Dementia and Sundowner’s Syndrome

The Alzheimer’s Association explains, “sundowner’s syndrome” or “sundowning” is a set of symptoms or behaviors that are found in some people with Alzheimer’s disease and dementia. The syndrome’s symptoms include agitation and anxiety, and it occurs in the later part of the day and evening with marked behavior changes in the person.

Fred Kobylarz, MD, co-director of the Center for Healthy Aging at Rutgers Robert Wood Johnson Medical School says it is not a disease, but rather a symptom of dementia. While doctors do not know the cause of sundowning, they believe it may be a “combination of hormonal changes, brain deterioration or damage that has occurred, environmental factors, disruption to a person’s circadian rhythm, and more.”

The syndrome may start as early as 1 p.m. in some people but usually is later in the day. Along with agitation and anxiety; symptoms can include things like pacing, disorientation, hallucinations and problems sleeping. Other behavior changes may include angry outbursts and aggressive, sometimes even physical altercations. Others just want to be closer to a person they trust as needed reassurance. Some people do not remember what happened earlier in the day and even forget they just ate dinner and want to eat again. 

Experts say in some cases sundowning starts before a person has had a diagnosis of Alzheimer’s or another form of dementia. However, it is not only found in people with dementia as some older adults exhibit symptoms during an illness or period of delirium.    

Doctors recommend families who see symptoms of sundowning to consult with their healthcare provider to rule out other causes. Guidelines for managing the syndrome include setting up a schedule that adheres to their needs and maintaining a consistent daily routine to reduce confusion and fatigue. During morning hours encourage the person to do activities that increase their exposure to natural light to help support better sleep-wake cycles. Avoid over stimulating the person in the evenings and don’t subject them to crowds, bright screens or loud noises. 

At MorningStar at Bear Creek, we provide 48 suites for residents living with Alzheimer’s and other dementia-related diseases. Our community is specifically designed to enhance our residents’ freedom and fully accommodate the disposition and behaviors of those with dementia. Each resident receives an individualized care plan and participates in meaningful wellness programs and purposeful activities.  Our programs include a variety of exercise options, music, life skills, art, special celebrations and other events. Please see our website for more information about MorningStar’s memory care and alzheimer care in Colorado Springs.

MorningStar at Bear Creek brings a unique vision to senior living with our mission statement “to honor, to value, to invest.” With a foundation built on honoring God, valuing seniors and investing in a staff with a felt calling to serve, we offer loving, compassionate care within a beautiful home-like setting.  Please contact us to learn more about the finest alzheimer care in Colorado Springs.

Source: womenshealthmag.com/health/a63084354/sundowning-dementia-sign/

How is Alzheimer’s Disease Diagnosed?

While there is not one single test used to definitively diagnose Alzheimer’s disease, doctors typically use a variety of tools to make a diagnosis. Along with the person’s primary care provider, specialists like neurologists, neuropsychologists, geriatricians and geriatric psychiatrists may all be involved in determining if the patient’s problems are Alzheimer’s or caused by other reasons.

The process starts with a medical workup done by a health care provider that includes the person’s history of medical problems as well as any history of psychiatric, cognitive or behavioral problems. It is important to tell the doctor about all current medications including over-the-counter-drugs and supplements the person is taking. Your doctor will also want to know if there is a family history of Alzheimer’s or other cognitive problems. 

A physical exam should include a check of reflexes, blood pressure levels and questions regarding sleep patterns, diet, exercise and other lifestyle habits. A structural brain imaging scan such as an MRI or computed tomography is used to rule out damage to the brain from stroke, tumors, head trauma or a build-up of fluid. Blood and urine tests can rule out other reasons for symptoms. The Alzheimer’s Association says common causes of dementia-like symptoms include depression, untreated sleep apnea, delirium, side effects of medications, thyroid problems, certain vitamin deficiencies and excessive alcohol consumption.

The doctor may also use one of several cognitive, functional tests to evaluate the person’s memory, thinking and simple problem-solving skills. Professionals state, “There is an urgent need for a simple, inexpensive, non-invasive and easily available diagnostic tool such as blood tests to diagnose the disease.” Currently researchers are experimenting with a variety of tests to enable them to track changes more easily in the brain to identify the disease. Currently, health professionals do not recommend routine genetic testing for Alzheimer’s disease. 

