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"We
did a lot of traveling. We would just get in the car and go. One
year, we rented a motor home, which is something I always wanted to
do, and we went to Florida. We had a blast just being together and
enjoying each other’s company. I was looking forward to retiring
— we had lots of plans to travel," she said.
In
the past two years, both women’s lives have changed dramatically.
There are no future travel plans, and even a trip to the grocery
store or a simple conversation can be a difficult experience.
"Sometimes
my mother doesn’t even know who I am, and it’s only going to get
worse," Susan said.
Susan’s
mother was diagnosed with Alzheimer’s disease, a progressive,
degenerative
disease of the brain, which results in impaired memory, thinking and
behavior. The disease, which affects four million people nationwide,
is the fourth leading cause of death in adults.
Although
there were warning signs for the past decade, it was only a few
years ago that the situation required prompt action. Susan, (who
requested that her last name not be used), moved her mother back to
central Illinois and became her primary caregiver while maintaining
a full-time job. She is in the process of selling her own home so
she can move into a house with her mother.
Although
Susan has two married brothers who live out of state, she made the
decision to take care of her mother.
"Fortunately
for me, I’m the only daughter and don’t have a spouse and kids.
But even if I had a family, I’m the one that’s closest to her,
and I can relate to her," she said.
"My
life has totally unraveled. But I’m willing to do this. She’s my
mom, and you want to provide and protect (your mom)," she said.
Despite
good intentions, the burdens of caring for a loved one with the
disease can be overwhelming.
"You
have to have a sense of humor or you’ll cry. I cry a lot and get
angry a lot. I would recommend (to others) to find a support group
and learn what you can and can’t do. My job is not to make her
happy; my job is to protect and provide for her. At times I get
angry at her and the disease. You need to get counseling and deal
with feelings of anger and guilt and realize you can only do so
much," she said.
"In
the patient’s mind, the bad guy is the caregiver. My mom gets
upset with me, because she thinks I’m the one who won’t let her
go back home to Virginia or spend money. You have to accept that. I
will look back on this and know I did the best I could."
Experts
predict that by the year 2050, as many as14 million in the United
Sates will have the disease. While people of all ages can suffer
from the disease, research shows that the older a person gets, the
higher the risk is of getting the disease.
When
German physician Alois Alzheimer first described the disease in
1907, it was rare. Today, Alzheimer’s disease is the most common
cause of dementia, affecting 10 percent of people over the age of 65
and nearly half of people aged 85 and older. However, because of
improved testing and greater public awareness, physicians are seeing
an increase in diagnosed patients in their 40s and 50s. Alzheimer’s
disease strikes both men and women and all races and socioeconomic
groups. In
Illinois 540,000 people are affected by Alzheimer’s disease.
Before
the disease, Susan’s 72-year-old mother was an immaculate
housekeeper who loved to sew, crochet, travel, read and collect
shells.
"She
has four bookcases full of books. She loved to read. Now, she can
read one newspaper all week long. Seeing her die emotionally and
physically is sad. She writes me little notes, and her spelling is
atrocious. She was always able to express herself well. Now, we have
no meaningful conversations. We talk about things in the past. In
five minutes, she can repeat the same story four times," she
said.
Now,
it’s the little things they have found they can do together that
eases some of the pain of the situation, liking taking their dogs
for a walk in the park or going out for a milkshake — two of her
mother’s favorite things.
Susan
said there are three things that are really difficult about her
mother’s disease. "The dreams of the future are decimated. My
mother says hurtful things because of paranoia. I have to step back
and realize it’s the disease and not my mother talking, but it’s
hard to not personalize it. Also, the randomness and
unpredictability of the disease — one minute she’s there and the
next she’s gone," she said. "Her reality and my reality
are two different things. She can’t live in my reality, so I have
to live in hers."
Through
a support group, Susan is learning not only how to deal with her
mother’s disease, but also recognizing how to take care of herself
and what her limitations are.
"It’s
surprising how comforting it is. You realize you’re not the only
one, and you learn about ideas of how to handle situations. Just
being able to talk about it helps. It’s a lifeline," she says
of her support group.
James
Dearing, program manager at the Great Illinois Chapter of the
Alzheimer’s Association, said loss of memory is the most
frustrating aspect of the disease, for both the person with the
disease and their family.
"Forgetting
names and memories they have shared is very troubling. It’s very
frustrating for spouses and for the children when Mom and Dad forget
who they are. And for the patient, forgetting and losing reality in
their world is probably one of the most frustrating things," he
said. "The disease disorients them to time and place. They may
be living in 2001, but they feel like they are living in 1950 and
looking for the house they grew up in, for example."
[to top of second column in this
article]
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Ten
warning signs of
Alzheimer’s disease
(source:
Alzheimer’s Association)
*Recent
memory loss that affects job
*Difficulty
performing familiar tasks
*Problems
with language — forgetting simple words or substituting
inappropriate words.
