It is estimated that nearly 30% of the population suffers with chronic pain. The pain can cause depression and anxiety in most patients. This is only natural. When the body is fighting pain all the time, the body becomes tense and can react in the classic, “Fight or Flight Response”. This natural state of mind and body is a reaction that is embedded in all humans and animals. When the body is under stress, we react by either “taking flight” or running, or “fighting”.

by: D. Herren
Getting stuck in this pattern can add to the pain and suffering. How? If your body is tense and anxiety ridden on a constant basis, usually other problems will occur such as irritable bowel syndrome, pelvic muscle pain, migraine headaches, ulcers, and the list goes on and on.

Learning to deal with chronic pain conditions AND the repercussions of it is key.

In order to get pain under control, there are many options for people to choose from. Of course, the more natural, drug-free methods are recommended. But in most cases, drugs such as Oxycodone may be recommended. (See www.oxycodon-on-line.redmaven.com)

1. Exercise

One of the best methods for breaking pain levels and calming down the “Fight or Flight Response” is EXERCISE. Yes, it is simple. But it creates a greater chemical pain reduction in the human body than most strong pain medications…even Morphine ! Exercise, even if just a gradual walk, can make a huge impact on chronic pain.

2. Medications

Medications can help reduce a persons pain level dramatically and can help that person live a more normal life. The strength and type of medication should be determined by an expert in chronic pain. The right medication can make all the difference in the world. One drawback of medication is the possibility of addiction.

3. Meditation

Learning meditation can greatly reduce stress and pain. This can be in the form of yoga or just sitting quiet everyday for 20 minutes. Meditation can be easily learned by anyone. One of the most common methods of meditating is sitting in a quiet place, and only focusing on the breath. When other thoughts occur, it is important to just let them go and focus back on the breath. Meditation and yoga are becoming more popular for all sorts of ailments ranging from high blood pressure to panic attacks.

Want to really give chronic pain a knock out punch?

Do all three in combination…Exercise, Medication, and Meditation.

Stick with all three and you will almost be certain that your pain levels will decrease. No one should have to suffer from chronic pain. But if you do, it CAN be managed!

About The Author

D.Herren is an author and webmaster
Get Pain Relief with Oxycodon Online
Beat Chronic Pelvic Pain The Pelvic Pain Solution

As with many mineral products, coral calcium is not without its ardent admirers, who make all kinds of fantastic claims regarding the benefits of taking coral calcium. Keep in mind that calcium is a mineral that our bodies need for muscle movement and to keep the heart and bones healthy. While coral calcium is a good source for mineral calcium, it should not be considered as a panacea for all illnesses.

by: Mike Yeager

As with all new diet and exercise plans, it’s always best to consult with your physician regarding a new regime of coral calcium mineral supplement intake.

There are many coral calcium products to choose from as you focus on your physical and health goals. Choose from only the best providers of coral calcium products that offer great prices. That way you’ll be guaranteed quality and they can even be shipped right to your door.

About The Author

Mike Yeager
Publisher - www.a1-weight-loss-4u.com/
mjy610@hotmail.com

As the disease advances, the cognitive decline becomes associated with behavioral manifestations. What are these behavioral manifestations of dementia?

by: Michael G. Rayel, MD

Behavioral syndromes in Alzheimer’s can be grouped into two categories: psychological and behavioral. Major psychological syndromes consist of depression, anxiety, delusions, and hallucinations.

Depression in dementia is very common. Up to about 87% of patients develop some form of depression. It is characterized by tearfulness or crying episodes, feelings of sadness, and neurovegetative signs and symptoms such as inability to sleep, lack of appetite, poor energy, and thoughts of death. Irritability is also common. Depression can occur even in the early or mild phase of the illness.

About 50% of demented patients show delusions or false fixed beliefs. Such delusions include beliefs that a relative is stealing, that a spouse is just an impostor or is having an affair with a neighbor, or that friends and relatives are conspiring to cause trouble.

Moreover, many patients with dementia may experience hallucinations. Most of these hallucinations are visual — seeing strangers in the house, an animal or insects in the living room, people in the bedroom or on top of the TV set. Occasionally, auditory hallucinations may be experienced — hearing footsteps or knocking on the door or even people singing church hymns.

