testing that resulted in an alarming discovery: he has a greater risk of developing Alzheimer's disease at some point in his lifetime.
The 39-year-old Hemsworth made the discovery after undergoing tests as part of his documentary series Limitless, where Hemsworth tests his body and searches for ways to live longer.
While having a predisposition for Alzheimer's is not a diagnosis, it can help someone take the appropriate preventative measures. Hemsworth has said he is going to spend time focusing on stress and sleep management, nutrition and fitness.
According to the Alzheimer's Association, Alzheimer's is the most common cause of dementia, making up 60-80% of dementia cases. Dementia is not a normal part of aging, and is caused by damage to brain cells that can lead to memory problems, confusion and communication issues.
"With dementia, it's a short term, memory-deficit, but usually long term is intact," said Andrea Shewalter, a nurse practitioner with OSF HealthCare Illinois Neurological Institute (INI). "People will forget what they ate for breakfast that day and they may forget having a specific conversation with a family member that morning or the day before, but they'll be able to tell you what they did 25 years ago and be able to reminisce with stories like that."
Typically it's a loved one who notices the initial troubling signs of dementia such as memory loss, problem-solving difficulties or issues with daily tasks such as paying bills, taking medication or preparing meals, so it's the patients who are accompanied by family members to an appointment who are most likely exhibiting the greatest symptoms of dementia.
Shewalter adds that anyone is a candidate for testing. And if you have a loved one who has been diagnosed with dementia you do not need to wait to develop symptoms to look into testing options for yourself.
"When patients come in we refer them for a neuro psychological evaluation, where the psychologist reviews the 12 different domains of the brain through different systems and assessments," she says. "And they can come up with a potential diagnosis and are able to tell us what part of the brain is having a deficit or what deficit of the brain is occurring."
But arriving at a dementia diagnosis isn't always easy. Physicians have to recognize a pattern of loss of skills and function and determine what a person is still able to do. And it usually takes more than one test to come up with the diagnosis. Tests include cognitive and neuropsychological tests, neurological evaluation, brain scans, lab tests and sometimes psychiatric evaluation.
"I would refer anyone for neuropsychological testing, where they can help determine what areas of the brain are being affected," says Shewalter. "And then we usually send the patient for imaging to make sure that there's nothing from a pathological standpoint that's going on in the brain. Is there a brain tumor? Is there Lyme's disease? Is there some sort of disease that is affecting this? We can also look at the structures of the brain to be able to tell if there a lot of shrinkage for their age. Is the brain compensating due to the atrophy or the shrinkage of the brain?"
... we recommend the exercise, the increase in socialization, and the brain healthy diet ...
In the early stages of dementia, Shewalter has several recommendations for patients to remain as independent as possible, including doing crossword puzzles, playing cards and crafting – anything that involves hand and eye coordination.
She also encourages socialization – getting out in the public and being around people as much as possible. While there is no conclusive evidence, there is still benefit to taking care of yourself as much as possible. That includes a healthy brain diet and a high intensity exercise program of 150 minutes each week. Finally, get your financial affairs and power of attorney in order, especially if memory loss progresses to the point where you can't make decisions for yourself.
"We try to treat dementia as naturally as possible," adds Shewalter. "That's why we recommend the exercise, the increase in socialization, and the brain healthy diet, because it is what you make of it. If you just sit in a house and don't use your brain or challenge your brain and let the world go by, you often have generally worse outcomes than if you were to face this head on. Do the steps that we naturally recommend to decrease the rate at which your memory declines."
In addition to taking preventative measures and staying active, having a support system in place early on is especially important for someone with any dementia diagnosis.
(Family Features) - Although the COVID-19 pandemic turned the world upside down, the rapid development of multiple vaccines has spurred hope that treatments – or even potential cures – may be found for other devastating conditions. One such candidate is Alzheimer’s Disease.
Early signs of Alzheimer’s include trouble remembering new information, solving problems or completing familiar tasks. As the disease progresses, disorientation, confusion, significant memory loss and changes in mood or behavior may become apparent. Physical symptoms may include difficulty speaking, swallowing or walking.
Impact of Alzheimer’s
Among people aged 65 and older, 1 in 9 (11.3%) has been diagnosed with Alzheimer’s Disease, meaning more than 6 million Americans live with it. Worldwide, the World Health Organization estimates there are nearly 50 million people living with dementia, and Alzheimer’s likely accounts for 60-70% of those. By 2050, this number could rise as high as 13 million. Less commonly noted are the numbers of early-onset (under 65 years old) Alzheimer’s patients within those figures. Up to 9% of global Alzheimer’s cases are believed to be early onset, according to the World Health Organization.
