Presentation on theme: "A Holistic Approach To Alzheimer’s Disease Care Ginny Fuller February 28, 2008 Dr. Hadley."— Presentation transcript:
A Holistic Approach To Alzheimer’s Disease Care Ginny Fuller February 28, 2008 Dr. Hadley
Objectives Provide an overview of Alzheimer’s disease Discuss standard treatment options Discuss complementary treatment options Address religion and spirituality in the patient, caregiver, and from a provider’s prospective
Epidemiology AD is the most common form of dementia worldwide AD affects over 4.5 million Americans Prevalence increases dramatically as age increases after 60 Nearly 50% of individuals >80 have diagnosable AD
Diagnosis of AD Diagnosis must include memory impairment plus at least one of the following: – Apraxia – Agnosia – Aphasia – Impaired executive functioning
Pathophysiology Decreased acetylcholine Increased glutamate Diffuse brain atrophy Inflammation B-amyloid plaques Tau protein tangles
Standard Treatment Acetylcholinesterase Inhibitors NMDA Receptor Antagonists Behavioral Treatments
Complementary and Alternative Treatments Ginkgo biloba Phosphatidylserine Huperzine A Curcumin Music therapy Touch therapy and massage
Spirituality and the AD Patient AD patients’ religion and spirituality must be taken into consider during treatment Involvement with religious activities and practices may improve health and longevity and may slow cognitive impairment Sermons, singing, scripture study, prayer, and socializing improve and stimulate cognitive functioning Even highly progressive AD patients can be reached on a spiritual level Patients may use religiosity to accept, make sense of, and be at peace with their diagnosis It is estimated that nearly 90% of AD patients pray
Spirituality and the AD Caregiver Spirituality plays a major role in the day to day lives of many AD caregivers Caregivers find support through a local church or religious organization Caregivers use their spirituality and faith as a type of coping mechanism to deal with grief, loss, and depression They may use AD as an opportunity for spiritual growth Religiosity may lead to lower levels of depression, a higher perception of stress, and higher levels of self acceptance
Spirituality from a Provider’s Standpoint 82% of Americans over 65 state that they are actively a part of a faith community, but there is very little training given to health professionals dealing with spirituality and religion Providers must listen to family and patient concerns and wishes and must acknowledge various faith traditions and practices Especially with end of life care, spiritual needs may be just as important as physical, social, and psychological needs
Spirituality from a Provider’s Standpoint Forms like the “Sacred Center Assessment” are available to health care providers to help address patients’ spiritual wants and wishes Professionals must provide support and develop individualized plans for each AD patient Providers must cooperate with clergy and other individuals in faith communities Encourage caregivers and AD patients to join care and support groups – “We are not obliged to reorient them into our reality, but we are obliged to be an attentive presence in theirs.” ~ S. Post
Conclusions The number of individuals affected with AD is expected to continue to grow in the future decades, tripling by 2050 Research regarding spirituality and the patient, caregiver, and practical tips for providers must be continued and increased More in depth studies regarding complementary and alternative therapies in AD patients need to be performed A holistic approach needs to be adopted by physicians and other healthcare providers caring for patients with dementia Provider’s must treat every patient as an individual, with specific customs, beliefs, and practices, which are unique Patients, providers, caregivers, and other members of society need to work together to provide the most thorough and encompassing care possible
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