Articles Posted in Dementia

A recent study has found that a class of drugs known as anticholinergics may increase the risk of dementia in patients aged 55 years and older. Commonly used in antidepressants, antihistamines, and antimuscarinics, the drugs have long been associated with side effects like confusion and memory issues. The new study, published in JAMA Internal Medicine, suggests more powerful side effects than medical professionals have previously understood.

As a report by the New York Times explains, anticholinergics encompass a variety of medications. Examples include clozapine, an antipsychotic; diphenhydramine, an antihistamine used in Benadryl, among other products; paroxetine, an antidepressant; tizanidine, a muscle relaxant; and scopolamine, an anti-nausea medication. Anticholinergics owe their wide range of applications to their function in blocking acetylcholine, a neurotransmitter involved in nervous system functions like muscle regulation, respiratory activity, digestion, and the opening and contraction of blood vessels. “Older adults are more likely to be prescribed many of these medications,” the Times explained, “simply because they tend to have more health issues.”

The JAMA Internal Medicine study examined 58,769 patients who had been diagnosed with dementia, with 225,574 matched control patients. Researchers examined dementia patients’ medical records, scrutinizing what medications doctor prescribed them between eleven years and one year before they were diagnosed with dementia. The study took into account 56 separate anticholinergic drugs, accounting for the dosage patients were prescribed and the length they were prescribed the drugs in question. What researchers ultimately discovered was a 50% increase in the risk of dementia in patients “who used a strong anticholinergic drug daily for about three years within that 10-year period,” according to the Times. This risk was strongest in patients who used anticholinergics to treat depression, psychosis, epilepsy, and bladder regulation issues. The study also found a stronger association between anticholinergics and dementia in patients who received their dementia diagnoses before they reached 80 years of age, and in patients with vascular dementia in comparison to those with Alzheimer’s disease.

According to the World Health Organization, dementia is one of the major causes of disability and dependency among older people. Dementia, which is a syndrome in which there is a deterioration in memory, behavior and thinking, causes many who suffer from it to lose the ability to perform their regular activities.

Elders are stricken with dementia far more than any other age group. In many cases, dementia is the reason an elder moves into a nursing home. Dementia is also often to blame for what is known as “elopement” or in layman’s terms, wandering. Elders with dementia may develop wandering tendencies, wherein due to cognitive impairment, they begin to wander around their nursing home unsupervised and without an escort.

Wandering may lead to serious injury as the result of falling. In some cases wandering has even led to death, in cases where residents have wandered outside of their residential facility. Though rare, wandering is dangerous enough that lawmakers included provisions to protect against it in the 1987 Nursing Home Reform Act. The law required that nursing homes must provide residents with adequate supervision in effort to prevent elderly patients from wandering. That means of course, that nursing homes must be properly staffed.

Dementia is described by the Alzheimer’s Association as “an overall term that describes a wide range of symptoms associated with a decline in memory or other thinking skills severe enough to reduce a person’s ability to perform everyday activities.” Indeed, there are a variety of types of dementia, depending upon the types of brain cells damaged, and where specifically that damage has occurred within the brain.

Regardless of the type of dementia an elder may have, it is important that symptoms are recognized as soon as possible in order to ensure the safety and wellbeing of your loved elder. Even if an elder is receiving care or assistance from a family member, in-home caregiver, or residing in a nursing home or skilled nursing facility, it is still vital to recognize symptoms of mental decline in elders. This is partly due to the fact that unfortunately, it is believed elders who suffer from some form of dementia are thought to be at greater risk for abuse or neglect than elders who do not have some form of dementia.

In fact, according to one research brief released by the NCEA, three different international studies have found that the rates of elder abuse for elders with dementia ranges from 34%-62%.

Symptoms that a loved elder in your life may be developing dementia include cognitive changes and psychological changes. Some of these changes may include:

*Memory loss/problems
*Trouble choosing the right words
*Disorientation or getting lost
*Challenges in planning/organizing
*Coordination or motor function difficulties
*Agitation or paranoia
*Inappropriate behavior
*Lack of proper personal care and poor nutrition/eating habits
*Difficulty sleeping
*Injuries/personal safety problems

If you believe that a loved elder in your life is beginning to show symptoms of dementia, it is important to take action, though it’s advisable to tread lightly, per the helpful website DementiaToday.net, which provides DementiaToday.net for how to talk to a loved elder about your concerns.

If you have reason to believe that a loved elder with dementia is being abused physically, financially, psychologically, or sexually, it is important that you report your suspicions to the proper authorities:

• The local Law Enforcement, including the Police, Sheriff, and District Attorney’s office. The San Diego County Sheriff’s Department can be reached at (858) 565-5200. The San Diego County District Attorney may be reached at (619) 531-4040.
• Long-Term Care Ombudsman Program provide a 24/7 Crisis Complaint Hotline at (800) 231-4024.
• Adult Protective Services (APS), in San Diego County, you may contact: San Diego County Aging and Independent Services (858) 495-5660.

