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Senior Health
Topics
Alzheimer's Disease
What is Alzheimer's Disease?
Alzheimer's disease is a progressive, degenerative
disease that attacks the brain and results in impaired
memory, thinking and reasoning. The cause is unknown
and there is no cure. It affects an estimated 4
million American adults, and is the fourth leading
cause of death after heart disease, cancer and stroke.
Alzheimer's disease is the most common form of
Dementia. Dementia itself is not a disease, but rather
a group of symptoms which accompany certain diseases
and conditions. These symptoms include changes in
personality, mood, language problems, disorientation
to time and place, and loss of abilities severe enough
to interfere with work and/or social activities that
is not a normal part of aging. Alzheimer's disease is
distinguished from other form of Dementia by its
characteristic changes in the brain called
Neurofibrillary tangles and senile plaques that are
visible only upon microscopic examination and are
unique to this disease. Alzheimer's disease has a
gradual onset and changes will vary significantly from
person to person. The disease can last from tow to
over twenty years, with eight years being the average
length. You do not need to feel alone and unsupported
while caring for a person suffering from Alzheimer's
disease and related disorders. When there is help,
there is hope.
Information on Alzheimer's Services
Caring for someone with Alzheimer's disease or
related disorders is never easy, but it is important
to remember that you are not alone. There are many
people who can help and there are specialized programs
and services that can make life easier and more
manageable for you and the person with Alzheimer's
disease. Some of the services you might need include:
HEALTH CARE SERVICES. These include an accurate
diagnosis for appropriate continuing treatment and
care. Specially trained doctors and nurses in the
field of geriatric medicine, family practice, internal
medicine, and psychiatry can answer your questions and
concerns. These are basic services that would include
safety proofing your home and an ID bracelet for the
patient should you become separated, nutrition
information, transportation services, tips on managing
activities of daily living, and financial and legal
guidance. There are also HOSPICE CARE SERVICES
available. These include home care, domestic specific
day care and short term residential care while you go
on vacation or get a much needed rest, and long term
care is available, when required. You do not need to
feel alone and unsupported while caring for a person
suffering from Alzheimer's disease and related
disorders. When there is help, there is hope.
Related Disorders
Dementia is a group of symptoms that characterize
certain diseases and conditions. These symptoms
include, changes in personality, mood and behavior.
The causes and rate of progression of Dementia vary.
Some of the more well known diseases that produce
Dementia include Alzheimer's disease, multi-infarct
Dementia or Vascular Dementia, Parkinson's disease,
Huntington's disease, Pick's disease, Croohealth Jacob
disease, Lou Gerhig disease and Multiple Sclerosis.
There are other conditions that mimic Dementia called
Pseudodementia that are often treatable and/or
reversible if detected early and accurately diagnosed.
These conditions include: normal pressure
hydrocephalus, depression, brain tumors, thyroid
disorders, brain infections, nutritional deficiencies,
alcoholism, head injuries and drug reactions or
interactions. All person suspected of having Dementia
should receive a complete diagnostic examination by a
physician experienced in diagnosis of Dementia
disorder. You do not need to feel alone and
unsupported while caring for a person suffering from
Alzheimer's disease and related disorders. Where there
is help, there is hope.
More
Alzheimer's disease is a degenerative disease of
the brain. Its causes are unknown and there is
currently no cure. The following list will help you
understand the warning signs to look for: Recent
memory loss that affects job skills. Forgetting things
more often, and not remembering them later; asking the
same question and not remembering the answer.
Difficulty performing familiar tasks; forgetting to do
certain things, and also forgetting how to do them.
Problems with language; forgetting simple words or
substituting inappropriate words, and making sentences
incomprehensible. Disorientation of time and place;
becoming lost in a familiar place,; not knowing how
they got there, or how to get back home. Poor or
decreased judgement; not be award of some things they
are doing, such as wearing many articles of clothing,
one on top of the other. Problems with abstract
thinking; forgetting what numbers are and simple
mathematical procedures. Misplacing things; putting
commonly used items in inappropriate places. Changes
in mood or behavior; exhibiting rapid mood changes for
no apparent reason. Changes in personality; drastic
personality changes like becoming extremely confused,
irritable, suspicious or fearful. Loss of initiative;
becoming passive and requiring prompting to get
involved in activities. If several of these symptoms
are a matter of concern to you, contact the
Alzheimer's Association at (810) 557-8277, or make an
appointment with a physician for a complete
examination of the individual with the symptoms.