*Disorientation
of time and place
*Poor
or decreased judgment
*Problems
with abstract
*Misplacing
things
*Changes
in mood or behavior
*Changes
in personality
*Loss
of initiative |
The
association is the only national voluntary organization dedicated to
conquering Alzheimer’s disease through research and providing
information and support to people with the disease, their families
and caregivers. Founded in 1980 by family caregivers, the
association has more than 200 chapters nationwide and is the leading
funding source for Alzheimer research after the federal government.
The
local chapter focuses on education programs, support groups and
offering information to the public. Monthly meetings of a support
group at the Oasis in Lincoln were canceled recently, but two support groups meet
in Springfield: at
the Hope Presbyterian Church, 2211 Wabash Ave., and
at Westminster Presbyterian Church, located at Walnut and Edwards.
More information can be obtained by calling 1 (800) 823-1734 for
meeting times and dates.
Workshops,
seminars and conferences on Alzheimer's disease are also offered
throughout the year. The programs, designed to increase knowledge of
the disease, are appropriate for family and professional caregivers.
Program topics include research developments, caring for the
Alzheimer individual and coping strategies.
Dearing
said that during his 10 years working in the long-term care health
field, he developed a passion for working with Alzheimer’s
patients and their families to ensure they received a good quality
of life. He advises people who are diagnosed with the disease and
their family members to prepare for the future as soon as possible.
"After
the initial shock, people should find out as much as they can and
know what to expect, including legal issues. They need to be
proactive and need to be aware of their options later on in life.
From diagnosis, this disease can last from two to 20 years," he
said.
Matters
that should be addressed in the early stages of the disease are
legal issues, such as power of attorney, a will and health care
proxy; health care insurance; financial affairs, such as bank
accounts, stock certificates and mutual funds; and future housing
options.
While
it may seem premature to think about those issues in the early
stages of the disease, Dearing said matters that require judgment
and attention to detail is best done early, while the person with
the disease is able to make decisions.
Even
though Alzheimer’s is an incurable illness, there are important
interventions, including medical and behavioral treatments, that can
treat some of its symptoms. This is especially true if the disease
is diagnosed early.
If
a person suffers from several of the 10 warning signs, such as
disorientation, poor judgment and changes in personality, they are
advised to see a physician. Not everyone with Alzheimer’s disease
has all of the warning signs, and not all signs have to occur for
the disease to be present. Experts advise contacting a health care
professional for an evaluation if you have concerns or show several
of the warning signs.
Most
people with Alzheimer’s live about eight to 10 years after
symptoms appear, but life expectancy varies widely.
The
three most common stages of the disease are mild, moderate and
severe.
The
first, or mild stage, usually lasts two to four years. People in
this phase may say the same thing over and over, get lost easily and
undergo personality changes, among other symptoms.
The
moderate stage of the disease is often the one that last the
longest, from two to 10 years. People in this phase may become more
confused about recent events, believe things are real when they aren’t,
require close supervision, pace, argue more often and have problems
with simple daily activities.
The
final stage of the disease, which lasts from one to three years,
requires constant care, 24 hours a day. Those in the final stage may
not use or understand words, recognize family members or care for
themselves.
Additional information on the disease is
available at the Greater Illinois Springfield office at (217)
726-5184 or this website:
www.alzheimers-illinois.org
[Penny
Zimmerman-Wills]
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SAMHSA’s
Center for Substance Abuse Prevention has joined forces with
Logan-Mason Mental Health to respond to this alarming trend in drug
use. Logan-Mason Mental Health is a local organization that is
dedicated to prevention efforts. Alcohol, tobacco and other drug
abuse prevention programs are accessible to every seventh- and
eighth-grader in Logan County through Logan-Mason Mental Health’s
prevention specialist. Through its efforts, the local organization
is fighting to prevent a continued increase in marijuana use among
the young people in Lincoln and Logan County.
There
are numerous misconceptions about marijuana, which lead many teens
and preteens, and some parents, to believe it is harmless — even
though marijuana is an illegal drug, and using it can bring serious
consequences. Consider the following facts:
•
Marijuana use increases risk of injury. Marijuana or hashish-related
emergency room visits increased by 17 percent between 1994 and 1996,
and increased 219 percent since 1990.
•
Marijuana is often used in combination with other illegal and
dangerous drugs, such as PCP and crack cocaine, and its use
increases the risk of involvement in other criminal activities.
[to top of second column in this
article]
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•
In 1995, more than 120,000 people who entered drug treatment
programs reported marijuana as their primary drug of abuse.
•
Marijuana use causes a loss of inhibitions, which can lead to
behaviors that have lifelong negative consequences.
"It
is vital that we educate the young people in our community about the
dangers of marijuana use," said Kristi Simpson, prevention
specialist for Logan-Mason Mental Health. "Many teens and
preteens think marijuana is cool — use is on the rise even for
12-year-olds. We must fight the glamorization of marijuana by arming
our kids with the facts."
Simpson
goes into all the Logan County public schools presenting programs on
life skills to seventh-graders and the truth about drugs to
eighth-graders.
To
receive free, valuable information about marijuana and other illicit
drugs, contact the National Clearinghouse for Alcohol and Drug
Information, 1 (800) 729-6686 or TTY 1 (800) 487-4889, or visit http://www.health.org/reality.
