123 Flash Chat > Chat Rooms > Alzheimers - Specialty Chats > Message History
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2017-07-23 07:07:11 AM cchase enter the chat room
2017-07-23 07:07:33 AM cchase left the chat room
2017-07-24 01:27:17 PM courtneyr2009 enter the chat room
2017-07-24 01:27:30 PM courtneyr2009 left the chat room
2017-07-24 06:20:40 PM jcking enter the chat room
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2017-07-24 06:54:56 PM josieh enter the chat room
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2017-07-25 01:52:58 PM maria7293 enter the chat room
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2017-08-02 05:27:45 PM ashxeve enter the chat room
2017-08-02 05:39:04 PM kbertocci enter the chat room
2017-08-02 05:39:22 PM kbertocci Hello :)
2017-08-02 05:39:41 PM ashxeve Hello! Ashley here.
2017-08-02 05:40:01 PM kbertocci Are you here for the specialty live chat at 8?
2017-08-02 05:41:41 PM ashxeve left the chat room
2017-08-02 05:41:41 PM ashxeve enter the chat room
2017-08-02 05:55:34 PM cchase enter the chat room
2017-08-02 05:56:00 PM cchase hello there folks!
2017-08-02 05:57:04 PM cchase left the chat room
2017-08-02 05:57:31 PM cchase enter the chat room
2017-08-02 05:57:47 PM cchase hello all
2017-08-02 05:57:57 PM kbertocci hello! :)
2017-08-02 05:58:14 PM cchase how are you two doing?
2017-08-02 05:58:27 PM rcgarcia73 enter the chat room
2017-08-02 05:58:40 PM kbertocci I am well. Just switching over from completing some Master's Course homework. How are you?
2017-08-02 05:58:44 PM rcgarcia73 hi all
2017-08-02 05:59:42 PM cchase welcome to extra credit chat
2017-08-02 06:00:40 PM ashxeve Hi, I am doing great! Looking forward to the first chat
2017-08-02 06:00:43 PM cchase you all ready??
2017-08-02 06:00:51 PM rcgarcia73 hit Chase
2017-08-02 06:00:55 PM rcgarcia73 hit it
2017-08-02 06:01:06 PM cchase well ash -first chat! welcome
2017-08-02 06:01:16 PM ashxeve Yes, thank you!!!
2017-08-02 06:01:18 PM kbertocci Ready! This is the last assignment for my part II. I do not "need" it, however, thought it would be of some benefit to attend :)
2017-08-02 06:01:23 PM cchase topic is alzheimer's /dementia
2017-08-02 06:01:51 PM cchase first I ask students to provide name and class currently enrolled in please
2017-08-02 06:02:06 PM kbertocci Keana Bertocci -- MEPAP II -- Own Pace
2017-08-02 06:02:12 PM rcgarcia73 Robert MEPAP1-060617
2017-08-02 06:03:19 PM cchase ash can you give us what class your in and your name?
2017-08-02 06:03:52 PM ashxeve Ashley Johnson MEPAP II
2017-08-02 06:04:34 PM ashxeve 080117
2017-08-02 06:04:44 PM cchase okay - Robert - I remember you from last class. what can you share with others r/t what you learned about Alzheimer's?
2017-08-02 06:05:12 PM rcgarcia73 that its the disease and dementia is the symptom
2017-08-02 06:05:21 PM rcgarcia73 or did i get that backwards
2017-08-02 06:05:50 PM cchase good - alz's is the disease and dementia is one of the many symptoms r/t it
2017-08-02 06:06:13 PM cchase dementia can also be r/t other diseases...anyone know?
2017-08-02 06:06:35 PM rcgarcia73 mmm no
2017-08-02 06:06:59 PM ashxeve what does the "r/t" stand for?.....
2017-08-02 06:07:05 PM rcgarcia73 if we covered that, i dont remember but please what other diseases?
2017-08-02 06:07:07 PM cchase related to - sorry
2017-08-02 06:07:40 PM kbertocci Great to know! I just completed a continuing education course on this but nothing about it being the "symptom". Dementia can be combined to almost any other disease. I am in a skilled nursing facility and dementia seems to be the lesser of all of their diagnoses
2017-08-02 06:08:03 PM cchase many think of Alz's when they hear dementia but other diseases and problems can cause dementia
2017-08-02 06:08:17 PM ashxeve That was a good detail I had yet to cover.
