New treatments for dementia
and Alzheimer's disease

 

 

Method of Doctor Statnikov. Alzheimer's disease

Agenzia di reclutamento «Smart Hunter»

About the tactics of treatment and the relation of the patient with Alzheimer's disease

To start a comparative, but very obvious example. At the turn of the upper or lower limbs suffered applied plaster on the damaged area to ensure security, peace and the optimal conditions for the treatment, after which the medication and physical therapy action in recovering all the lost limb function. We are talking about the priority the creation of a safe environment, will be launched before rehabilitation measures.

And why such an approach is not being used for patients with Alzheimer's disease? Because of old age? Or the brain and the bones of the locomotor apparatus of man is not in need of an equal security? Arguments like "the head and the bone - incomparable!" Are common even among doctors. Although, if you are talking about the body - is a unified and interconnected system, does not mind one! And also there is no objection, that the body of the patient with Alzheimer's disease to achieve the therapeutic goal should always receive individually tailored and appropriate to its physiological and psychological needs medication, psychological, pedagogical, physical and physiotherapy effects.

Without the help of external stimuli and stimulants directed feed of signals to the central nervous system are involved resources and potential brain plasticity when some of its structure has not yet exposed painful destruction may adopt the lost during the development of the disease function. Hence it is clear how important the presence or inclusion in the arsenal of means of rehabilitation of diverse stimulating, toning and relaxing treatments. At the same time, it is equally important to ensure the patient everything necessary for his well-being, taking into account his personal specific characteristics that make up its system of values ​​in life, past and present. This willingness to respond to his wants and needs is very important to build equal relations with a patient suffering from Alzheimer's disease.

This problem is not only difficult to implement using existing methods and means of care, it is also very expensive. In conjunction with the moral and ethical contradictions it creates obstacles to the improvement and perfection of the situation with the service of patients with Alzheimer's disease. In the health system, the vector distribution of budgetary funds allocated to the health of the population is generally oriented towards the proliferation of bureaucracy and development of new drugs to combat Alzheimer's disease. This is due to the reduction in funds for the care and rehabilitation. There is a savings in all: Content on personnel at the food on the care and personal care products and so forth..

Oddly enough, it coincides with the desire of the majority of the relatives to get a pill for the patient with Alzheimer's disease instead of performing time-consuming complex targeted rehabilitation. On the one hand, this leads to a kind of "tour" at doctor's offices, on the other hand, shows the institutionalized impotence of physicians who, not being able to offer patients with Alzheimer's anything effective, make that somehow calms relatives their own conscience.
Not to be overlooked, that Alzheimer's disease - a complex disease in which polietiologic structure typically have several chronic diseases with many years of history.

The current situation in the care of patients with Alzheimer's disease is complicated by the fact that the world is thriving huge market for sedatives and anti-depressant drugs, which are often used without a doctor's prescription, but simply under the influence of advertising next miracle drug or dietary supplement. It is irresponsible advertising promises result in most cases is not achieved, expectations are not met, and the doom of dashed hopes only increased, which leads to depression or deepening it.

Now, the relation of the patient with Alzheimer's disease in the plan of care. In its primitive present state of nursing, as well as treatment, beskontrolen, irresponsible, and therefore very cheap. That there is such a caring and control? There are cases when people are in the hospital did not have a chance to see the banal in the mirror. The low cost makes the performance of even the good purposes into something dark and blasphemous. If a patient with disorders of behavior instead of care based on the attention to his mental characteristics used sedative or swaddle, it is automatically converted into a powerless state of incapacity. Then it becomes possible to maintain the economic justification and low maintenance costs of nursing homes.

This care for dementia patients, particularly those with Alzheimer's disease, developed and scientifically substantiated Tom Kitvudom should be centered on the individual. To implement the ratio of required personnel to the number of patients with at least 1: 4, and at a high quality level of 1: 2. And the staff should be motivated not only financially, but the internal needs of providing effective help to such people. But even in special institutions for the care of patients with dementia and Alzheimer's disease, this ratio is less than 1:10, and this is considered normal. This is compounded by incommensurable with moral and physical exertion material reward staff. This is an imitation of institutionalized state care and attention.

Kitvud that for many years to analyze the behavior of dementia patients against their rehabilitation. Collected in the monitoring of more than one hundred patient data recorded positive figures at 47, while, in 27 of them even were character traits, which are before the disease was not at all or they were poorly developed: credulity, affection and self-esteem. He was convinced that the ordinary good care only 5-10% of all cases can be expected positive results, and by improving the quality of care can seriously increase the success rate. In institutions for hospital care, under the absolute power of the staff, anonymity and stress in patients with Alzheimer's disease are often observed symptoms of aggression or apathy.

The author of the theory of regression Professor Barry Raizberg in his clinic «Aging & Dementia-Centre» at New York University, has developed a special program for patients with end-stage dementia. His thesis: "No patient should not lose the essence of his personality. It is important to show him that he can still, after all, he can still so many. " Only you should be able to open it, so Barry Raizberg adds that the more we learn about the patients, the more we can help them purposefully. In the last stage of the disease half of their wants and needs are often overlooked, ignored and lost. The problem of staff in this situation - to make them feel that they are still able to think and worry.
In addition, each patient, his family and professionally trained staff to care from the moment of diagnosis fell under the guardianship of a special adviser. The friendly atmosphere created around the patient, gave hope and courage to his relatives, because they are the most affected by systematically moving to its final irreversible disease.

In accordance with this program, the clinic doctors have established patient "degree of infringement", the list of functions it is still able to perform. In this process actively involved family members and friends of the patient. They were trained in the proper handling of the patient. A very important point is the account of their experiences and subjective assessments of the patient's behavior, which was taken into account when establishing the final diagnosis. Only then can be administered medication.

The positive impact of aid was recorded even in the most minor cases progresses to restore lost or damaged functions and improve the quality of life of patients.

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