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CLINICAL CORNER

CONTENTS

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Volume-2 No. 2 June 2013

“CONNECTING THE EDUCATIONALAND CLINICAL ESSENTIALS”

MISSION

FEATURE ARTICLE

INSIGHT PERSPECTIVE

Pages

Announcement

Please enjoy this issue.

Best wishes,

[email protected]

www.globalwellnessemagazine.us

We wish to thank, Caring Health Consultants for the ,This article offers a real experience in transitions occurring across the personal

healthcare.

contributes to the

advances a proactive Innovative Vision with by analyst

Healthcare Worldwide Central provides quarterly educational and clinical essentials.

Featured Article

Alison Brody, Analyst Clinical Corner in the query

Insight Perspective Melody Ng.

What to Do When a Loved OneSays, “I Want to Go Home”.

Caring for the Caregiver.

Alzheimer's at 50

Dr. Diana Rangaves, PharmD, RPh, CEO

Executive Editor, Healthcare Worldwide Central

Connecting

the

Educational

and

Clinical

Essentials”

DEAR WORLDWIDE COLLEAGUES

Healthcare Worldwide Central e-magazine is an

international e-magazine dedicated to

publishing high quality articles, review articles,

case studies, surveys, commentaries, news,

interviews, reports, ethics, pharmaceuticals, and

bio-ethics in Healthcare.

Announcements Featured Articles Insight Perspective Clinical Corner

This magazine welcomes worldwide contributions. The intention is to distinguish forthcoming vision in

the worldwide community. This is an Educational and Clinical

Essentials Community Service Magazine with a Worldwide cooperative reach.

The e-magazine is published on a quarterly basis. There are four categories for clear, concise,

educational and clinical essentials:

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HEALTH CARE WORLDWIDE CENTRALVol-2No.2

Best wishes,

PharmD, Rph, CEO

Executive Editor

Healthcare Worldwide Central

Dr. Diana Rangaves

[email protected]


Dear Worldwide Colleagues,

I hope these words find you well.

The mission of Healthcare Worldwide Central e-

Magazine is to unite the community for

professional collaboration and subject-matter

expertise.

Healthcare Worldwide Central e-Magazine

goal is to create a Community. This e-

Magazine’s purpose is to inform, educate,

provide perspectives, publish peer reviewed

papers, reviews, and articles related to

Healthcare.

The e-Magazine is published with the

assistance of a Lifescience Global. They are

committed to publishing and providing a

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We would like to invite you to submit a

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accepts original articles, research papers,

r e v i e w s , e s s a y s , e x p o s i t i o n s , a n d

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Please send your contribution to my attention

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Thank you for introducing and offering a

unique opportunity for us to be of service.

Mission...Mission...

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Featured Article


Featured Article

What to Do When a Loved One Says, "I Want to Go Home”

By the editors of Caring.com

It can be one of the more wrenching sentences to hear when your loved one with dementia has been

relocated for safety's sake: "I want to go home." Yet it's also surprisingly common.

Here's how to interpret and respond to a plea to "go home."

Know that it's probably not homesickness that's being expressed.

You might hear "I want to go home" said by someone who's new to a living situation or has been there

contentedly for years. It's said by people with dementia who are living in nursing homes, with their adult

children, and even in their own homes of decades.

Realize that "home" may not be where you think.

Someone with Alzheimer's or another form of dementia is often not referring to the place her or she

most recently moved from, but to an earlier home, or even a childhood home. Even more likely, he or

she is using the word "home" as a concept -- a longing for expression of somewhere that feels

comforting and safe.

Don't insist on a road trip.

Understand that because "home" is more of a feeling than an exact place, it probably won't resolve

anything to take the time and effort to get your loved one with dementia to a past home. It may only

confuse or irritate if he or she doesn't connect the purpose of the trip, doesn't remember the place, or

doesn't understand who the strangers are who live there now.

Investigate the living situation and well-being of your loved one.

Sometimes a plea for home is an expression of unhappiness or a plea for help. It's not necessarily a

dislike of the present "home," or a desire to go home with you, but perhaps something as elemental as

physical discomfort. So do listen -- and look -- closely. Does your loved one seem well cared for? Afraid

of any caregivers? Losing weight? In pain?

