Showing posts with label Care. Show all posts
Showing posts with label Care. Show all posts

Monday, 15 July 2013

The Shingles Care Plan: Treating the Virus and Its Symptoms

A shingles care plan involves treating the causes as well as the rash, itching, pain, and other symptoms.


Shingles causes a blistering rash that runs along one half of the body in a belt-like fashion. The rash is caused by the reactivation of the chickenpox virus, varicella zoster, which can lie dormant for years in the nerve tissue of a person who has had chickenpox. Once the virus reawakens, it spreads up the nerve fibers to the skin and produces the telltale rash of shingles.

An appropriate shingles care plan will employ multiple strategies to help you overcome the varicella zoster virus and cope with the symptoms. You can take medications to help boost your immune system, and relieve the pain and itching associated with the rash, and topical treatments for shingles will soothe the rash directly. Your shingles doctor will most likely be your primary care physician. It is important that you see your doctor as soon as possible after possible shingles symptoms appear so you can get treatment that will effectively reduce the duration of your shingles rash. More severe cases may require shingles treatment from a dermatologist, who can help treat the rash and skin infections, or a neurologist, who can deal with severe or chronic nerve pain.

What to Expect at the Doctor’s Office

There is no immediate cure for shingles. The disease will have to run its course. However, there are a number of medical treatments proven to relieve symptoms and fight the varicella zoster virus:

    Antiviral medications. If you get to your doctor within 72 hours of first developing a shingles rash, he or she can reduce the length of your shingles infection by days through the use of antiviral medications. Antivirals are the first line of shingles treatment.
    Tricyclic antidepressants. These prescription drugs have been proven effective in dulling the pain associated with shingles. They also reduce your chances of developing postherpetic neuralgia, a shingles complication that causes continued pain even after the rash has cleared.
    Opioids. Drugs like oxycodone, morphine, and codeine can relieve shingles pain.
    Steroids. Anti-inflammatory medications like corticosteroids can reduce the swelling of the shingles rash and lower the intensity and duration of your pain symptoms.

Your doctor will create a shingles care plan for you and prescribe medications based on a number of factors, including:

    Your age and overall health
    How advanced your shingles infection is
    Your medical history and proven tolerance for different medications and therapies
    How your shingles is likely to evolve over time
    What you are willing to do to treat your shingles

At-Home Shingles Care

In addition to the medication that your doctor probably prescribed, much of shingles treatment involves home health care you can do for yourself to relieve your symptoms and prevent complications:

    Get plenty of rest. The shingles virus is opportunistic and flourishes when your immune system is compromised. Rest is critical to strengthen your immune response to the disease.
    Drink plenty of fluids. Dry skin can cause your shingles rash to become more irritated. Staying hydrated helps keep your skin from drying out.
    Use soothing skin care. Calamine lotion or other soothing lotions can help treat some of the itching and burning from your rash.
    Take over-the-counter pain relievers. Medications like aspirin, acetaminophen, or ibuprofen are recommended for relieving itching, burning, and pain.
    Apply cold compresses. A clean cloth soaked in cold water or an astringent cooling agent can soothe your rash.
    Practice good hygiene. Bathe yourself daily to reduce your chance of bacterial infection.
    Clip your fingernails. Keeping your nails clean and trimmed will reduce scratching, which can cause scarring and infection.

Call your doctor if there is any change in your condition — for example, if your rash continues to spread or if your pain increases. The physician will be able to adjust your shingles care plan accordingly and keep you on the road to recovery.

Wednesday, 2 May 2012

Match.com for Alzheimer's Caregivers, Respite Care

It's time for the members of the Alzheimer's Community to get organized around real issues that affect the lives of Alzheimer's caregivers each day.

By Bob DeMarco
Alzheimer's Reading Room

While I was in New York speaking at the Seeing Alzheimer's Differently symposium I mentioned several ideas I have about Alzheimer's and respite care. One attendee, Christopher Nadeau of the New York Memory Center, was very enthusiastic about my ideas.