Regarding major behavioral syndromes associated with dementia, these problems include agitation, verbal outbursts, repetitive behavior, wandering, and aggression or even violence. Agitation can be manifested by pacing back and forth, restlessness, and inability to sit still.

Verbal outbursts consist of day-long screaming or occasional yelling at someone. Repetitive behavior is manifested by closing and opening a closet or a purse or a drawer. Asking questions repetitively for instance about a relative’s visit is very common.

Wandering can happen especially at the late stages of the illness. If doors are left unlock, some patients wander away from the house. Hence, safety level becomes an issue.

Aggression likewise may occur. Hitting the caregiver or throwing things are some complaints. Destroying things although rare can also ensue. A gentleman for example hit the wall with a cane and broke the window by smashing a chair.

Although difficult to deal with, most of these behavioral consequences of dementia can be treated especially if recognized and addressed early.

About The Author

Copyright © 2004. All rights reserved. Dr. Michael G. Rayel – author (First Aid to Mental Illness–Finalist, Reader’s Preference Choice Award 2002), psychiatrist, and inventor of Oikos Game: A Personal Development and Emotional Skills Game. To receive free newsletter, visit www.drrayel.com. For more information about Oikos Game, visit www.oikosgame.com. His books are available at major online bookstores.

mike@drrayel.com

As a clinician, my answer to queries is that Alzheimer’s dementia is only one type of dementia and that not all dementias are Alzheimer’s. Aside from Alzheimer’s disease, other dementias exist such as Dementia with lewy body, Vascular dementia, Parkinson’s disease with dementia, and dementias due to various neurologic and medical conditions.

How will you know if a person is suffering from Alzheimer’s dementia? What is Alzheimer’s dementia?

by: Michael G. Rayel, MD

Alzheimer’s dementia is a neurologic disorder characterized by a progressive and irreversible cognitive decline associated with impairment in functioning. The cognitive deterioration consists of memory impairment. Initially there is recent memory impairment but as the disease progresses, even the long term memory is affected.

In addition to memory impairment, a patient with dementia has impairment in one of four cognitive areas: aphasia, apraxia, agnosia, and impairment in executive functioning. Aphasia is a problem in language characterized by inability to express oneself, repeat words or phrases, or understand what is being said. Apraxia is inability to adequately perform a usual motor activity such as combing the hair or brushing the teeth despite no paralysis or musculoskeletal abnormality.

Agnosia is inability to recognize objects or things despite intact sensory functions. For instance, a demented patient cannot recognize a key or a pen placed in his or her hands without looking at it.

Impairment in executive functioning is characterized by difficulty in abstract reasoning and in organizing things, schedule, and activities. Patients with this problem give concrete meaning to proverbs. For example, when a patient is asked what “don’t cry over spilled milk” means, the patient responds, “It’s easy. Just wipe it!” Moreover, knowing the specific similarities and differences of certain things (e.g. apple versus orange) is a struggle for some patients.

What are the possible causes of Alzheimer’s?

The cause of Alzheimer is still unknown. However, several risk factors have been identified. One major risk factor is age. The risk of developing dementia increases as our age advances. Older individuals therefore are more at risk. Having said this, Alzheimer’s can also happen to young individuals.

Other important risk factors include the presence of apolipoprotein E4 allele, the predominance of plaques and tangles in the brain, and the brain’s impaired cholinergic system.

Is there any successful treatment for Alzheimer’s?

Alzheimer’s disease is irreversible so current medications are only geared to slow down the deterioration. These acetylcholisterase inhibitors, namely galantamine, rivastigmine, and donepezil, are aimed at improving the cholinergic functioning in the brain by inhibiting the cholinesterase enzyme. Although initially indicated for mild to moderate dementia, some recent evidence shows that some of these drugs may also benefit patients with moderate to severe dementia. Further studies are warranted to determine its efficacy in this group.

