123 Flash Chat > Chat Rooms > Specialty Live Chats > Message History
DateTimeFromToMessage
2018-05-02 06:34:01 PM michellelheldt it seems that is the first to go cause they can remember long ago but not if they had breakfast
2018-05-02 06:34:25 PM cchase we will discuss long ago as well...
2018-05-02 06:34:36 PM tonjaboyd I see that alot as well
2018-05-02 06:34:47 PM cchase chunking means tha you break up the steps for those with short term memories
2018-05-02 06:35:00 PM delanie02 can you give an example Chase?
2018-05-02 06:35:08 PM vrandle oh okay
2018-05-02 06:35:11 PM cchase so you say - open the cabinet door - take the coffee cup - put the cup on the counter
2018-05-02 06:35:28 PM cchase make sense??
2018-05-02 06:35:35 PM vrandle yes
2018-05-02 06:35:39 PM delanie02 Yes
2018-05-02 06:35:39 PM priscillad yes
2018-05-02 06:35:41 PM michellelheldt yes
2018-05-02 06:35:45 PM cchase that's chunking
2018-05-02 06:35:45 PM tonjaboyd Yes
2018-05-02 06:36:01 PM cchase ok so now what about long term memories
2018-05-02 06:36:15 PM delanie02 They remember those better.
2018-05-02 06:36:23 PM michellelheldt they sure do
2018-05-02 06:36:24 PM cchase yes
2018-05-02 06:36:24 PM priscillad memories of childhood or a year ago
2018-05-02 06:36:29 PM cchase why??
2018-05-02 06:36:37 PM delanie02 From about age 20-30 seems to be most vivid
2018-05-02 06:36:44 PM delanie02 But not sure why
2018-05-02 06:36:47 PM olivcar Much better- so much so that they are sometimes living that memory
2018-05-02 06:36:49 PM asantana childhood or memories growing up
2018-05-02 06:37:00 PM priscillad they revert back
2018-05-02 06:37:12 PM tonjaboyd Memories of growing up and all about the life they had
2018-05-02 06:37:12 PM cchase I like to explain it this way
2018-05-02 06:37:13 PM olivcar Exactly priscillad
2018-05-02 06:37:31 PM vrandle okay
2018-05-02 06:37:31 PM olivcar That's why it's so important to have and know their life stories
2018-05-02 06:37:39 PM elizabethrahe they are what are most important to you.
2018-05-02 06:37:41 PM priscillad so true chase
2018-05-02 06:37:44 PM delanie02 Yes true
2018-05-02 06:37:45 PM cchase the brain has been attacked by plaques & tangles for years
2018-05-02 06:37:53 PM cchase right?
2018-05-02 06:37:56 PM delanie02 yes
2018-05-02 06:37:57 PM priscillad so true oliver
2018-05-02 06:38:07 PM priscillad yes
2018-05-02 06:38:09 PM vrandle right
2018-05-02 06:38:12 PM tonjaboyd That's true
2018-05-02 06:38:13 PM michellelheldt yes
2018-05-02 06:38:24 PM cchase let's compare to a word file you just created and want to save it for later
2018-05-02 06:38:35 PM priscillad ok
2018-05-02 06:38:49 PM michellelheldt ok
2018-05-02 06:38:51 PM cchase you make the doc. give it a name then file it with a tag you will recall later
2018-05-02 06:38:52 PM tonjaboyd ok
2018-05-02 06:39:09 PM michellelheldt ok
2018-05-02 06:39:10 PM priscillad yes, true
2018-05-02 06:39:18 PM cchase but then something gets corrupt and you can not get that file
2018-05-02 06:39:28 PM cchase the computer will not find it
2018-05-02 06:39:40 PM priscillad ok
2018-05-02 06:39:47 PM vrandle frustrating
2018-05-02 06:39:50 PM cchase the disease progression is like that
2018-05-02 06:40:01 PM cchase we store memories before the onset of
2018-05-02 06:40:07 PM cchase Alzheimer's
2018-05-02 06:40:24 PM cchase and we can recall them up to a point
2018-05-02 06:40:29 PM delanie02 and those are protected a bit more?
2018-05-02 06:40:39 PM priscillad I like that explaination.
