Simple things

Life is NEVER simple! Sometimes a person becomes so discouraged they feel the need for an antidepressant to function at a higher level. They ask the doctor for help.

Sometimes the doctor prescribes an antidepressant that contains SSRI (Selective Serotonin Uptake Inhibitors). At a recent medical conference*, it was reported that SSRIs have been found to "decrease Rapid Eye Movement (REMs) in elderly patients" and cause other sleep disorders. 

In the past doctors looked at other side effects of antidepressants, such as weight gain, but now they believe that for elderly patients it is important to consider the sleep disruptions caused. When the body is agitated during sleep, it can be a sign of neurodegeneration, which is associated with dementia.

The study led to the suggestion that doctors take a holistic care approach to helping the elderly when they are discouraged or depressed. 

Holistic approaches to encourage a patient include activities in these areas:

  • Physical self-care
  • Spiritual self-care
  • Mental/Emotional self-care
  • Lifestyle
  • People support

For your loved one in a retirement or nursing home, talk with the nurses and aides to find out if they are getting exercise that helps them to breathe and if they are getting the water they need. This varies from patient to patient.

Many suggestions for holistic solutions are made on this webpage, some which are not helpful to older people.

Keeping a room fresh with new pictures of family and flowers can help. Let's brainstorm together for ideas!

* The study was presented at the Institute of Psychiatric Services (IPS): The Mental Health Services 2016 Conference.

Calves know

video on Wikimedia about PADClick for Wikimedia video about PAD

When you are with your parent who is over 50, have you heard them complain of pain in the calf of the leg while walking or at rest?

That may be a sign of PAD, Peripheral Artery Disease. PAD is a circulatory problem in which narrowed arteries reduce blood flow to the limbs. It is also called "PVD" for peripheral vascular disease.

Other symptoms of PAD include 1) foot or toe wounds that won't heal or heal very slowly, 2) coldness in the lower leg or foot. A doctor can perform simple tests to diagnose PAD.

The incidence of Dementia has been proven to be higher among those with Cardiovascular disease with PAD. It has also been shown that PAD is a risk factor for Alzheimer's. (ref)

People with PAD may not have cardiovascular disease but simply have fatty deposits in their arteries, lessening their capability to transport blood. However, PAD can reduce blood flow to the heart and brain, not just the legs. Reduced blood flow to the brain will result in damaged cognitive function and the onset of dementia or Alzheimer's.

To fight PAD, a person should eat healthy, exercise, and stop smoking. All this is MUCH easier said than done. Yet, the prospect of memory problems is a strong encouragement to anyone who desires to be in good health well into their retirement years.

Most people who smoke or overeat want to do better. They may not understand why they cannot overcome their addictions. Perhaps if they can achieve a small victory, they will feel able to do better. For example, if they are in the habit of having dessert every evening, having dessert only on Sundays is an idea. Special rewards are more fun than continuous routine.

Some people are more encouraged to change a pattern if their sacrifice will help another person. If your parent is interested in homeless missions or a foreign mission, perhaps each skipped dessert can remind them to contribute a quarter to a piggy bank for that cause. Eventually, they will be able to donate a significant gift, and that may make them feel better than simply the reward of better health.

Thinking about Dementia

Dementia is an unpleasant word. Maybe that is because its Latin origin, "dement," means, "out of one's mind."

It's important to remember that our loved one who has dementia is not suffering from a mental illness stemming from emotional trauma and abuse, but only from memory loss.

No one would want to be categorized or diagnosed as having dementia. The Google definition is: "a chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning."

What could be more frightening than the realization that one is heading into a territory where they will not really be themselves anymore? They won't be able to think right, and thinking clearly seems essential to maintaining one's identity. On the other hand, we were ourselves in the womb and we could not think clearly as infants and young children either.

If we put ourselves in the place of someone who cannot recall simple things, yet desires to communicate and to remember those things, we can identify with their daily frustration. Eventually, they may give up trying, and they may see that you have given up on them, too. But we should not give up on them. We should never speak of our loved one in their hearing as though they are not present. They are!

By being patient and not making a big deal of it when they cannot communicate normally, they will feel less incapable. We can say things like, One thing I've always admired about you is your ability to…

  1. look at things in a positive way.
  2. not worry about things.
  3. accept life as it happens.

Does one of those fit the personality and history of your loved one?

If #1 does, you could follow by saying, Let's think positive today. I'm thinking positive about you because [ you look really well today ] [ your nurse told me she enjoys helping you so much ] or [ …(fill in the blank!)… ].

If #2 seems right, follow that by saying, Why worry? It always makes us feel worse! A million of the things we worry about are not worth worrying about.

If #3 is on the button, try saying next, You've always been an inspiration to me, and I try to imitate you in accepting whatever comes. We both know that "underneath are the everlasting arms." God is in control and he loves us.