Arthritis
Arthritis Symptoms
Arthritis is an inflammation of a joint by pain and
sometimes changes in structure. This disease may
result from a number of conditions although the exact
cause is unknown. There is no specific therapy but if
pain is severe enough, bed rest may be required for
short periods of time. Anti-inflammatory drugs may be
prescribed or aspirin can be used to relieve the pain.
Passive exercise is used to prevent stiffness and you
should avoid getting very cold.
Treating Arthritis
Arthritis is an inflammation of a joint usually
accompanied by pain and frequently changes in
structure. Contrary to popular belief, arthritis is
not inherited. Arthritis is not caused by bad wether
or stress, although these conditions may cause the
symptoms to worsen. While there is no specific
therapy, rest, passive exercise and anti-inflammatory
drugs are generally prescribed. If the condition is
sever enough, bed rest may be recommended. The use of
exercise ad physical therapy is important in
maintaining range of motion of the affected joints.
The drugs most often prescribed for relieving the pain
of arthritis is still aspirin. However, Naprosyn and
Ibuprofen are also used in treatment. Surgical
replacement of the joint has been effective in very
severe forms of arthritis.
Arthritis or Rheumatism
Rheumatism is a general term used to describe acute
and chronic conditions characterized by inflammation,
soreness and stiffness of muscles, and pain in joints.
It includes arthritis, degenerative joint disease,
bronchitis and many others.
Rheumatoid Arthritis
Although arthritis most commonly occurs in person
over the age of 50, rheumatoid arthritis can strike at
any age. The symptoms include aching of the joints,
swelling, stiffness, fever and fatigue. This type of
arthritis sometimes goes into remission when the
symptoms disappear. However, when the symptoms
reoccur, it can be more severe. Your physician may
prescribe anti-inflammatory drugs to relieve pain. A
low impact exercise program interspersed with rest
periods may help reduce stiffness. In extreme cases,
rheumatoid arthritis can affect the heart, lungs and
the nerves.
Arthritis Surgery
Arthritis is an inflammation of a joint usually
accompanied by pain and frequently changes in
structure. Contrary to popular belief, arthritis is
not inherited. Arthritis is not caused by bad weather
or stress although these conditions may cause the
symptoms to worsen. While there is no specific
therapy, rest, passive exercise and anti-inflammatory
drugs are generally prescribed. If the condition is
sever enough, bed rest may be recommended. The use of
exercise and physical therapy is important in
maintaining range of motion of the affected joints.
The drugs most often prescribed for relieving the pain
of arthritis is still aspirin. However, Naprosyn and
Ibuprofen are also used in treatment. Surgical
replacement of the joint has been effective in very
severe forms of arthritis.
Knee Problems
In a normal knee, the space between the thigh and
shin bones is filled with fluid and cartilage. This
serves as a cushion and shock absorber. In an
arthritic knee, the cartilage deteriorates, causing
the bones to rub against each other. This results in
pain and stiffness. Since the knees are major
weight-bearing joints, they are often severely
affected by arthritis. Losing excess body weight is
often recommended as a first step in relieving some of
the pain. Light to moderate exercise can also help.
Short walks and swimming are often recommended to help
keep joints limber and reduce the stiffness. In
addition, ice or heat packs on the affected joint may
provide relief. Your doctor may also prescribe
anti-inflammatory medication. When the arthritis
becomes so severe that is intolerable, surgery may be
advised. Depending on the diagnosis, a partial or
total knee replacement may be recommended. Results of
these procedures have been excellent and most patients
are able to return to a more comfortable and active
lifestyle.
Fibromyalgia
Q. Lately, I've been feeling very tired, can't
sleep very well, and seem to be in pain a lot of the
time, almost sore all over. No one seems to be able to
figure out what's wrong with me. Some days I can't
even seem to function because of the pain. I picked up
a brochure from the Arthritis Foundation on
Fibromyalgia, and was wondering if this may be what's
wrong with me.