After considerable thought, I now elevate this concept up to my number one idea -- Match.com for Alzheimer's caregivers.

Some of you might be familiar with Match.com, it is a dating service for singles. Basically, you describe yourself, describe what you are looking for, and include some pictures of yourself with the intention of meeting someone.

Here is how Match.com describes what they do -- Our mission is simple: to help singles find the kind of relationship they’re looking for.

How does this apply to Alzheimer's caregivers and respite?


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One of the biggest complaints, sometimes gripes, we get here on the ARR is the inability of caregivers to get a moment to themselves. A moment, let alone lets say 4 hours, or a day.

Here is a recent comment from one of our readers -- "And, when I do get a hour or (rarely) a weekend off to feel "normal" and outside the world of dementia ... I just want some normal in my life".

So I asked myself, why don't Alzheimer's caregivers team up? Yeah team up.

For example, lets say I could advertise that I am looking for a fellow caregiver to team up with to get some respite care. I read through a list of caregivers that are interested and try to find someone that seems similar to me, and has a patient in a stage of dementia similar to Dotty.

We contact each other via email, and then we get on the phone. If we agree we have a fit, we decide to meet at some public place, patient included, to discuss the possibilities.

Obviously there are two issues for each side. First, do I feel like I can trust my mother with this other caregiver, does s/he trust me.

Second, does it appear that the two patients, in my case Dotty, can get along. For me kinda simple, can they yak away with each other comfortably.

If so we have a match.

Then we start to make arrangements. First step, meet up somewhere like McDonald's for an ice cream or coffee and test it out.

Next, one caregiver agrees to take care of the other patient for let's say two hour to start. So with Dotty in tow, I pick up our counter party patient and go do something. Or, the counter party gets dropped off at our home for a couple of hours.

So one caregiver takes care of two persons (patients), and the other caregiver gets two hours off. If the arrangement works you expand the time. Imagine, four hours to do as you wish.

So in a nutshell, you have a series of dates just like you do on Match.com, starting with the meet-up, and then extending the relationship if it seems like a good fit.

Won't work you say? Well in Palm Beach County, Florida, there are about 60,000 persons in the same boat I am in.

Now for sure, someone is gonna try and crap on my parade. Count on it.

Are you already thinking about the legal liability? Well, Match has an agreement you sign that covers this. So Match.com for Alzheimer's caregivers would do the same thing.

I learned a long time, it is very costly to invent, less costly to do something that already exists and tailor it to your own needs. So we would keep this simple and use the existing model. Who knows, maybe we could get some help from Match.com. Match.com are you listening?

Don't bother crapping on my parade.

If you can add to the discussion, or if you know an organization or foundation that might help us explore this idea and get it started, shoot your comment in below, or use the contact button and send me an email.

They say there are 15,000,000 Alzheimer's caregivers. If only one percent participated that would be 150,000 people.

The bottom line here is simple and straight forward, we need to start taking care of ourselves because no one else is going to do it.

It's time for the members of the Alzheimer's Community to get organized around real issues that affect the lives of Alzheimer's caregivers each day.

Respite is a real issue.

In closing, mostly everyone makes the same complaint when it comes to respite.  I can't afford it. They don't pay for it. There is not enough money to pay for it.

Well each of us has time.

We can barter our time with another caregiver, or better yet a group of caregivers, and it won't cost us one read cent to get the respite we all need.

Go ahead, sound off below in the Add New Comment area.



More Insight and Advice from the Alzheimer's Reading Room

Bob DeMarco is the Founder of the Alzheimer's Reading Room and an Alzheimer's caregiver. The blog contains more than 3,511 articles with more than 297,100 links on the Internet. Bob lives in Delray Beach, FL.

Original content Bob DeMarco, the Alzheimer's Reading Room

Friday, 20 April 2012

Recommendations of the Advisory Council on Alzheimer's Research, Care, and Services

Health and Human Services (HHS) should launch a nationwide public awareness campaign to increase awareness and to promote early detection of Alzheimer’s disease.