You may also want to seek the advice of an experienced San Diego elder abuse attorney who can inform you and your loved one of your rights.
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It is no secret that many people have difficulty asking others for help. Elders living in Southern California are no different. Even though physical and mental capabilities may start to diminish with aging, it is still not easy for many seniors to let others know they are struggling.
That is why it is up to all of us to keep an eye on aging family members or friends. Here is a list of warning signs that a senior you love may need help from family members or professionals.

1. Abnormal or repeated phone calls If your grandmother, mother, father, or other elder family members begin making phone calls to you repeatedly, or at peculiar times of day, it may indicate confusion. It may also be a sign of memory loss, or could indicate that the elder is feeling lonely or depressed. If you notice these types of calls, try scheduling set calls with your loved one every day to see if they stick to those times and calls. If they don’t, it may be indicative of cognitive decline.

2. Weight loss/lack of food in the home When you visit your loved one, take notice of their appearance. Are they maintaining a healthy weight? If they’ve lost a substantial amount of weight, take a look in the refrigerator to confirm that there is food, and that the food has not spoiled. If there is nothing to eat, this can indicate that your loved elder is finding it difficult to shop and/or cook, and are thereby not taking proper care of themselves. This may be a sign that they need your help in shopping, preparing meals for the week, or even that they need to see a physician.

3. Mail is piled up, unopened or has not been retrieve from the mailbox When you visit your loved senior, take notice of unopened mail piled up, or even in the mailbox. Signs that your loved elder may be overwhelmed by once routine tasks may indicate that they are feeling depressed or confused.

4. Their home is suddenly messy If your aging parents or grandparents have traditionally kept a neat home, but you find their home is cluttered or dirty, this may be a sign they need help. They may be in physical pain and unwilling to clean, or they may be too tired, or even depressed. If you notice a sudden change in the appearance of the home it can be a warning sign that your loved elder is having a hard time, and needs assistance.

5. Cooking and baking pots and pans are burnt If you see scorch marks on pots, pans, or baking sheets, it may indicate difficulty with short-term memory. Your loved one may be forgetting they have left the stove or oven on after making a dish. This is a warning sign you should never ignore, as it has safety ramifications not only for your loved elder, but also for neighbors.

6. They aren’t changing their clothes or are wearing clothing inappropriate for the weather If an elder you love seems to be wearing the same clothes over and over, or shows signs of poor personal hygiene it may be a signal that they are struggling, mentally, emotionally, or physically. They may have difficulty doing laundry because it is located on a different level of the home, or it may indicate depression, or cognitive decline wherein they are having difficulty assessing the proper clothing to wear for the weather.

7. They are missing doctor’s appointments and/or medication Missed appointments may indicate memory problems, or difficulty in securing transportation to their appointments. This can be dangerous for elders who need medication, so if you determine that they are missing their appointments and and/or are not taking their necessary medication, it may be time to consider hiring help for them.

If you notice any of these warning signs that a loved elder in Southern California may need help, don’t be afraid to speak up. Often times an elder may need something as simple as transportation a couple of days a week, or a housekeeper a few times a month. In other cases, they may need to be relocated into an assisted living facility. It’s important to realize though, that they may not ask for help, so you need to ask them questions, and ascertain as best as you can, whether or not they are still capable of living without any assistance.
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Nearly 70% of elder abuse victims are women, according to the Bureau of Justice Statistics. It is worth noting that the population of elder women is much larger than the population of elderly men in the United States, however, that does not make these alarming statistics any less disturbing.
Why are women the victims of elder abuse more often than men? There are a few reasons most experts tend to agree upon.

1. Elderly females may be seen as easier targets for physical, financial, emotional, or even sexual abuse.
2. Women tend to live longer than men, and many live alone putting them in a position where they may be more likely to be abused.
3. Women tend to develop crippling physical diseases such as osteoporosis, which may take a long time to recover from.

Statistics conclusively show that elders who are disabled are far more likely to be abused than those who are not. As a matter of fact, according to the National Center on Elder Abuse, Administration on Aging:

“Institutionalized adult women with disabilities reported a 33% prevalence of having ever experienced interpersonal violence (IPV) versus 21% for institutionalized adult women without disabilities…when considering lifetime abuse by any perpetrator, a sample of 200 adult women with disabilities indicated that 67% had experienced physical abuse and 53% had experienced sexual abuse.”

Elderly women are far more likely to be sexually abused than men. Reports in the Journal of Elder Abuse and Neglect found that elderly women were six times more likely to be sexually abused than elderly men. Sexual abuse of elderly women occurs most often in nursing homes, or other assisted living facilities.