A. Fibromyalgia is a common clinical syndrome
recognized by the Arthritis Foundation. There are
reproducible physical findings for diagnosis. These
include:
1) widespread painful tender points in the
muscles
2) generalized muscular aching
3) morning stiffness
4) fatigue and non-restorative sleep
Other associated symptoms may include:
1) headaches
2) an irritable bowel
3) psychological distress
4) occasional memory blanks, difficulty
concentrating, and word mix-ups
5) allergies, and
6) marked functional impairment.
Comprehensive, multi-disciplinary program
assessment, treatment, and emotional support are
offered. Call us and let us tell you about all of the
available resources to start the process of physical
and emotional recovery with doctors of many
specialties who have a real interest in you as an
individual.
Knee Pain Orthosis
Q. I have an intense pain in my knee that prevents
me from everyday activities. My doctor has suggested
the "Unloader" knee orthosis in order to delay
surgery. Can you tell me more about this knee brace?
A. Yes! The "Unloader" is a clinically proven
orthosis designed to provide relief from
unicompartmental degenerate joint disease. In a recent
study, the "Unloader" provided relief in 19 out of 19
patients between the ages of 35 and 55, and 19 out of
21 patients between 55 and 75!
Hip Problems and
Arthritis
Arthritis is an inflammation of the joint, which
typically results in pain and loss of mobility. These
symptoms are caused by advanced wear and tear of the
protective cartilage. As the cartilage deteriorates,
the bones rub against each other. The hips, which are
major weight-bearing joints, are often severely
affected by arthritis. There are a number of suggested
treatments for reducing the pain and improving
mobility in the hips. Losing excess body weight may be
the first step. Being overweight put additional stress
on these already irritated joints. Light to moderate
exercise can also help. Short walks and swimming are
often recommended to help keep joints limber and
reduce the stiffness. Ice or heat packs on the
affected joint may also offer relief. Your doctor may
also prescribe anti-inflammatory medication. If the
medication is not supplying the relief you need, check
with your doctor. If the joint has deteriorated to the
point where daily activities have become too painful
or impossible to perform, hip replacement surgery may
be advised.
Arthritis of the
Knee
In a normal knee, the space between the thigh and
shin bones is filled with fluid and cartilage. This
serves as a cushion and shock absorber. In an
arthritic knee, the cartilage deteriorates, causing
the bones to rub against each other. This results in
pain and stiffness. Since the knees are major weight
bearing joints, they are often severely affected by
arthritis. Losing excess body weight is usually
recommended as a first step in relieving some of the
pain. Light to moderate exercise can also help. Short
walks and swimming are often recommended to help keep
joints limber and reduce the stiffness. In addition,
ice or heat packs on the affected joint may provide
relief. Your doctor may also prescribe
anti-inflammatory medication. When the arthritis
becomes so severe that it is intolerable, surgery may
be advised. Depending on the diagnosis, a partial or
total knee replacement may be recommended. Results of
these procedures have been excellent, and most
patients are able to return to a more comfortable and
active lifestyle.
Arthritis of the Hip
Arthritis is an inflammation of the joint, which
typically results in pain and loss of mobility. These
symptoms are caused by advanced wear and tear of the
protective cartilage. As the cartilage deteriorates,
the bones rub against each other. The hips, which are
major weight-bearing joints, are often severely
affected by arthritis. There are a number of suggested
treatments for reducing the pain and improving
mobility in the hips. Losing excess body weight may be
the first step. Being overweight puts additional
stress on these already irritated joints. Light to
moderate exercise can also help. Short walks and
swimming are often recommended to help keep joints
limber and reduce the stiffness. Ice or heat packs on
the affected joint may also offer relief. Your doctor
may also prescribe anti-inflammatory medication. Of
the medication is not supplying the relief you need,
check with your doctor. If the joint has deteriorated
to the point where daily activities have become too
painful, hip replacement surgery may be advised.