Alzheimer's Reading Room

On April 16, the Alzheimer's Advisory Council approved a comprehensive set of recommendations that would, if accepted by the Department of Health and Human Services (HHS), complement the current draft of the National Plan to Address Alzheimer's Disease.

The National Alzheimer's Project Act (NAPA) was passed unanimously by Congress and signed into law by President Obama.

The current list of recommendations can be seen below

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Advisory Council on Alzheimer's Research, Care, and Services

Clinical Care Subcommittee Recommendations

Laurel Coleman, Chair
Eric Hall
Helen Matheny
Bruce Finke
Shari Ling
Joan Weiss

Recommendation 1
Health and Human Services (HHS) should launch a nationwide public awareness campaign to increase awareness and to promote early detection of Alzheimer’s disease.

Recommendation 2
Redesign Medicare coverage and physician reimbursement to encourage diagnosis of Alzheimer’s disease and to provide care planning to diagnosed individuals and their caregivers.

Recommendation 3
HHS should develop quality indicators for the care and treatment of individuals with Alzheimer’s.

Recommendation 4
HHS should provide grants through the Center for Medicare and Medicaid Innovation (CMMI) for medical home pilot projects specifically targeted at improving medical management for individuals with Alzheimer’s disease, including management of co-existing medical conditions and coordination with family and community care providers in all settings (in-home care, long-term care, and inpatient hospital care).

Recommendation 5
HHS should form a blue ribbon panel of experts to recommend one or more models of palliative care for people with advanced dementia, including eligibility criteria and financing mechanisms, and provide grants through the Center for Medicare and Medicaid Innovation (CMMI) to implement and evaluate the models.

Recommendation 6
HHS should create a specific grant round of pilot projects through the Center for Medicare and Medicaid Innovation (CMMI) to implement and evaluate ways to reduce potentially preventable emergency department visits and hospitalizations for individuals with Alzheimer’s disease and other dementias, including emergency department visits and hospitalizations from home, assisted living facilities, and nursing homes.

Recommendation 7
Develop a public-private partnership to develop and evaluate ways to improve hospital care and transitions of care for people with Alzheimer’s and other dementias, including training approaches and proposed quality measures.

Recommendation 8
Expand funding and incentives for health care providers to become more knowledgeable about dementia and to encourage individuals to pursue careers in geriatric specialties.


More Insight and Advice from the Alzheimer's Reading Room

Original content Bob DeMarco, the Alzheimer's Reading Room

Tuesday, 8 July 2008

The New Old Age Blog

I recently ran across this New York Times blog--The New Old Age.

The blog is dedicated to Baby Boomers and issues they will be facing. You should consider adding this blog to your reader.

I will also be adding it to my Blog Roll (Weblogs) for your convenience. I included the link and the description in the clip below.

About The New Old Age

Thanks to the marvels of medical science, our parents are living longer than ever before. Adults over age 80 are the fastest growing segment of the population, and most will spend years dependent on others for the most basic needs. That burden falls to their baby boomer children, 77 million strong, who are flummoxed by the technicalities of eldercare, turned upside down by the changed architecture of their families, struggling to balance work and caregiving, and depleting their own retirement savings in the process.

Jane Gross on eldercare

In The New Old Age, Jane Gross explores this unprecedented intergenerational challenge and shares the stories of readers, the advice of professionals, and the wisdom gleaned from her own experience caring for her mother in her waning years. You can reach Ms. Gross at newoldage@nytimes.com.

blog it
By Bob DeMarco
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Bob DeMarco is the editor of the Alzheimer's Reading Room and an Alzheimer's caregiver. Bob has written more than 1,200 articles with more than 9,000 links on the Internet. Bob resides in Delray Beach, FL.

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Original content Bob DeMarco, the Alzheimer's Reading Room