2017-08-02 06:08:22 PM ashxeve Stroke?
2017-08-02 06:08:24 PM kbertocci Parkinsons is very commonly related
2017-08-02 06:08:27 PM rcgarcia73 so dimentia is not cause by Alz?
2017-08-02 06:08:34 PM cchase yes - keep going
2017-08-02 06:08:58 PM kimberly1 enter the chat room
2017-08-02 06:09:06 PM kbertocci Huntington's, CJD
2017-08-02 06:09:12 PM cchase Alzheimer's comes first then as it progresses causing other problems like demenita
2017-08-02 06:09:31 PM ashxeve I see.
2017-08-02 06:09:34 PM rcgarcia73 ok that sounds familiar, thanks
2017-08-02 06:09:36 PM cchase welcome ki,
2017-08-02 06:09:42 PM cchase kim
2017-08-02 06:09:51 PM kimberly1 Hello all1
2017-08-02 06:10:10 PM kimberly1 topic is alzheimers?
2017-08-02 06:10:22 PM ashxeve Depression?
2017-08-02 06:10:28 PM rcgarcia73 Alz
2017-08-02 06:10:50 PM cchase well - those with alz's are prone to depression
2017-08-02 06:10:51 PM rcgarcia73 AND IT CAUSES DIMENTIA,sorry didnt mean to ave caps on
2017-08-02 06:11:17 PM cchase Lewy body is related to causing dementia
2017-08-02 06:11:23 PM cchase parkinson's
2017-08-02 06:11:30 PM jackieb92 enter the chat room
2017-08-02 06:11:40 PM ashxeve CJD?
2017-08-02 06:11:44 PM jackieb92 hi everyone sorry im late!
2017-08-02 06:11:48 PM rcgarcia73 parkinsons wow didnt know that
2017-08-02 06:11:57 PM cchase it is also cause by medication mismanangement
2017-08-02 06:11:59 PM rcgarcia73 what is LEwy body?
2017-08-02 06:12:01 PM cchase welcome jackie
2017-08-02 06:12:02 PM kimberly1 yes
2017-08-02 06:12:08 PM kbertocci 40% of individuals with Alzheimers also suffer from depression
2017-08-02 06:12:17 PM rcgarcia73 opiods or other meds chase?
2017-08-02 06:12:28 PM ashxeve With the medication mismanagement, is it then considered a "side effect"?
2017-08-02 06:12:37 PM cchase Lewy bodies are abnormal clumps of protein that have been found in the brains of people with Lewy body dementia
2017-08-02 06:12:58 PM rcgarcia73 ok didnt know that,
2017-08-02 06:13:18 PM cchase possible misuse of meds... related to (r/t) how meds mix
2017-08-02 06:13:28 PM kbertocci Interesting
2017-08-02 06:13:52 PM cchase medication mis management speaks to how meds mix..adverse affects
2017-08-02 06:13:52 PM rcgarcia73 like mixing of high blood preassure with other meds
2017-08-02 06:14:08 PM cchase yes - in a way that is correct Robert
2017-08-02 06:14:49 PM kbertocci Are there any specific med combinations that increase the memory loss?
2017-08-02 06:14:54 PM cchase there is also vascular dementia
2017-08-02 06:15:19 PM jackieb92 that has to do with strokes right?
2017-08-02 06:15:20 PM cchase frontotemporal dementia (includes Pick's disease)
2017-08-02 06:15:22 PM ashxeve I was curious of the differences. Frontotemporal Dementia is another one that I have seen.
2017-08-02 06:15:53 PM jackieb92 a wife of one of my residents is diagnosed with frontotemporal dementia
2017-08-02 06:16:00 PM kimberly1 Nutrition is an essential part of being proactive. The right food choices play a big part in how we treat these diseases.