Do respond with compassion.

Depending on your loved one, you might say, "Yes, let's go the next time I can make the trip" (if you're

pretty sure she won't remember). Or if there's a reference to a particular home, you could explain the

reality: "It burned down awhile back." "It's not in the family anymore."

Invite conversation: "I know you love home. Tell me about it."

This can deflect from the immediate issue of taking your loved one anywhere, and it can be both

soothing and insightful.

The true love is patience.

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Planning for the worst case scenario — Alzheimer's at 50

Melody Ng, Analyst

Public Insight Network

“My dad will be lucky to have any of his or my mom's retirement money left over by the time she

passes away,” says Naomi Lund of Robbinsdale, Minn.

Her father is 59 years old. He still works full time.

Naomi's mother was only 49 years old when she started showing signs of dementia nearly 10

years ago. It was early-onset Alzheimer's.

Naomi says it's been “heartbreaking and frustrating” for her and her brothers to support their

parents physically and emotionally — especially last summer when their mom was having angry,

violent outbursts almost daily and their dad was struggling to cope.

Things have stabilized for now, with her mom on new medication and, she says, her dad finally

accepting his wife's diagnosis.

Tim and April Lund hugging

Now what depresses Naomi is thinking about her parents' finances:

“Unlike most of their generation, they have diligently saved and budgeted for retirement to have

it all gone before my dad can even legally retire,” she explains. “In order to receive government

support, they will have to spend down all of my mom's retirement and half of my dad's.

“I feel immense guilt in the wish that some other fast-moving disease or stoke would allow my

mom to pass away faster.”

Right now, Naomi says her father is convinced he has to sell their home. She is helping him

calculate whether he should continue working — and paying approximately $20,000 per year for

the group home where her mother lives so her dad can work — or if it makes better sense to

retire early, despite the losses he'd take in Social Security and pension money.

This is not simple math.

April and Tim Lund on their wedding day

For Naomi, though, the decision to save for her own the future was simple.

She doesn't want to end up in the same situation as her parents.

She says she's always been a saver, but her mother's diagnosis took her saving “to a new

level.”

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Right now, at age 35, she is already stashing 15 percent of her income away for retirement,

chipping away at her 15-year fixed-rate mortgage and putting $150-$200 into the bank each

month for her son to go to college.

“As a single parent, this has really crimped my available cash,” she says. “I drive an 18-year-old

vehicle and take the bus, and I pinch pennies through every means possible.

“I worry that I will also have early-onset Alzheimer's, so in my head, I think of planning for

retirement at 50, not at 65-67 like my peers.”

Early-onset, or younger-onset, Alzheimer's is rare. The Alzheimer's Association estimates that

less than 4 percent of the 5.2 million Americans with Alzheimer's today started showing signs of

Alzheimer's before the age of 65.

The Lund Family

But Naomi's concern for her own health is grounded in a different reality. If a parent has a

mutation on one or more of three genes that cause early-onset familial Alzheimer's, his or her

child has a 50 percent chance of inheriting that mutation. And almost everyone who inherits the

mutation gets the disease.

So, on top of all her other savings measures, Naomi Lund will invest in long-term care (LTC)

insurance.

“I can't afford to save for my son's college, my own retirement and pay the premiums for long-

term care insurance right now,” she says.

But in five years, when her son graduates from high school, she'll start using the money that's

been going into his college fund to pay her insurance premiums.

Naomi thinks most people assume everything will go well with their futures. But she knows from

her parents' experience that this isn't always the case. And she'd rather plan for the worst.

Then, if she doesn't get Alzheimer's in her 40s or 50s, she thrills that she'll have plenty of money

for a comfortable retirement.

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Caring for the Caregiver

Alison Brody, Analyst

Public Insight Network

More humans worldwide are reaching old age than ever before. An

aging baby boom generation means that by 2030, 19% of Americans

will be over 65.

While some seniors live independently throughout their lives, most

will require some level of support as they grow older; in many cases

that support comes from family and friends. So how are we doing

when it comes to caring for older Americans? And, just as

importantly, how are we doing caring for the caregivers?

Are we now inspired to do more listening?

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title cove and pages - wordpress.com · 2016-10-15 · featured article alison brody, analyst...

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