Osteoporosis
One consequence of menopause is Osteoporosis, also
called brittle or porous bones. Bone is a living
tissue. The loss of estrogen after menopause causes
women to loose bone mineral faster than men. This
condition causes a loss of bone mass, and may lead to
osteoporosis. If a woman develops osteoporosis, the
result is fractured bones, most often in the spine,
wrist or hip. The backbone may compress, which is why
you see so many elderly women who seem "shrunken
together". More than 50% of all women over the age of
75 have one or more broken bones caused by
osteoporosis. But that doesn't mean osteoporosis is
inevitable. Tests can determine your chances for
developing osteoporosis later in life. If your risk is
high, therapy will be recommended. The idea is to
start preventative therapy in time, before
osteoporosis becomes a problem. By slowing or stopping
the loss of bone mass, HRT can prevent osteoporosis
providing therapy is started in time. Actually, both
men and women lose bone mass as they age. But
osteoporosis poses a special danger to women. And some
women have a bigger risk than others. Women at risk
include thin women, women with a family history of
osteoporosis, smokers, heavy drinkers, women who don't
exercise or are inactive, women who enter menopause
early in their lives, women who have had their ovaries
removed, women taking steroids and women who do not
have enough calcium in their diet.
The Problem of Bone Loss
Osteoporosis, a condition of accelerated loss of
bone, is a major health problem in the United State
and is responsible for well over one million bone
fractures each year. More women die from the
complications of these fractures annually than from
the combined deaths resulting from cancers of the
cervix and breast. Difficult to diagnose in its early
stages, osteoporosis often goes undetected until bones
become so brittle that even the slightest trauma may
cause a fracture. Furthermore, the gradual loss of
bone may result in disfigurement, wrinkles, decreased
mobility, and/or calcium deposits in soft tissue such
as joints, kidneys and arteries which may lead to
further complications. If left untreated, total bone
loss in postmenopausal women may equal more than half
of their normal bone/calcium levels. By the time women
reach their 80th birthday, 40% of them will have
sustained a fracture of the spine, causing pain,
disability and height loss.
Is Dietary Calcium the Answer?
Many have assumed that simply increasing dietary
calcium or taking a simple calcium supplement will
prevent bone loss. But this is not necessarily the
case. Bone loss can be caused by many things,
including deficiencies of other nutrients besides
calcium. Nutrients like magnesium, silica, phosphorus,
zinc, copper and fluoride, to name a few. "Milk - it
does a body good". But unfortunately, many people have
lost the ability to properly digest and metabolize
dairy products. Milk allergy is one of the most common
food allergies known. So, milk isn't for everyone. You
have not doubt seen the advertisements suggesting you
take Tums "for the calcium you need". Tums is an
antacid which contains calcium carbonate. Ironically,
when the normal acid secreted in your stomach is
neutralized, calcium is very poorly absorbed. The
digestion and absorption of other nutrients is also
impaired. Calcium carbonate is a very cheap form of
calcium, but it is not well absorbed by many people.
In fact, high intake of calcium carbonate may lead to
other disorders through negative effects on the
metabolism of other nutrients.
What May Help?
Recent scientific evidence, however, support the
following conclusions about the preventions of bone
loss through comprehensive supplementation. 1. The
adverse effects of age-related bone loss may be
prevented if adequate amounts of calcium are ingested
during childhood. Some go so far as to say
osteoporosis should be viewed as a pediatric disease.
Maximum bone density in young children and adolescents
may not be achieved because calcium intake is often
not adequate. National surveys show that many children
in the US consume less than half of the RDA for
calcium. It is also known that a large amount of the
bone a women will lose during her lifetime is lost
before menopause. The once believed notion that bone
loss occurs only in elderly women in inaccurate. Many
researchers feel quality calcium supplementation is
essential for both young and old. 2. Supplemental
calcium may significantly reduce the progression of
bone loss already being in postmenopausal women. One
study group experienced a 43% reduction in bone loss
when they added 1,000 mg of calcium to their normal
diet. The researchers concluded that complete calcium
supplementation may slow or reduce bone loss. 3. The
risk for developing osteoporosis may be reduced with a
comprehensive calcium-rich supplement known as
microcrystalline hydroxyapatite concentrate (MCHC).
One preliminary study of osteoporotic post-menopausal
women, with the complication of primary biliary
cirrhosis, showed that MCHC not only prevented bone
thinning, but it actually increased cortical bone
thickness. Those taking MCHC showed a remarkable 6.1%
increase in bone thickness. Further research is needed
to confirm this effect. Conversely, the group
receiving no supplementation experienced a 5.5% loss
of bone.
