Monday, September 22, 2014

Monday, September 15, 2014

Senior Care Tips for Sundowners Syndrome

Senior Care Tips for Sundowners Syndrome: EasyLiving Blog
Have you noticed your loved one with dementia experiencing changed sleeping patterns and more difficulty late in the day?

Most likely you are experiencing the set of symptoms termed Sundowners Syndrome or sundowning behavior in dementia.  For a variety of reasons (from our bodies' natural rhythms and light signals to learned patterns), persons with dementia may have particular difficulty in the late afternoon and evening hours.  The person often feels a sense of restlesness and agitation--a need to go somewhere or do something, the sense of being unsettled.  This may manifest itself as a need "to go home" and lead to wandering or may show up in a variety of behaviors.

Senior care providers should be aware of this set of symptoms and watch for such patterns.  A care facility may want to staff this time of day differently or plan for specific activities and try to manage the environment.  Some examples include changes to lighting, providing distracting and/or calming activities during this time, ensuring residents have a snack and are well-rested and reducing irritating stimuli.  More one-on-one attention may be needed for safety and reassurance during late afternoons and evenings.

Senior caregivers caring for a loved one or client at home should also monitor for different behaviors and patterns.  What are some things you can do to better manage sundowners syndrome and provide safe, dignified dementia care?

Saturday, September 6, 2014

California, Arizona, Florida - Senior Care Authority ORG

Assisted Living in California, Arizona, Florida - Senior Care Authority

Senior Care Authority™ is a free assisted living, dementia and residential care placement service providing hands on quality assistance throughout the selection process.

Friday, September 5, 2014

Jumping for Joy in the ER: When patients have clear advance directives by Monica Williams-Murphy, MD | It's OK to Die

Jumping for Joy in the ER: When patients have clear advance directives by Monica Williams-Murphy, MD | It's OK to Die:

<Q>“What’s going on out there?” the “leaving” doctor asked me in a curious manner.
Before I answered him, I called out, “You guys come listen to this. This is a success story!”
As you might imagine, a small group of curious Emergency Department staff had crowded around me in attempts to understand the commotion.

Speaking in low but excited tones to maintain HIPPA compliance, I gushed the following story:
“So, I just walked into room 48 to see Mr. Bronson. He’s an 85 year old man with COPD who had arrived in respiratory distress and the respiratory therapists had already started BIPAP because the patient arrived on his own machine and it wasn’t doing any good. So, here’s the kicker… he was too short of breath to even speak a word and when I listened to his lungs, I heard no air movement. There was no one in the room family-wise whom I could turn to for a discussion of next steps (meaning no surrogate decision maker). Just as I started to feel a twist developing in the pit of my stomach, assuming that I might have to intubate him without understanding his own personal wishes, the nurse whips out a piece of paper from behind his home med list and starts waving it at me.”
“Voila!” She said smiling, “I know that you would want to see this.”
With two steps in her direction, I was across the room and pulled it from her hand like a young child getting her first mail. <EQ>