2017-08-02 06:16:08 PM jackieb92 he was just talking tome about it today
2017-08-02 06:16:08 PM cchase I would ask you to look them up to learn about them.... you will remember better that way
2017-08-02 06:17:25 PM kbertocci Is dementia considered more severe as it comes later?
2017-08-02 06:17:30 PM cchase so now we know that dementia can occur with other diseases.... also can occur when you abuse alcohol
2017-08-02 06:17:53 PM ashxeve Wow, I did not know that alcohol could come into play. Neat.
2017-08-02 06:18:01 PM rcgarcia73 along with your liver? not your mind goes too
2017-08-02 06:18:06 PM cchase but that dementia can be reversable
2017-08-02 06:18:25 PM kimberly1 Yes I have a client who hahs alcohol induced dementia.
2017-08-02 06:18:25 PM cchase so can meds mix related dementia when meds are corrected
2017-08-02 06:18:34 PM rcgarcia73 i was under the impression dementia was not cureable
2017-08-02 06:19:01 PM cchase dementia related to alcohol and med mgmt. may potentially be reversed
2017-08-02 06:19:06 PM cchase but not always
2017-08-02 06:19:34 PM cchase dementia r/t (related to) Alzheimer's and parkinson, pick's are not reversible
2017-08-02 06:19:50 PM kimberly1 The sad thing is some of these clients are you in the 50's.
2017-08-02 06:19:52 PM jackieb92 do you mean if you catch it soon enough it might be reversed? like if an alcoholic stops drinking alcohol?
2017-08-02 06:20:18 PM kbertocci Definitely good to know in our facility. We have several individuals who have abuse alcohol in the past and are suffering from dementia.
2017-08-02 06:21:06 PM cchase particularly alcohol related might be reversed if they get medical attention
2017-08-02 06:21:18 PM cchase head injuries also cause dementia
2017-08-02 06:21:45 PM cchase right not there is alot of chatter going on about how Football related injuries cause dementia
2017-08-02 06:21:46 PM kimberly1 I have a client who has a brain injury.
2017-08-02 06:21:47 PM ashxeve I see the head injuries affect in personal injury everyday.
2017-08-02 06:22:14 PM rcgarcia73 boxing also, i guess
2017-08-02 06:22:50 PM rcgarcia73 AND soccer
2017-08-02 06:22:52 PM kimberly1 yes. this guy does not remember 5 minutes ago but remembers 20 years ago.
2017-08-02 06:22:59 PM cchase there is also reversible dementia related to vitamin B12 deficiency
2017-08-02 06:23:12 PM ashxeve We have a client that abused alcohol prior to her injury and is significantly worse in comparision to a client with similar injuries and even being 10 years younger. Now that you have touched on alcohol abuse that makes sense.
2017-08-02 06:23:57 PM cchase lots more about dementia - pls take a minute to check web to learn more
2017-08-02 06:24:11 PM cchase now for Alzheimer's
2017-08-02 06:24:20 PM rcgarcia73 ok
2017-08-02 06:24:34 PM cchase who know how long it is active in the brain before it is noticed??
2017-08-02 06:24:54 PM rcgarcia73 years?
2017-08-02 06:25:06 PM cchase yes years...how many?
2017-08-02 06:25:20 PM rcgarcia73 id say about 10 yrs ?
2017-08-02 06:25:37 PM kbertocci Could it also be another form of memory loss rather than a sports related injury? I have heard about this topic, but have not heard many scenarios that it pertains to dementia due to the age range of the indivdiuals. This link explains studies on sports related injuries and a later development of dementia. https://www.theguardian.com/sport/2017/feb/15/footballers-could-be-at-risk-of-dementia-from-blows-to-the-head-study-suggests
2017-08-02 06:25:49 PM cchase good Robert. 10 to 15 years is the current belief
2017-08-02 06:25:54 PM jackieb92 i say 15
2017-08-02 06:25:56 PM kimberly1 Preventing for Alzheimers was a CEU class offered by University of Tazmania if anyone is interested. They continue to offer classes.
2017-08-02 06:26:09 PM jackieb92 oops didnt mean to put that after you lol
2017-08-02 06:26:14 PM rcgarcia73 so how can we detect it if we dont see it until then?