According to a Harvard School of Public Health survey, Alzheimer’s is second only to cancer among America’s most feared diseases. However, data from the Alzheimer’s Association shows Alzheimer’s is the sixth-leading cause of death in the United States, a rate higher than breast cancer and prostate cancer combined.
Beyond the personal impact for those battling the disease and their loved ones, Alzheimer’s Disease also takes a significant economic toll. The Alzheimer’s Association predicts that in 2021, Alzheimer’s and other dementias will cost the nation $355 billion. By 2050, these costs could exceed $1 trillion if no permanent treatment or cure for Alzheimer’s is found. At the same time, more than 11 million Americans provide unpaid care for people with Alzheimer’s and other dementias, an estimated 15.3 billion hours of care, valued at nearly $257 billion.
Treatment Options
While there hasn't been enough significant progress in discovering a treatment or cure in the more than 100 years since Alzheimer’s was first identified in 1906, early diagnosis and treatment may improve the quality of life for patients. The disease affects each patient differently, so therapies vary widely depending on how far it has progressed and which symptoms are most prevalent. Some therapeutic approaches can address symptoms like sleep disruption and behavior while medication may be beneficial for treating other symptoms.
Founded in 2016 by Milton “Todd” Ault III, Alzamend Neuro, a preclinical-stage biopharmaceutical company, has been actively seeking a cure for Alzheimer’s and concentrates on researching and funding novel products for the treatment of neurodegenerative diseases and psychiatric disorders. With two products currently in development, the company aims to bring these potential therapies to market at a reasonable cost as quickly as possible.
Ault’s stepfather is currently battling Alzheimer’s, his mother-in-law died from the disease and he has three other family members suffering through it.
“Even though work has been done to find a cure for Alzheimer’s, to me it hasn’t been a full-court press,” said Ault, whose many personal encounters with Alzheimer’s have further fueled his passion to find a cure. “While there are no profound treatments today for Alzheimer’s disease, we believe we can change that.”
Practical Ways to Fast-Track a Cure
Some basic changes in the approach to disease research could accelerate progress for diseases like Alzheimer’s, said Milton “Todd” Ault III, founder of Alzamend Neuro.
Ault believes recent advancements in vaccines and medical technology, combined with these five approaches, can help advance the search for a cure for Alzheimer’s disease and other dementias.
Encourage public-private partnerships
The collaboration of government agencies and private industries was integral to the COVID-19 vaccine development. The cross-industry partnerships enabled a vaccine to get to market in less than one year despite detractors. Ault believes this model can be replicated for other diseases and conditions.
Diversify the search
Because of its complexity, a cure for Alzheimer’s will require expertise from a broad range of organizations including health and defense, biopharmaceutical firms, academic experts and those involved in Operation Warp Speed, the federal effort that supported multiple COVID-19 vaccine candidates simultaneously to expedite development.
Share standards and data
Focusing on a shared goal is vital to succeeding. This means looking for ways to share standards and collaborate with colleagues and competitors regardless of proprietary data, patents and other limitations.
Become the catalyst for a cure
When political will and government funding are insufficient or unable to drive change, the private sector can inspire action.
“The progress we are making is a result of the private investment dollars we secured and the way we have applied strategy and tenacity that comes from a successful business record,” Ault said.
Learning from past successes
Aside from the result, there is a great deal to learn from the successful development of past drugs and vaccines. Social awareness and cultural demand are potential ways to stimulate faster production and approvals between public and private entities.
To learn more about treatments and therapies in development visit alzamend.com .
There are several reasons for learning a second, third or even fourth language. In Europe, with smaller nations and nearly unrestricted travel between them, it is not uncommon for residents to pick up another language or two and be able to communicate effectively. Nearly every country in Europe requires students as young as six to learn a foreign language, usually English, according to The Pew Research Center.
Generally speaking, most high schools in the America offer foreign language classes, but only 15% of our country's elementary schools do the same. Except as a college requirement, there is not national US mandate like in Europe to acquire second language ability.
Sadly, less than one percent of American adults who studied a foreign language are remotely capable of carrying a conversation in that language. It isn't because Americans are dumber - although some might dispute that after the last two presidential election cycles - or less capable, but because the educational system's approach is fundamentally flawed, which is a topic for another time.
I gutted out three years of Spanish in high school and now some 40 years later, I am admittedly not in that one-percent club. I can order a beer in Español and ask where is the nearest bathroom, mostly in that order because that's just how life works. I have always held mad respect for anyone who can speak two or more languages fluently.
