What sort of diagnostics have been, and are, used to diagnose dementia in general and specifically Alzheimer’s? How effective and useful are they in enabling early treatment of the disease?
The bottom line is that we most commonly arrive upon an Alzheimer’s diagnosis when the individual is showing very clear signs, and as a result, we have been missing the opportunity to treat and slow the progress for the last 10, 15, even 20 years before the more extreme symptoms manifest.
As we grow older, we experience many changes, both physically and emotionally. Coping with these changes can add stress to your life (not healthy). The vitality we once had as young men and women is now gone, and this serves as a signpost that we are getting closer to the end of our life. On the positive side, if we take good care of ourselves, we can greatly increase our chances for many more years where the quality of life is high.
One in four Americans aged 65+ falls each year. Every 11 seconds, an older adult is treated in the emergency room for a fall; every 19 minutes, an older adult dies from a fall. Falls are the leading cause of fatal injury and the most common cause of nonfatal trauma-related hospital admissions among older adults.
There are more than 43.5 million adults in the United States who have provided unpaid care to an adult or child within the last year. 34.2 million of these Americans provide care to an adult age 50 or older. On average, a family caregiver will spend over 24 hours each week providing care to a loved one, although many report spending well over 40 hours per week on caregiving duties.
The burden on caregivers is reportedly highest among those providing care to a spouse or partner. Family caregiving usually involves tasks above and beyond assisting with activities of daily living, like bathing, dressing, and eating, but also medical or nursing tasks that are typically performed by a nurse, and the emotional support function as well.
Those suffering from some form of dementia, such as Alzheimer’s, will go through a series of extremely challenging phases, and those phases bring on various emotions in the extreme. In fact, these phases will send them back and forth through the various five stages of grief (denial, anger, bargaining, depression, and acceptance), and to some degree, more than once. This situation is further complicated and compounded by the fact that their ability to intellectually and rationally think through their grief and their ability to have reasonable control over their emotions are both becoming diminished as the disease progresses.
There is no ‘one size fits all’ solution in general, and certainly not when it comes to senior housing. This article presents a wide spectrum of senior housing alternatives. It then concludes by relating a portion of these options to what is offered by Rancho Los Labradores and Cielito Lindo.
Most likely, one of your primary concerns when considering a move outside the US will be healthcare – how to get it, how much will it cost, and how good will it be.
The good news is that you will find that healthcare in Mexico is very good, and in many places, it is even excellent. Many doctors and dentists in Mexico have received at least part of their training in the US (Conversely, many US doctors have trained in Mexico, notably in Guadalajara and Mexico City.) Many of the Mexican doctors continue to go to the US or Europe for ongoing training.
Long term care facilities (LTCFs) are supposed to be an oasis perfectly suited to our elders with medical and care professionals, facilities, diets, and activities, all tuned to their unique needs and desires. But as we have come to realize most recently, these LTCFs can also represent a significant risk.
This is because the residents are elderly and infirmed, all of which leads to considerably lower immunity and much less resilience once infected. We have read about such sad cases as the facilities in New York and Washington, where countless residents have needlessly died after a widespread infection within facilities in those states.
The lifetime probability of becoming disabled in at least two activities of daily living or of being cognitively impaired is 68% for people age 65 and older. What this implies is that a very large number of seniors will need some degree of caregiving support. A portion of these people are receiving this care via informal caregivers in the home. In fact, over 70 million informal and family caregivers provide care to someone who is ill, disabled, or aged in the US.
Virtual Reality (VR) is not a new concept in elder care facilities. It provides a fun and stimulating activity that promotes socialization and allows seniors to partake in activities that they have not done in years (like downhill skiing).
But in this new world of social distancing and sheltering in place, our elders are particularly impacted. Not only are the especially vulnerable to COVID-19, but the side effect of isolating them further affects greater loneliness. And as we now know, isolation can have profound health implications over time.