2017-08-02 06:26:16 PM ashxeve Wow, that is a great amount of time to go un-noticed.
2017-08-02 06:26:51 PM rcgarcia73 is there a test we can do sooner? to dertemine if we will develop ALZ ?
2017-08-02 06:27:05 PM cchase we all forget things momentarily then remember is later...
2017-08-02 06:27:21 PM cchase but with this disease the recall does not happen
2017-08-02 06:27:28 PM carl3815 enter the chat room
2017-08-02 06:27:38 PM rcgarcia73 yeah, happens to me often but Alz doesnt run in my fam
2017-08-02 06:27:41 PM cchase at first the individual know something is off and hides it
2017-08-02 06:28:00 PM kbertocci is Alz genetic?
2017-08-02 06:28:07 PM ashxeve So this is noticable even by the patient themselves?
2017-08-02 06:28:24 PM jackieb92 i have a patient that cries because she feels like she is going crazy its so sad
2017-08-02 06:28:29 PM cchase to some degree - yes... it is genetic
2017-08-02 06:28:39 PM rcgarcia73 acceptance is usually the cuase for late diagnosys
2017-08-02 06:28:53 PM cchase if a family member had it you are at higher risk to have it but it is not an absolute
2017-08-02 06:29:28 PM cchase at some point in the beginning they know it but don't want others to know
2017-08-02 06:29:33 PM kbertocci Interesting
2017-08-02 06:29:49 PM ashxeve It surrounds me in both directions of my family. But, I already admit to others that I am a lost goose most days lol
2017-08-02 06:30:24 PM ashxeve That is great to know. I am sure body language and emtions could send a signal to others to notice. If one pays great attention.
2017-08-02 06:30:24 PM cchase it is not absolute that you will have it but just means you are more at risk
2017-08-02 06:30:41 PM cchase hello carl
2017-08-02 06:30:49 PM cchase are you joining us?
2017-08-02 06:31:08 PM cchase topic is Alzheimer's - this chat started at 8
2017-08-02 06:31:42 PM jackieb92 is that why some residents get angry because they are scared
2017-08-02 06:31:50 PM carl3815 Hi. I am joining in. Catching up on what is posted. Alz is not my friend. Father passed away about 5 years ago. Horrible disease.
2017-08-02 06:31:51 PM cchase the only way to diagnose this disease it by autopsy
2017-08-02 06:32:26 PM jackieb92 sorry to hear that
2017-08-02 06:32:32 PM cchase yes - jackie could very well be possible that they are angry for that reason but also
2017-08-02 06:32:37 PM carl3815 Thanks jackie
2017-08-02 06:32:39 PM cchase sorry to hear that Carl
2017-08-02 06:32:42 PM ashxeve Oh gosh, we have to be able to do more. Hopefully in the years to come technology will get us there.
2017-08-02 06:33:02 PM cchase they can become angry because they cannot verbalize what they want to communicate
2017-08-02 06:33:04 PM carl3815 thank you. I am his daughter, Carla lol but use his name with a lot of things.
2017-08-02 06:33:13 PM cchase cannot express their emotions
2017-08-02 06:33:28 PM jackieb92 that makes sense really makes you think thats for sure
2017-08-02 06:33:31 PM rcgarcia73 how difficult
2017-08-02 06:34:39 PM kbertocci We have several residents who cry out because they cannot verbally communicate, remember things from the past, or express current needs. They are afraid of the world around them. It is even worse when an indivdiual is trying to calm them and they do not understand/are unable to hear
2017-08-02 06:35:16 PM cchase yes- this is so so important to remember when you are working with this population
2017-08-02 06:35:26 PM kimberly1 It is frustrating for them
2017-08-02 06:35:28 PM ashxeve I will surely use this information and research to better educate and help other's especially staff on that unit to understand why they may react the way they do. I love passing out informational flyers.
2017-08-02 06:35:33 PM cchase they can be angry because they cannot communicate how they feel
2017-08-02 06:35:56 PM cchase never try to agrue with them - you will loose
2017-08-02 06:36:01 PM ashxeve Are there techniques you use to better help the resident communicate?