At MorningStar at Bear Creek, we offer individualized, specialized Alzheimer care for those at the onset of Alzheimer’s disease through to the most advanced stages.  Our holistic approach to Alzheimer care is designed to affirm the value of the person and to find ways to celebrate the smallest successes.  Beginning with compassionate caregivers to activities, programs and meal services tailored to our residents’ special needs, we bring a deep understanding of the disease to our care.  Please see our website for more information about MorningStar’s assisted living dementia care in Colorado Springs.

MorningStar is guided by a culture rooted in our mission of honoring God, valuing seniors, and investing in our team, which allows us to deliver services with warmth, sincerity and depth of purpose. We have built a reputation for creating homes filled with an atmosphere of love and community. Please contact us to learn more about the finest assisted living dementia care in Colorado Springs.

Source: alz.org/alzheimers-dementia/diagnosis/medical_tests

Signs Mom or Dad May Need More Care

Sometimes it is obvious an elderly parent needs more care such as having a bad fall or mismanaging medications resulting in a trip to the emergency room. Experts say even without such an overt situation, there are signs to look for suggesting a parent or another loved one may do better in an assisted living community.  

Warning signs include changes in the person’s behavior. For example, if mom has always been tidy but her home now looks neglected or smells, and dirty dishes are piled in the sink, she may not be handling things well. Other signs include a recent weight loss or gain and changes in grooming habits. Take note if she is having mobility problems or unexplained bruises or cuts, which might indicate she is falling.

Experts say consider other things too, such as social isolation and the person’s inability to get around on their own if they no longer drive.  Also, check the refrigerator for signs of spoiled food or a lack of food. 

Even a few of these things may be a sign they could benefit from the services of an assisted living community like MorningStar at Arrowhead, a true home with an atmosphere of love, kindness and compassion. Along with a broad range of hospitality and care services, luxury amenities and wellness programs, our private suites come in a choice of floor plans including studio and one- and two-bedroom configurations.   

Care services include 24/7 Care Managers, Certified Medication Managers, Licensed Nurses, routine health monitoring, and much more.  In addition, residents enjoy delicious meals prepared under the direction of our Executive Chef that feature the freshest ingredients from high quality producers, served restaurant style in our lovely dining room. For more information about one of the finest retirement communities Glendale offers, please call us or visit our website.

MorningStar at Arrowhead’s mission statement of “to honor, to serve, to invest” sets us apart from other retirement communities Glendale, AZ has to offer. We have built a foundation on honoring God, valuing our seniors and selecting staff with a felt calling to serve. Set in a warm, loving atmosphere with beautiful surroundings and resort-style amenities, we provide outstanding assisted living and memory care. 

Finding Care for a Loved One with Dementia

Searching for a memory care community for a loved one that suits the person’s needs as well as the family’s is challenging at best. Knowing the person is dependent on getting the level of care they need for both their wellbeing and safety makes choosing the right home essential. Experts say start by taking your time to think about your loved one’s needs including daily personal care required such as dressing, toileting, bathing, etc. as well as any on-going medical needs. 

Additionally, do they have mobility issues and use a wheelchair or a walker; or do they need assistance eating? If the person is known to wander, you will want a secure home to keep him or her safe including alarms on the doors. Another thing experts say is to let the community know if the person is prone to angry outbursts or other aggressive behaviors. 

Once you have a good idea of your loved one’s needs, now consider if the homes you are looking at are equipped to handle those needs. Ask about living arrangements, dining service, and the level of daily help the person will receive. Moreover, does the community offer exercise programs and other meaningful activities? 

Now inquire about the homes’ experience with Alzheimer’s and other types of dementia, and the training the staff has in dementia care. What is the home’s philosophy of care and how do they approach difficult situations such as aggressive behaviors? Most of all does the staff seem caring and do residents appear to be content and well-looked after? 

At MorningStar at Arrowhead, our mission is to provide the best senior living Glendale, AZ has to offer, which includes individualized memory care to those suffering from Alzheimer’s disease or other forms of dementia.  Every aspect of our Reflections Neighborhood is geared toward residents’ care from meaningful activities, trained caregivers, food service, and security. Please contact us or visit our website to learn more.

We proudly provide the very best in senior living with our unique mission statement “to honor, to serve, to invest.” With a foundation built on honoring God, valuing all seniors and selecting staff with a felt calling to serve, we create a true home for residents amid a beautiful setting.  If you are looking for exceptional senior living, Glendale, AZ’s MorningStar at Arrowhead may be your answer.