For
more information about substance abuse prevention efforts in Lincoln
and Logan County, call Kristi Simpson of Logan-Mason Mental Health
at (217) 735-2272.
[Logan-Mason
Mental Health news release]
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The
flu
and pneumonia shots will be available at the Health Department, 109
Third St., on a walk-in basis during normal business hours, 7:30
a.m. to 4:30 p.m. Monday through Friday, and on the Mobile Medical
Van at regular scheduled times of operation. Both facilities are
closed on Monday, Oct. 8, and Monday, Nov. 12.
The
cost for flu shots is $14, and pneumonia shots are $17. Medicare
will pay for flu and pneumonia shots; clients must bring their
Medicare card to the clinics with them. Medicaid will also pay for
flu shots; clients must bring their Medicaid card with them.
People
at high risk should get the flu shot as soon as the vaccine is
available. Those at high risk include:
•
People 65 years of age or older.
•
People with serious long-term health problems.
•
People with immune system problems.
•
Women who will be in second or third trimester of pregnancy during
flu season.
•
Children receiving long-term aspirin therapy.
•
Employees of nursing homes or other chronic care facilities.
•
Health-care workers or anyone coming in close contact with people at
risk of serious influenza.
[to top of second column in this
article]
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Everyone
else should wait until November for flu shots.
October and November are the optimal months for receiving flu
vaccination. Centers for Disease Control recommends, however, that
vaccination continues into December, January and beyond — as long
as vaccine is available.
Flu
clinics on Monday, Oct. 22, and Monday, Oct. 29, from 8 to 11:30
a.m. are recommended for women only, as Logan County Health
Department will also offer free osteoporosis screenings and breast
cancer awareness information, along with flu shots. Women over 50
years of age are encouraged to get the free bone density screening
as well as educational materials. The bone density screenings will
be done by radiology technicians at Abraham Lincoln Memorial
Hospital. The screenings are funded by the Illinois Department of
Public Health, Office of Women’s Health. No other Health
Department services will be available during these times except WIC.
For
more information, contact Logan County Health Department at (217)
735-2317.
[News release]
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How
should you look for breast cancer? There are several early detection
methods:
Mammogram
or X-ray — A
mammogram is a special breast X-ray that can detect 90 percent of
cancers — even before a lump can be felt. The American Cancer
Society recommends that women have annual mammograms beginning at
age 40.
Clinical
examination —
Women should have their breasts checked by a health professional
once each year. It is important to remember that most lumps found in
the breast are not cancerous. However, any lump needs to be checked
by a doctor as soon as it is found. Again, breast cancer can be
treated best when it is diagnosed as early as possible.
Breast
Self-Examination —
Beginning at age 20, all women should check their breasts monthly.
Look for:
•
Any lump or thickening in the breasts.
•
Any change in skin texture or in breast size or shape, or a nipple
discharge (fluid coming from the nipple).
The
National Cancer Institute recommends that women follow these steps
in doing monthly breast self-examinations:
1.
Stand in front of a mirror that is large enough for you to see your
breast clearly. Check each breast for anything unusual.
2.
Watching closely in the mirror, clasp your hands behind your head
and press your hands forward.
3.
Next, press your hands firmly on your hips and bend slightly toward
the mirror as you pull your shoulders and elbows forward.
4.
Gently squeeze each nipple and look for a discharge.
5.
Raise one arm. Use the pads of the three middle fingers of your
other hand to check the breast and the surrounding area firmly,
carefully and thoroughly. Some women like to use lotion or power to
help their fingers glide easily over the skin. Or complete this step
in the shower when your skin is soapy. Concentrate on feeling for
any unusual lump or mass under the skin.
[to top of second column in
this article]
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Feel
the tissue by pressing your fingers in small overlapping areas about
the size of dime. Make sure to change the amount of pressure to feel
all levels of breast tissue. To be sure you cover your whole breast,
take your time and follow a definite pattern: lines, circles or
dividing the breast into "wedges."
6.
It is important to repeat Step 5 while you are lying down. Lie flat
on your back, with one arm over your head and pillow or folded towel
under the opposite shoulder. This position flattens the breast and
makes it easier to check. Check each breast and the area around it
very carefully using one of the patterns described above.
The
Illinois Breast and Cervical Cancer Program is currently offered
through the Logan County Health Department and covers the following
counties: Sangamon, Macon, Morgan, Cass, Piatt, DeWitt, Mason,
Menard, Logan and Shelby counties. Breast and cervical screening
services are provided to eligible Illinois women. Eligible women may
receive:
•
Information about breast and cervical cancer.
•
No-cost screening services, including mammograms, clinical breast
examinations and Pap smears by health-care professionals in their
area of residence.
•
Instructions on how to do a breast self-examination at home.
•
Referrals for follow-up medical attention if abnormal test results
are received.
•
Reminders to return for annual screenings.
Screening
services are provided to Illinois women who meet federal income
guidelines. To find out if you are eligible, call (800) 269-4019 or
call the Logan County Health Department at (217) 735-2317.
[News
release]
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