2017-08-02 06:36:02 PM jackieb92 i see them on both sides when they first come to us they arnt that progressed yet and then over the years they are with us it progresses and its so sad
2017-08-02 06:36:04 PM cchase you will get them more upset
2017-08-02 06:36:15 PM carl3815 I agree cchase. best attempt is to redirect
2017-08-02 06:36:17 PM cchase they will not relate to reason or explanations
2017-08-02 06:36:26 PM cchase yes - carla - redirect
2017-08-02 06:36:34 PM carl3815 and do not approach from behind
2017-08-02 06:36:44 PM ashxeve I have used the "redirect" with Autism patient's as well.
2017-08-02 06:36:47 PM rcgarcia73 redirecting is best for these types of situations
2017-08-02 06:36:51 PM cchase correct. never. never approach from the back
2017-08-02 06:37:09 PM cchase yes autism also the same
2017-08-02 06:37:18 PM kbertocci Our most successful attempt of calming is to hold their hand (if this is desired), smile, and nod to ensure that they are ok. We have several who benefit from this
2017-08-02 06:37:27 PM kimberly1 always aproach from the front
2017-08-02 06:37:32 PM carl3815 i also find that if they are not willing in the moment to give them 2 minutes they usually have a change of heart
2017-08-02 06:37:33 PM cchase so what is going on in the Alz brain?
2017-08-02 06:37:56 PM carl3815 caos, confussion, frustration, fear, sadness
2017-08-02 06:38:00 PM cchase approach from front at eye level
2017-08-02 06:38:12 PM cchase physically what is going on?
2017-08-02 06:38:26 PM rcgarcia73 dying brain cells?
2017-08-02 06:38:34 PM jackieb92 damaged brain cells?
2017-08-02 06:38:40 PM carl3815 I tell our care partners to meet the resident where they are at eye level if they are seated squat and talk to them don't tower of them
2017-08-02 06:38:42 PM ashxeve I could imagine confusion, lost, disoriented and then to be approached by other's and never know who anyone is... scared. Combative protective behavior?
2017-08-02 06:38:44 PM carl3815 over them
2017-08-02 06:38:46 PM cchase correct carla...that is a really good point...wait a minute - they may change
2017-08-02 06:39:11 PM cchase plaques and tangles develop
2017-08-02 06:39:25 PM rcgarcia73 like build up?
2017-08-02 06:39:26 PM cchase they prevent the synapse communications
2017-08-02 06:39:33 PM carl3815 with our residents we use a "different face approach" we send one and if they get a "no" we send the next until we get a yes
2017-08-02 06:39:47 PM cchase yes build up to prevent celll communication
2017-08-02 06:40:07 PM kbertocci Autism is a completely different topic. I am almost completw with my Master's degree in Psychology. Before my current position as an Activities Director, I was a Behavior Therapist at a Regional Autism Center in Affiliation with Cleveland Clinic Center for Autism. While it is a good idea not to approach them from behind, these individuals "leave their mind" for aggressive behaviors and do not know what is occurring nor can they control their actions. Alz knows that they cannot remember and that is why they may become aggressive (in some cases) or upset.
2017-08-02 06:40:13 PM cchase yes - carla...great technique very commonly used
2017-08-02 06:40:36 PM cchase when the cells cannot communicate all things go downhill
2017-08-02 06:40:43 PM ashxeve I see. I have noticed that there is never the same favorite. It changes day to day. As if the warmth of one's hand feels more secure than the other when approached.
2017-08-02 06:40:45 PM cchase words do not work
2017-08-02 06:40:52 PM cchase thoughts do not get formed
2017-08-02 06:41:00 PM cchase emotions are not understood
2017-08-02 06:41:09 PM jackieb92 which causes different emotions and actions with them
2017-08-02 06:41:15 PM cchase the body's organs forget how to work
2017-08-02 06:41:32 PM cchase eventually internal organs fail
2017-08-02 06:41:50 PM rcgarcia73 beaucse they are not recieveing the proper msgs form the brain to fucntion?
2017-08-02 06:42:00 PM cchase correct Robert
2017-08-02 06:42:09 PM rcgarcia73 internal organs fail even if they are healthy?