While caring for a relative who was suffering Alzheimer's and assessing my own risk in the next 20 or so years, I learned research has shown that people who are bi-or multilingual experience a delay in the onset of symptoms from dementia by 4-5 years when compared with monolingual patients. Why didn't they know that information back when I was struggling in Señor Kruzan's junior-year Spanish class?
Despite incredible resistance to the endeavor and the insistence everyone within our borders speak American, there are dozens of reasons to learn to speak one or more languages. Regardless of whether you want to slow the degeneration of your cognitive ability or want to increase your upward career mobility, here are six practical reasons to learn a new language that make absolute sense.
1. Learning another language stalls the onset of Alzheimer’s & dementia.
While there is no absolute guarantee, multiple studies suggest that degenerative brain diseases like Alzheimer’s and dementia advance at a much slower pace than those how are multilingual. In one published study researchers found a small but significant protection for people who speak more than two languages. However, no significant benefit was seen in those who were bilingual.
2. Learning another language opens opportunities in high paying careers
If you can speak and read in one or more languages in addition to English, there are endless exciting opportunities in government service sector, law enforcement and the military. A woman I know has the perfect pandemic job. She charges $40 an hour tutoring high school and college students in Spanish.
3. Speaking a second or third language comes handy when you want to have a discreet conversation
You are having a great time at Barraca, a dance club in Valencia, Spain, when you meet the next Mr. or Mrs Right - or at least Right Now - and you need to fly solo. No better way to tell them to drop back or peel off than in another language. Oh, and there is no better way to share your displeasure on your boss' latest silly workplace edict with co-workers know or studying the same language.
4. Make new friends from around the world
Learning to communicate in other languages opens the door to meeting interesting people from other parts of the world and forging future personal and business relationships. Best of all when you visiting their city or country, you'll get the inside scoop on where to go and what to do off the well-worn tourist paths for a unique, memorable trip.
5. Improve your memory & cognitive performance
Studies have shown bilingual people have better working memories, superior speed when switching between different tasks and have an easier time learning new things. Like doing bicep curls to build strength, learning a new language strengthens brain functions.
6. Learning a new language is fun
Learning to speak another language is fun, just not so much in a high school and college setting. Unfortunately, both the methodology and process used by the educational system in the US is whacked. What's fun about speaking another language? It's anything from ordering food in that language to the look on the faces of native speakers when they realize you speak their language pretty well. It's moments watching movies and TV shows when you realize you don't need subtitles.
Nearly half of older Americans can’t even afford basic needs
I worked hard my whole career and retired feeling secure. Then I lost every last dime in a scam. I was left with $1,300 a month in Social Security benefits to live on in an area where monthly expenses run about $3,700.
I’m a smart woman, but scams against older Americans are increasing in number and sophistication. Whether through scams, strained savings, or costs of living going up, half of older Americans — that’s 27 million households — can’t afford their basic needs.
Budget-Friendly renovation ideas to modernize your home
Renovating your home can be affordable with the right approach. Simple changes, like repainting walls or updating fixtures, can create a fresh, modern look without a high price tag. Whether you’re improving outdated spaces or enhancing functionality, these budget-friendly renovation ideas to modernize your home will help you achieve a stylish, updated space while staying within your budget.
Protecting your valuable works of art when you move, here is how
Transporting artwork can feel daunting, especially when it holds significant emotional and financial value. You want to ensure that your cherished pieces arrive at their destination in Illinois without a scratch. This guide will explore expert ways to transport valuable artwork safely. With the right approach, you can protect your investments and preserve the beauty of your art. Let’s dive into practical tips that make the process easier and more secure.
Protecting cherished pets from highly pathogenic avian influenza: A guide for pet owners
As the threat of Highly Pathogenic Avian Influenza (HPAI) looms over both avian and domestic populations, pet owners face an urgent challenge: protecting their beloved companions from a virus that can turn a playful afternoon into a perilous health crisis. HPAI, primarily affecting birds, poses significant risks to pets, particularly those that may ...
What da funk? A stinky body can be a sign of a health issue
Death, taxes and body odor.
They’re things we can all expect in life, no matter how clean you are. But health care providers want you to know when body odor is a sign of a more serious health problem.
B.O. basics
Luis Garcia, MD, an OSF HealthCare pediatrician, says sweat and bacteria are the main culprits behind body odor. Warmth and moisture in parts of the body (like your armpits and feet), plus going through puberty and general poor hygiene, can make the smell worse.