Diagnosing Mild Cognitive Impairment

Studies report approximately 12-18% of people aged 60 or older have some level of Mild Cognitive Impairment (MCI). So how do you know if you are one of them? The first step to diagnosing MCI typically comes after a person starts to complain of forgetfulness or cognitive problems, or initiated at the urging of family members. Doctors explain it is usually more serious if it comes at the request of those closest to the person because as a person develops more of the signs of Alzheimer’s disease, they are often not aware of their memory loss. 

Your doctor will begin with a thorough evaluation to try and determine if the problem is MCI, Alzheimer’s, normal age-related memory loss, or caused by another factor. It is important to note not all cases of MCI develop into dementia and an evaluation could identify medications as the problem. A Harvard Medical School article states, “Establishing the cause and scope of the impairment is helpful in setting a baseline for future evaluations to determine if the condition is progressing to dementia.” 

Some of the preliminary tests include a complete blood workup to rule out anemia, infection, kidney and liver disorders, or diabetes. Other tests may check for thyroid abnormalities, elevated blood calcium and vitamin B12 deficiencies. 

Cognitive tests begin with an in-depth medical history as well as questions regarding the person’s memory lapses and other thinking problems. Your physician will probably request a family member be there to reaffirm and document the changes. Experts say quickly progressing memory problems are most likely another issue as true dementia progresses pretty slowly. 

Your physician may refer you to a neuropsychologist for more tests including paper and pen and computer tests to assess memory, language and other cognitive skills including motor and visual function. If deemed necessary, they may do structural and functional brain scans or an amyloid PET scan, which detects in a living brain the signs of amyloid plaques, the hallmark of neurodegenerative diseases like Alzheimer's.  

At MorningStar at Bear Creek, we offer individualized, loving care to those with memory impairment.  Every aspect of our community is geared toward residents’ care from meaningful activities, trained caregivers, food service, security and more. If your loved one is suffering from Alzheimer’s or another dementia-related disease, they deserve the best memory care in Colorado Springs. Please visit our website to learn more. 

MorningStar at Bear Creek brings a unique vision to senior living with our mission statement “to honor, to serve, to invest.” Our foundation is built on honoring God, valuing all seniors and selecting staff with a felt calling to serve. We are dedicated to creating a true home for residents within an ideal setting and encourage you to see firsthand the best memory care Colorado Springs has to offer.

When a Loved One is Diagnosed with Alzheimer’s Disease

A diagnosis of Alzheimer’s disease is not only difficult for the person but affects their spouse, children, other family members and anyone who cares for them. However, experts say it is important to remember the person who is most affected, and if they ask you what is wrong, you should be honest and simply tell them. It may even give the person a sense of relief to know they are not insane and there is an explanation as to what is happening to them. 

That being said, medical professionals recommend if you can, have the person’s physician tell them but remember, a person afflicted with Alzheimer’s is forgetful, especially regarding new information. This means they will probably ask again (and again) what is wrong with them and it will be up to you to tell them. Doctors advise you to give a brief explanation.

Additionally, the rest of the family needs to be told as well as the person’s friends. Doctors say often he or she will appear to be healthy especially in the early stages so it is only fair to let others know so they do not mistake “odd” behaviors for craziness or meanness. 

Another reason it is helpful for people to know about the person’s condition is they can do some research on how to best respond and communicate with their loved one or friend. The National Institute on Aging (NIA) says to:

Give simple, step-by-step instructions.

Repeat instructions and allow more time for a response. Try not to interrupt.

Not talk about the person as if he or she isn't there.

Not talk to the person using “baby talk” or a “baby voice.”    

At Morningstar at Bear Creek, our entire community is devoted to the individualized care of those with mild to advanced stages of Alzheimer’s disease and other forms of dementia. We are proud to be one of the Alzheimer’s Association’s “Recognized Leaders in Dementia Care.”  For a senior living community to receive this honor, at least 75% of its staff must complete eight hours of training that include brain pathology, communication techniques, and methods of lessening agitation with non-pharmaceuticals.  Contact us to learn more about our beautiful memory care assisted living community in Colorado Springs.

MorningStar at Bear Creek brings a unique vision to senior living with our mission statement “to honor, to serve, to invest.” With a foundation built on honoring God, valuing seniors and investing in a staff with a felt calling to serve, we offer loving, compassionate care within a beautiful home-like setting.  Please visit our website for more information about the area’s finest memory care assisted living.

Sources: 

health.harvard.edu/mind-and-mood/what-should-you-tell-someone-who-has-alzheimers-disease

nia.nih.gov/health/alzheimers-caregiving-changes-communication-skills