2017-08-02 06:42:27 PM kbertocci Has anyone found any (out of the ordinary) techniques to be successful in communication with this population?
2017-08-02 06:42:42 PM cchase so towards progressive the only thing that works is the simplist action - holding a hand - gental message - soft music
2017-08-02 06:43:15 PM cchase they are not healthy - because they are not getting what they need from the body to thrive
2017-08-02 06:43:23 PM carl3815 favorite snacks work too :)
2017-08-02 06:43:30 PM rcgarcia73 oh wow ok
2017-08-02 06:43:39 PM cchase yes --- so so sweet - favorite snack are good
2017-08-02 06:43:53 PM ashxeve Music has seemed to do a great number.
2017-08-02 06:43:58 PM cchase (F)
2017-08-02 06:44:26 PM cchase so with memories - what is short term memories
2017-08-02 06:44:33 PM cchase vs long term memories
2017-08-02 06:45:22 PM jackieb92 the things they learn first they remember longer, why residents remember their pasts compared to when a resident just learns a card game they dont remember
2017-08-02 06:45:29 PM carl3815 Long term is family childhood
2017-08-02 06:45:40 PM cchase good
2017-08-02 06:46:20 PM jackieb92 like when a resident thinks their spouces are still alive, if they still have homes outside of our AL , and no matter what we never tell them the truth ... we just make something up that wont upset them
2017-08-02 06:46:21 PM cchase what happens is memories created before the disease onset are preserved longer than those experienced after the disease is active
2017-08-02 06:46:46 PM cchase because the plaques and tangles prevent the memories from being stored in the brain
2017-08-02 06:47:00 PM cchase example:
2017-08-02 06:47:31 PM cchase think of your computer is how you label a file when you create it and save it to a special location to find it later
2017-08-02 06:47:32 PM kbertocci Breaks my heart when indivdiuals have been told and reassured that their loved one has passed away many years ago, however, must be told on a regular basis. It is like they are being told for the first time, once again
2017-08-02 06:47:32 PM carl3815 I have a resident that doesn't remember her parents died and she is 89
2017-08-02 06:48:10 PM cchase with this disease you cannot call up the file or memory because you cannot access where it was saved
2017-08-02 06:48:36 PM cchase never, never tell them that their loved one has passed
2017-08-02 06:48:38 PM ashxeve So is the memory affected depending on what lobe of the brain is affected?
2017-08-02 06:48:58 PM kimberly1 left the chat room
2017-08-02 06:49:12 PM cchase typically the affected area relates to memory as first target area
2017-08-02 06:49:25 PM cchase for the disease
2017-08-02 06:49:27 PM kbertocci The family has requested that she is told every morning -- her POA and the facility respects their wishes. She is long term care
2017-08-02 06:50:14 PM rcgarcia73 facinating how this disease targets memory first, as if it were design to do so
2017-08-02 06:50:39 PM cchase It is so wrong and cruel to use reality orientation...telling them the truth
2017-08-02 06:50:53 PM cchase that was used years ago and it backfired big time
2017-08-02 06:51:08 PM carl3815 i agree because with ALZ there is no reality
2017-08-02 06:51:32 PM jackieb92 it just makes them more upset when you try to bring them to our reality
2017-08-02 06:51:39 PM carl3815 there is literally only their perception
2017-08-02 06:51:52 PM carl3815 that is why redirecting is so important
2017-08-02 06:51:55 PM cchase we step into their world - they do not step into ours
2017-08-02 06:52:23 PM cchase yes carla correct... it is mean to make them relieve grief
2017-08-02 06:53:04 PM cchase but always remember that they are adults NOT CHILDREN
2017-08-02 06:53:12 PM carl3815 it is horrifying to see them relive that death over and over again.
2017-08-02 06:53:12 PM ashxeve We had a lady that worked at the Post Office in the same town of the home for 60 years and she could recall addresses like it was nothing yet could not remeber who she was or anyone around her.