A More Effective Way to Nourish
Your Bones
While ordinary calcium supplementation alone is of
some value, MCHC provides more complete bone
nourishment. It provides many nutrients helpful for
building strong bones. MCHC contains proteins, other
organic factors, magnesium, zinc, silica, manganese,
and many other special trace minerals bound together
by nature with an absorbable calcium. Consider the
following analogy: Just as a good home builder
provides all the quality materials needed for a
beautiful home, good bone nourishment provides a broad
range of essential materials needed to build strong
bones. MCHC provides calcium, trace minerals and the
organic matrix naturally present in healthy bone.
Who May Benefit From MCHC?
Recent food surveys demonstrate a majority of
North-American men, women and children fail to consume
adequate amounts of certain minerals including
calcium, magnesium, iron, zinc, copper, and manganese.
Considering the important role these minerals play in
building and maintaining strong and healthy bones,
proper bone nourishment is essential for all
North-Americans. Other risk factors which may result
in an accelerated loss of bone include: Menopause,
hysterectomy, a family history of osteoporosis, a
thin, petite or small frame, pregnancy, breast
feeding, allergy to, or avoidance of milk or dairy
products, regular use of drugs such as Dilantin,
Prednisone, Lasix, Synthroid or other steroids;
anti-ulcer medication, antacids containing aluminum,
certain antibiotics, alcoholism, inadequate exercise
or sedentary occupation, smoking, digestive problems,
excess consumption of soft drinks or caffeine, diets
inadequate in calcium, magnesium, iron, zinc,
manganese, and/or copper and any of the following
diseases such as diabetes, thyroid disease, rheumatoid
arthritis, kidney disease, hyperparathyroidism and gum
disease.
Recommendations for Promoting
Optimal Bone Health
1. Reduce excessive protein and fact intake, and
eliminate junk food from your diet.
2. Avoid excess alcohol consumption.
3. Increase intake of green leafy vegetables; seeds
and whole fresh foods.
4. Avoid aluminum cookware and aluminum-containing
antacids.
5. Exercise regularly.
6. Take miscrosrystalline hydroxyapatite
concentrate to provide excellent bone nourishment.
7. Don't smoke.
Brittle/Porous Bones
One consequence of menopause is osteoporosis, also
called brittle or porous bones. Bone is a living
tissue. The loss of estrogen after menopause cause
women to lose bone mineral faster than men. This
condition causes a lot of bone mass, and may lead to
osteoporosis. If a woman develops osteoporosis, the
result is fractured bones, most often in the spine,
wrist, or hip. The backbone may compress, which is why
you see so many elderly women who seem "shrunken
together." More than 50 percent of all women over the
age of 75 have one or more broken bones cause by
osteoporosis. But that doesn't mean osteoporosis is
inevitable. Tests can determine your chances for
developing osteopororsis later in life. If your risk
is high, therapy will be recommended. The idea is to
start preventative therapy in time, before
osteoporosis becomes a problem. By slowing or stopping
the loss of bone mass, HRT can prevent osteoporosis,
providing therapy is started on time Actually both men
and women lose bone mass as they age. But osteoporosis
poses a special danger to women. And some women have a
bigger risk than others. Women at risk include: thin
women, women with a family history of osteoporosis,
smokers, heavy drinkers, women who don't exercise or
are inactive, women who enter menopause early in their
lives, women who have had their ovaries removed, women
taking steroids, women who don't get enough calcium in
their diet. Can osteoporosis be prevented? Yes! Women
who have a high risk of developing osteoporosis should
know that HRT can effectively prevent it. But HRT is a
preventative therapy, not a cure. It must be continued
as long as your physician recommends. If stopped too
soon, women will begin to lose bone mass again.
Special scanning equipment can measure bone mass by
looking right into your body and taking pictures of
different parts of the skeleton. Or specialists can
measure the rate of bone mineral loss with the use of
special tests taken from a blood or urine test. One
test may be enough, or several may be made over a
period of time to check the rate of bone mineral loss.
In any case, scanning is a painless procedure.
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