About The Author

Copyright © 2004. All rights reserved. Dr. Michael G. Rayel – author (First Aid to Mental Illness–Finalist, Reader’s Preference Choice Award 2002), speaker, workshop leader, and psychiatrist. Dr. Rayel pioneers the CARE Approach as first aid for mental health. To receive free newsletter, visit www.drrayel.com. His books are available at major online bookstores.

mike@drrayel.com

• Does your loved one ignore your feelings?
• Is he disrespectful?
• Does he withhold approval, appreciation or affection?
• Does he walk away without answering you?
• Does he criticize you, call you names or yell at you?
• Does he humiliate you in public or in the privacy of your home?
• Does he tell you that you are too sensitive?
• Does he destroy furniture or punch holes in the walls?

by: William Hammond, J.D.

These are some of the signs, but there are many more that may be observed. Abuse is difficult to deal with if the abuser has Alzheimer’s disease since the abuser can’t really control it.

If a person with Alzheimer’s becomes verbally abusive, it may be because he is suffering from depression or aggressive behavior caused by the disease. In this case you might want to involve your doctor and let him know the situation. He may be able to prescribe an anti-depressive medication or simply change the current medication. You may want to take a break from your loved one, as sometimes caring all the time for the same person can be exhausting. Or you can try to place your loved one in an adult day care, or hire some professional help. Make sure that substitute caregivers are knowledgeable about Alzheimer’s disease and know how to handle patients with dementia.

One way to deal with the situation before it becomes a big problem is to try humor. You cannot control how your loved one is acting but you can decrease the feelings of frustration by controlling how you respond. Try to validate your loved one’s feelings; it will definitely help him. Many times, people with Alzheimer’s are so frustrated that they act it out through verbal abuse and aggression. Put yourself in his place. It is very frustrating!

The most important thing you have to remember is not to talk “down” to your loved one because he is still a person with an entire life history of success and independence. If you see that what you are trying to do or say to him is not working, just let it go for a while, step out of the room and come back later. Let your loved one calm down and relax. You may want to try music. Studies have shown that Alzheimer’s patients often find music relaxing.

Finally, if you still feel overwhelmed, join a support group that specifically deals with verbal abuse and learn how to cope with it. Many times other people in the group will have experienced the same ordeal with their loved ones. Group members may be able to counsel you on how they coped or dealt with this kind of behavior.

This group will also help you to deal with your emotions and frustrations. They will tell you how to control them, and once you are able to deal with your own feelings, then you will be more effective coping with your loved one’s behavior.

About The Author

William G. Hammond, JD is a nationally known elder law attorney and founder of The Alzheimer’s Resource Center. He is a frequent guest on radio and television and has developed innovative solutions to guide families who have a loved one suffering from Alzheimer’s. For more information you can visit his website at www.BeatAlzheimers.com.

For Scientists the largest concern is what causes Alzheimer’s and how can it be eradicated. For possible victims and their families it is how do we prevent the dreaded affliction or stop it in its tracks once it is diagnosed.


by: Aaron Cummings

Scientists are in agreement and have narrowed down the contributing factor causing Alzheimer’s disease. Most researchers agree that Beta-amyloid is one of the agents thought to cause damage to the brain in Alzheimer’s disease. The research is attempting to find a deterrent and is recognizing antioxidants to be significant in protecting at risk patients.

According to the Harvard Medical Center, continuing research and studies are being conducted with some positive results. Even though some studies by the French point to wine as a protectant, the results are considerably controversial. The component in the wine that was indicated to be responsible for the protectant agent is still somewhat ambiguous.

Recent studies, including the study on wine, point to antioxidants for Alzheimer and Dementia risk reduction.

In an Italian study conducted by A. Russo, et.al., it was found that black grape skin extract protected cells in a test tube from oxidative damage and DNA fragmentation when exposed to beta-amyloid. An even more recent study by E. Savaskan, et.al, examined the red wine ingredient resveratrol, and found it to be neuroprotective against beta-amyloid oxidative stress, again supporting an antioxidant mechanism.

What these studies point to is, red wine may have an effect that could provide some protection against Alzheimer’s disease, but indication says it is the antioxidant factor that is the hero. This is consistent with the fact that other antioxidants, most notably vitamin E, are being studied with great interest as potential protective agents against Alzheimer’s disease. According to Dr. Steve Seiner, of Harvard Medical School, “While the results of these studies do not necessarily suggest that people should drink wine in order to lower their risk of Alzheimer’s disease, they do support the potential role of antioxidant treatment in preventing or delaying Alzheimer’s disease.