2017-08-02 06:53:27 PM cchase do not speak to them like children not matter how close to children that they may act
2017-08-02 06:53:33 PM kbertocci That is something that we had a training on in our facility. Individuals were treating them as if they were 5 years old
2017-08-02 06:53:50 PM cchase they know they are adults
2017-08-02 06:54:08 PM cchase do not raise your voice loud to speak to them
2017-08-02 06:54:25 PM cchase that can be considered confrontational
2017-08-02 06:54:31 PM cchase scary
2017-08-02 06:55:04 PM carl3815 even if they are hard of hearing. come close to them and speak to them on the side they hear best it makes a huge difference in their attitude
2017-08-02 06:55:16 PM ashxeve I have learned that mono tones do best.
2017-08-02 06:55:34 PM cchase yes carla - that is so easily forgotten
2017-08-02 06:55:49 PM jackieb92 they think your yelling at them when you speak loudly to them
2017-08-02 06:55:50 PM cchase your body language communicates best
2017-08-02 06:56:06 PM cchase how you hold your arms and your facial expression
2017-08-02 06:56:30 PM ashxeve The CNA's are always helpful in informing us which side to approach so they are not startled and can hear us.
2017-08-02 06:56:31 PM carl3815 palms up to receive them is always best
2017-08-02 06:57:04 PM ashxeve Palms up, noted.
2017-08-02 06:57:35 PM kbertocci Definitely. Several of ours have a "better" ear and side from approach from. It has been noted in their Care Plans to provide better communication
2017-08-02 06:57:55 PM rcgarcia73 i have learned a lot more this time chase than the last time
2017-08-02 06:58:18 PM ashxeve I have taken lots of notes. Thank you all for the great insight.
2017-08-02 06:58:23 PM cchase terrific - the more you hear over and over the more you learn
2017-08-02 06:58:25 PM rcgarcia73 i will deff do more research on Alz and dementia
2017-08-02 06:58:33 PM cchase any last minute question
2017-08-02 06:58:38 PM kbertocci Thank you everyone for a great chat!
2017-08-02 06:58:46 PM jackieb92 no questions from me this chat was informative!
2017-08-02 06:59:00 PM ashxeve Is there anything we need to do in order to recieve credit for this chat?
2017-08-02 06:59:07 PM rcgarcia73 chase do we know the origin of Alz?
2017-08-02 06:59:11 PM cchase super - have a wonderful week - ty for attending this chat....
2017-08-02 06:59:22 PM jackieb92 left the chat room
2017-08-02 06:59:29 PM kbertocci Thank you for hosting. Have a great night everyone!
2017-08-02 06:59:46 PM cchase I saw a program pin pointing some place in distanct europe
2017-08-02 07:00:01 PM cchase as a place with the highest number of Alz population
2017-08-02 07:00:13 PM cchase not sure if they know why
2017-08-02 07:00:21 PM rcgarcia73 any particular race immune ?
2017-08-02 07:00:23 PM cchase no one really knows
2017-08-02 07:00:26 PM rcgarcia73 or at a igher risk?
2017-08-02 07:00:44 PM cchase african americans are at higher risk
2017-08-02 07:01:03 PM rcgarcia73 ok thanks Chase, have a good night
2017-08-02 07:01:11 PM ashxeve Thanks for the chat, have a great night.
2017-08-02 07:01:12 PM cchase no one is immune that I have heard of
2017-08-02 07:01:20 PM ashxeve left the chat room
2017-08-02 07:01:21 PM cchase take care all
2017-08-02 07:01:25 PM rcgarcia73 night
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2017-08-02 07:01:31 PM cchase (})
2017-08-02 07:02:22 PM kbertocci left the chat room
2017-08-02 07:02:54 PM cchase left the chat room
2017-08-02 07:09:09 PM carl3815 good night
2017-08-02 07:10:29 PM carl3815 left the chat room
2017-08-07 04:55:57 PM nikiawyche enter the chat room
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2017-08-07 05:35:06 PM anissa44 enter the chat room
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2017-08-07 06:15:46 PM valei5 enter the chat room
2017-08-07 06:16:28 PM valei5 good evening everyone hope im in the right chat room, soory im late just getting home from work
2017-08-07 06:31:02 PM valei5 left the chat room
2017-08-07 07:08:57 PM cynkarnes76 enter the chat room

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