Saturday, October 17, 2009

Alzheimer disease

We all forget things once in a while. Maybe you've forgotten to send a card for someone's birthday or to return an overdue library book. Forgetting stuff is a part of life and it often becomes more common as people age.

But Alzheimer (say: alts-hi-mer) disease, which affects some older people, is different from everyday forgetting. It is a condition that permanently affects the brain, and over time, makes it harder to remember even basic stuff, like how to tie a shoe.
Eventually, the person may have trouble remembering the names and faces of family members — or even who he or she is.

What Happens in the Brain?
You probably know that your brain works by sending signals. Chemical messengers, called neurotransmitters (say: nur-oh-trans-mih-terz), allow brain cells to communicate with each other. But a person with Alzheimer disease has decreased amounts of neurotransmitters. People with Alzheimer disease also develop deposits of stuff (protein and fiber) that prevent the cells from working properly. When this happens, the cells can't send the right signals to other parts of the brain. Over time, brain cells affected by Alzheimer disease also begin to shrink and die.

Warning signs for Alzheimer:
1. Memory loss that affects day-to-day function
It's normal to occasionally forget appointments, colleagues' names or a friend's phone number and remember them later. A person with Alzheimer's disease may forget things more often and not remember them later, especially things that have happened more recently.
2. Difficulty performing familiar tasks
Busy people can be so distracted from time to time that they may leave the carrots on the stove and only remember to serve them at the end of a meal. A person with Alzheimer's disease may have trouble with tasks that have been familiar to them all their lives, such as preparing a meal.
3. Problems with language
Everyone has trouble finding the right word sometimes, but a person with Alzheimer's disease may forget simple words or substitute words, making her sentences difficult to understand.
4. Disorientation of time and place
It's normal to forget the day of the week or your destination -- for a moment. But a person with Alzheimer's disease can become lost on their own street, not knowing how they got there or how to get home.
5. Poor or decreased judgment
People may sometimes put off going to a doctor if they have an infection, but eventually seek medical attention. A person with Alzheimer's disease may have decreased judgment, for example not recognizing a medical problem that needs attention or wearing heavy clothing on a hot day.
6. Problems with abstract thinking
From time to time, people may have difficulty with tasks that require abstract thinking, such as balancing a cheque book. Someone with Alzheimer's disease may have significant difficulties with such tasks, for example not recognizing what the numbers in the cheque book mean.
7. Misplacing things
Anyone can temporarily misplace a wallet or keys. A person with Alzheimer's disease may put things in inappropriate places: an iron in the freezer or a wristwatch in the sugar bowl.
8. Changes in mood and behaviour
Everyone becomes sad or moody from time to time. Someone with Alzheimer's disease can exhibit varied mood swings -- from calm to tears to anger -- for no apparent reason.
9. Changes in personality
People's personalities can change somewhat with age. But a person with Alzheimer's disease can become confused, suspicious or withdrawn. Changes may also include apathy, fearfulness or acting out of character.
10. Loss of initiative
It's normal to tire of housework, business activities or social obligations, but most people regain their initiative. A person with Alzheimer's disease may become very passive, and require cues and prompting to become involved.

Beyond Forgetting
Beyond Forgetting is a unique collection of poetry and short prose about Alzheimer's disease written by 100 contemporary writers--doctors, nurses, social workers, hospice workers, daughters, sons, wives, and husbands--whose lives have been touched by the disease. Through the transformative power of poetry, their words enable the reader to move "beyond forgetting," beyond the stereotypical portrayal of Alzheimer's disease to honor and affirm the dignity of those afflicted.

Here is the one i like in that book.

Prayer for My Mother
Let every moment of every day
break upon her with the dazzle of
utter newness, and let her exult in it.


Let wonder rule: the sky more lovely
than she's ever seen, the birds that
come by the hundred to her feeder.

Please let her forget that she does not
remember. Let her lose somehow
the torment of losing her mind.

Let there be insight in the one page that,
over and over for days, she reads
for the first time, never gets beyond.

Let the living past be vibrant in her
dreams each night, her mother, her brother
at her side, showering her with love.

Please let her eyes open in the morning
not to the despair of the lost at sea,
but to the familiar play of sunlight

in the leaves outside her window,
the solid sense that she is safe,
the firm ground of home.
- Rick Kempa

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