In another study by Robert P. Friedland, MD chief of the neurogeriatrics laboratory at Case Western Reserve University School of Medicine, “If antioxidants prove to protect against Alzheimer’s disease, it is probably because they reduce what is called ‘oxidative stress’ in cells.” He went on to say that his team believes free radicals are the culprit of oxidative stress in cells caused by the inappropriate consumption of some foods such as those in high fat content. In this study Friedland is recommending a “to-do” list for those who want to improve their chances of maintaining a healthy brain. He suggests:

* Eat a diet high in antioxidants

* Eat fish

* Take vitamin E

* Take B vitamins

* Take folic acid

* Be mentally and physically active throughout life

* Avoid head injuries

When addressing the reduction of free radicals it is essential to recognize the importance of Oligomeric Proanthocyanidins (OPC’s) as the most powerful antioxidant known in scientific studies. OPC’s are products commonly derived from a combination of grape seed extract, red wine extract and/or pine bark extract. They are very powerful bioflavanoids used as a natural food supplement ready to be absorbed into the body and begin to attack the free radicals.

OPC’s are safe and have been used for over 20 years throughout Europe. Extensive studies and laboratory testing reveal no evidence for human toxicity, allergic reactions, birth defects, or carcinogenicity. OPC’s work synergistically with other antioxidant vitamins, regenerating the antioxidant properties of vitamin C and vitamin E.

However, Bill Thies, PhD, vice president of medical and scientific affairs for the Alzheimer’s Association says although Friedmand’s recommendations are probably useful and that he agrees with all of them, he wants to “be very clear that the association is not making any recommendations about ways to prevent Alzheimer’s. Thies is, however, involved in reading and learning about all studies concerning Alzheimer’s Disease.

A study conducted in Rotterdam, Netherlands, Dr. Monique Breteler with the Eras UM Medical Center, found the antioxidants beta-carotene, vitamin C, and vitamin E appear to be equally protective as a reducing factor in the fight against Alzheimer’s. Her results of the 5,000 volunteers over the past 14 years, confirmed some earlier studies that point to antioxidants as a way to lower risk of dementia. She also said the protective effect of antioxidants was “more pronounced among smokers and among those who are carriers of the Alzheimer’s gene.”

It was also pointed out that diets rich in antioxidants are helpful, but in order to consume the necessary requirements, a person would have to triple, or more, their current consumption, which Breteler says, is most unlikely. Recommendations for proper amounts of ingestion are through antioxidant supplements including OPC’s, vitamin E and vitamin C.

About The Author
Editor of the OPC Antioxidant Reference Guide. www.opc.cc
0 http://www.elderly-advocates.com/articles/alzheimer-disease-and-antioxidants Administrator http://www.elderly-advocates.com/articles/5-things-you-should-know-before-choosing-elder-care 2005-12-26T18:05:58Z 2005-12-26T18:05:57Z

Myths associated with selecting quality nursing home care suggest quick and easy ways to identify quality care. In fact, relying on these myths can lead to disastrous results. I have identified a few of the most common myths in hopes of helping you avoid some of the problems commonly found in many nursing homes.

by: Phyllis Staff, Ph.D.

1. The Smell Test

You’ve heard it repeatedly: “The best way to determine the quality of care a nursing home provides is to be alert to bad odors when you visit the home.”

It seldom, if ever, works. Why? Nursing home administrators have heard the very same advice. As a result, they are particularly sensitive to unpleasant odors in any area that might receive visitors. Almost all will do their best to remove offensive odors as quickly as possible, even when it means avoiding their primary responsibility to their residents.

2. The Personal Recommendation

Recently, I heard a guest on a radio talk show state that the very best way to find great nursing home care is to get recommendations from a friend. Like other myths, there is a grain of truth here, but you must check whether your friend has had extensive interactions with the nursing home recommended. Often that is not the case.

Last weekend I dealt with an emergency call from Jim, a friend who had placed his mother in a nursing home recommended by a friend. Although she was recuperating from a stroke, no nurse or aide checked on her condition for more than 14 hours. Jim discovered her in the morning with many cuts and bruises, her bedsheets soaked in blood. He was astonished that anyone would recommend such a poor care facility.