If you suspect that an elder –whether male or female–is being abused, it is vital to report your concerns immediately. Under California law elder abuse can be both a criminal and civil offense. The state of California has taken a firm stance and zero tolerance policy towards elder abuse in any capacity. As part of their mission to encourage all Californians to report suspected elder abuse, the state has created The Citizen’s Guide To Preventing and Reporting Elder Abuse, which can be viewed in its entirety here.

If you believe an elder you know is being abused in any capacity while residing in a California nursing home, report it to the following agencies immediately:

• Local Law Enforcement, including the Police, Sheriff, and District Attorney’s office. The San Diego County Sheriff’s department can be reached at (858) 565-5200. The San Diego County District Attorney may be reached at 619-531-4040.
• Long-Term Care Ombudsman Program provide a 24/7 Crisis Complaint Hotline at 800-231-4024.
• Adult Protective Services (APS). In San Diego County, you may contact: San Diego County Aging and Independent Services (858) 495-5660.
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According to the World Health Organization, dementia is one of the major causes of disability and dependency among older people. Dementia, which is a syndrome in which there is a deterioration in memory, behavior and thinking, causes many who suffer from it to lose the ability to perform their regular activities.

Elders are stricken with dementia far more than any other age group. In many cases, dementia is the reason an elder moves into a nursing home. Dementia is also often to blame for what is known as “elopement” or in layman’s terms, wandering. Elders with dementia may develop wandering tendencies, wherein due to cognitive impairment, they begin to wander around their nursing home unsupervised and without an escort.

Wandering may lead to serious injury as the result of falling. In some cases wandering has even led to death, in cases where residents have wandered outside of their residential facility. Though rare, wandering is dangerous enough that lawmakers included provisions to protect against it in the 1987 Nursing Home Reform Act. The law required that nursing homes must provide residents with adequate supervision in effort to prevent elderly patients from wandering. That means of course, that nursing homes must be properly staffed.

In our last post, we suggested tips for confirming that a potential skilled nursing facility or residential nursing home has the appropriate staff to address the needs of elders with dementia. To recap, dementia is a syndrome in which there is deterioration in memory, behavior and thinking. This causes many who suffer from dementia to lose the ability to perform their regular activities. The most common form of dementia is Alzheimer’s disease, though there are multiple types of dementia.

Elders suffering from dementia need special care when they move into a long term care facility such as a California nursing home. If you are considering helping to move a loved one with dementia into a nursing home, there are specific questions you will want to ask about the services provided for your loved one.

Questions should include:

According to the World Health Organization, dementia is one of the major causes of disability and dependency among older people. Dementia, which is a syndrome in which there is a deterioration in memory, behavior and thinking, causes many who suffer from it to lose the ability to perform their regular activities.

Elders are stricken with dementia far more than any other age group. In many cases, dementia can lead to an elder moving into a longterm care residence, such as a nursing home. If you or someone you know is considering placing an elder suffering from dementia in the care of a nursing facility in California, there are certain questions you’ll want to ask of the facility.

In this post, we will specifically talk about what to look for in terms of the staff of a skilled nursing facility or nursing home. In a subsequent article, we’ll talk about other facility services you’ll want to inquire about.

If your loved one is suffering from dementia, you should be sure that any nursing home you may be considering is equipped to care for dementia patients, thus allowing for a more beneficial experience for the patient, not to mention a safer one.

Dementia is caused by damaged brain cells, which leads to a deterioration in cognitive abilities, including memory, speech, and

understanding. Numerous diseases lead to dementia, the most common being Alzheimer’s disease, which accounts for 70% of all dementia cases. Other diseases leading to dementia include Parkinson’s disease and vascular disease.

When considering types of elder abuse, neglect and abandonment often come to mind. It is an unpleasant fact however, that elder abuse can and does take many different forms. Financial abuse, for example, can often be just as devastating to a victim as neglect or even physical abuse is. When a person on a fixed income is taken advantage of financially, these victims typically have little to no means of recovering their assets. This is particularly true of elders in Southern California, who are often defenseless or unaware of potential threats— making them easy prey for scammers.

In a case that’s garnered a lot of media attention, two convicted felons were recently charged with holding an 84-year-old woman against her will along with stealing money from the woman and her husband. Here’s an overview of that story:

In August of 2015, 53-year-old Wayne Kim Golden, and his girlfriend, 52, made an agreement with the 84-year-old victim to house her 94-year-old husband with Alzheimer’s, who needed full time in-home care. At some point, Shillings showed up at the female victim’s home in Menifee where the victim still lived independently, and took her back to the residence in Perris where Shillings and Golden cared for her husband. Once at the home, Shilling confiscated the 84-year-old’s car keys and check book, and held her hostage in her home for two weeks.