“My friend said her grandmother was in this particular nursing home,” he reported. “So, I thought it would be good care.”

“How often does your friend visit her grandmother?” I asked him.

“I didn’t think to ask,” he responded.

“And did you check the latest survey for that nursing home?”

“No,” he answered. “I thought a personal recommendation was all I needed.”

Jim’s mother is now back in an area hospital. No one knows yet how much damage this experience caused to her recovery.

3. You Get What You Pay For

Nowhere is this statement less applicable than in nursing home care. In fact, I’d replace it with another shibboleth — “Buyer Beware.” Our own research, encompassing more than 6000 nursing homes and more than 100 assisted living facilities shows no relationship between cost and quality of care. You may find quality care in an expensive facility, or you may not! Similarly, the fact that a facility is low-cost does not indicate whether you’ll get poor, average, or quality care. You have to do your homework. Relying on price as the sole indicator of quality care can lead to disastrous results.

4. Adequate Staffing Equals Quality Care

A recent report by the Senate’s Special Committee on Aging indicated that quality care for a single nursing home resident requires more than three hours each day of nursing and nursing aide time. However, statistical analysis of the latest federal database on nursing home deficiencies indicates no relationship between quality of care and staffing levels. This finding is consistent with a number of university studies.

What should you look for, then, in nursing home staffing levels?

There is a level below which nursing homes are so understaffed that quality care can not be provided. I’d suggest that you not consider any home providing a level less than two hours per day per resident. For levels greater than this, I’d focus not on the number of hours available for care but on the motivation of staff available to provide care. Those who are motivated to care for the elderly will do so. Those who are motivated only by a paycheck will probably provide shoddy care regardless of their numbers.

5. A Well-Known Chain Will Provide the Best Care

This is another myth that can lead to tragedy. Sometimes, well- known companies do provide top-quality care. In other instances, however, a quick review of newspapers and magazines will show you other companies with long records of legal troubles stemming from accusations of neglect and abuse. One such company has been sued simultaneously by several states’ attorneys general.

How will you know? The company is not likely to tell you, so you won’t know unless you take the time to look into the company’s historical performance.

There you have it — 5 myths exploded!

What does work? There is no substitute for your own personal investigation. With a little research, with personal visits to nursing homes before you sign anything, you can avoid many of the difficulties that have come to those who relied on such myths.

About The Author copyright 2002, Phyllis Staff. Phyllis Staff, Ph.D. - Phyllis Staff is an experimental psychologist and the CEO of The Best Is Yet.Net, and the author of How to Find Great Senior Housing: A Roadmap for Elders and Those Who Love Them (2002). pando19@direcway.com

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]]> 0 http://www.elderly-advocates.com/articles/5-things-you-should-know-before-choosing-elder-care Administrator http://www.elderly-advocates.com/articles/home-for-the-holidays-avoid-aging-parents-becoming-a-burden 2005-10-22T21:39:21Z 2005-10-22T21:39:21Z

By not planning for the future we guarantee that we will leave our children with a tremendous burden. Just about the time they are preparing for their own retirement and their children’s college education, adult children often are overwhelmed with decision-making for their aging parents.

As a long term care administrator I heard it daily, “I don’t want to be a burden to my children.” But unintentionally most of us make it even harder for our children by not clearly defining our wishes or preferences. We can help them out by asserting control over our future health care, residential choices, and even how we will die. There are specific and discrete steps we can take to shape our own destiny. Many of these tasks only take a few moments of your time, some take a little research and others may require professional assistance. None of them are extremely costly or difficult.

by: Linda LaPointe
So why don’t more of us do this type of planning? Seniors are concerned about losing control of their life and being a burden to their grown children but many just don’t know what to do. For instance, the majority of people want to die at home, but very few do. Become familiar with your options and make your preferences known while thinking clearly, while free from pain and prior to an emergency or crisis.

The loss of a parent is difficult enough for an adult child. We can save them additional grief by doing the following,

* clean house: get rid of all the worthless clutter and unimportant stuff

* prepare and organize those important papers and throw out the unimportant ones

* prepare advance directives and tell others what they contain and where they are located

* make our own funeral plans and ensure there are sufficient funds to pay for it

* leave our legacy through writings, photo albums, heirloom assignment and recording of family stories

You can avoid becoming a burden to your children by taking control of your end of life with as much care, intent and forethought as you have lived the rest of your life.

About The Author

Linda LaPointe, MRA is an ElderLife Matters coach and author of several products to assist families experiencing aging including the pamphlet, Don’t Be a Burden: 100 Tips. Get free articles and information at www.SOSpueblo.com.

sospueblo@yahoo.com

]]> 0 http://www.elderly-advocates.com/articles/home-for-the-holidays-avoid-aging-parents-becoming-a-burden Administrator http://www.elderly-advocates.com/articles/common-treatments-for-hair-loss-in-women 2005-03-26T20:04:54Z 2005-03-26T20:04:54Z

Much has been said and written about modern day hair loss treatments but this tends to relate almost exclusively to men. Do these same treatments offer solutions to women suffering from hair loss or is there a completely different category of remedies available? It really depends on what is causing hair loss in the first place and as the most common causes of hair loss are the same as those that affect men, the treatments available are pretty similar.

(by: Richard Mitchell)
In an earlier article we concluded that the three most common causes of hair loss in women are female pattern baldness, telogen effluvium and alopecia areata. We’ll now look at each of these in turn and examine the best treatments available, bearing in mind the specific needs of women:

1. Treatments for female pattern baldness.

In most instances minoxidil (Rogaine) is the first treatment used. This is one of only two FDA approved hair loss treatments and it remains the only one approved for use by women. Minoxidil comes in the form of a topical solution that works by tackling the symptoms of hair loss and helping to generate new hair growth. It does not target the causes of hair loss and will not work for everyone. The women’s version of minoxidil is a 2% solution but the 5% version marketed for men can be used if necessary.

The most popular drug for treating male pattern baldness is of course finasteride (Propecia). Women of child bearing age should not use this drug due to the severely damaging effects it can have on unborn male fetuses. Any women considering using Propecia should discuss it first with their physician. In some cases your doctor may prescribe a different androgen blocker called spironolactone as a means of stopping the hormone activity that is causing hair loss. Spironolactone is normally used as a diuretic and results may be variable.

There is a bewildering range of commercial products available, most of which are aimed squarely at men but many are also suitable for women to use. Whether they work or not is another question but some products containing ingredients like saw palmetto, stinging nettle, pygeum and green tea have shown their value. You can find out more about these and other poential hair loss solutions by visiting the site listed at the end of this article.

2. Treatments for telogen effluvium

This is a hair loss condition that generally does not require any specific treatment. Once the effects of the trauma that caused hair loss in the first place have subsided, the hair will regrow of its own accord. Some patients like to encourage the regrowth process by using minoxidil but this isn’t necessary. Implementing a good nutritional regime and supplementing with B-vitamins may help to create a hair friendly environment.

3. Treatments for alopecia areata.

This is another hair loss condition that may resolve itself spontaneously. In some cases one of the following treatments may prove useful:

* Daily application of minoxidil (Rogaine).

* Injection of cortisone into patchy areas of the scalp (this must be administered by a physician). Creams and lotions containing cortisone can also be used but results are variable.

* Dithranol can be applied to the scalp in mild or early cases.

* Application of 100% aloe vera gel.

* Massage the scalp with rosemary and lavender essential oils in a jojoba base.

* Use of a hair loss product containing the Chinese herb He Shou Wu.

* A product called Calosol has recently generated positive feedback.

Please note, however, that none of these is guaranteed to work due to the unpredictable nature of alopecia areata. It is this uncertainty that offers opportunities for scamsters to make outlandish claims. The fact remains, there are no miracle cures for advanced forms of alopecia areata so sufferers may wish to consider other options such as head coverings and wigs.

This does not mean that patients are without hope because, even in severe cases, hair can spontaneously start to grow again even after years of loss.

About The Author

Richard Mitchell is the creator of the www.myhairlossadvisor.com website that provides information and guidance to those suffering from premature hair loss.
richard@myhairlossadvisor.com

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