2018-05-02 06:40:49 PM cchase they are long term memories and were stored before the disease progressed
2018-05-02 06:41:05 PM priscillad thats easier for me to expain it to the nursing staff
2018-05-02 06:41:10 PM cchase but as it continues at some point you cannot store any more memories
2018-05-02 06:41:13 PM michellelheldt i also like that explaination]
2018-05-02 06:41:26 PM tonjaboyd so do I
2018-05-02 06:41:27 PM cchase that is now short term memories
2018-05-02 06:41:32 PM cchase :)
2018-05-02 06:41:42 PM olivcar It's a fantastic explanation!
2018-05-02 06:41:46 PM delanie02 (y)
2018-05-02 06:41:58 PM priscillad We have alot of new cnas and some just dont understand it in medical terms
2018-05-02 06:42:01 PM cchase glad it works for you to learn this as it is so so important to understand so you do not get fustrated with them
2018-05-02 06:42:12 PM cchase they just cannot file anything to recall
2018-05-02 06:43:08 PM michellelheldt what a terrible desiase
2018-05-02 06:43:11 PM priscillad and it takes alot of patience to work with those residents as well
2018-05-02 06:43:16 PM cchase I do all the training and found this explanation to be the best in explaning it
2018-05-02 06:43:42 PM delanie02 I have a resident that forgets he eats and thinks he's starving ALL the time. Constantly looking for food in a state of panic. It's really that quick- 5 mins after lunch- for him to forget. But recalls his childhood no problem.
2018-05-02 06:43:44 PM tonjaboyd left the chat room
2018-05-02 06:43:51 PM cchase so all the while those nasty plaques & tangles keep building up in the brain
2018-05-02 06:44:14 PM tonjaboyd enter the chat room
2018-05-02 06:44:18 PM olivcar delanie- did he grow up poor/without food a lot of the time?
2018-05-02 06:44:21 PM cchase shrinking it... preventing communication - preventing memories from being stored
2018-05-02 06:44:30 PM tonjaboyd sorry about that
2018-05-02 06:44:37 PM elizabethrahe Is all dementia hereditary? other than the kind caused by drinking or drugs?
2018-05-02 06:44:40 PM cchase preventing the brain from telling us to breathe
2018-05-02 06:44:44 PM delanie02 No, wealthy man from a wealthy family. I also think it is an anxious behavior.
2018-05-02 06:44:50 PM vrandle very good explanation, really helps to understand
2018-05-02 06:45:23 PM cchase dementia is not exclusive to Alzheimer's
2018-05-02 06:45:37 PM cchase it is a symptom of other diseases as well
2018-05-02 06:45:48 PM olivcar That's interesting. I wonder if there's a small snack that can be provided- like an M&M when he asks. Or even having or helping him journal what he ate so he can refer back to it or can be shown that he ate recently
2018-05-02 06:45:49 PM elizabethrahe right there is lewie body, parkinsons, vascular
2018-05-02 06:46:01 PM tonjaboyd I have residents when you ask them a family members name they do not remember but when they see them they know their names
2018-05-02 06:46:02 PM cchase parkinsons, Lewy bodies, alcohol, medication mis management
2018-05-02 06:46:10 PM delanie02 infections
2018-05-02 06:46:34 PM cchase but some of those dementias can be cured as in alcohol, and medication mix
2018-05-02 06:46:50 PM cchase yes elizabeth good
2018-05-02 06:47:04 PM cchase yes infections can also cause dementia
2018-05-02 06:47:04 PM delanie02 How long from refraining from alcohol does it take for the dementia to go away??
2018-05-02 06:47:17 PM olivcar We've seen a lot of success with music therapy- it's brought up some names from our residents of people we've never heard them mention before. We have one lady now who mentions a man named Fred and for the life of us and the family we can't figure out who Fred is lol
2018-05-02 06:47:46 PM elizabethrahe i didn't think alcohol induced dementia could be reversed.
2018-05-02 06:47:46 PM asantana we have multiple patients that continue with confusion
2018-05-02 06:47:59 PM cchase I am not certain of how long but if caught in time it can be reversed...although I have seen long time alcoholics too far in to recover
2018-05-02 06:48:06 PM asantana from alcohol dementia
2018-05-02 06:48:17 PM elizabethrahe I know some infections like UTI can mimic symptoms of dementia but it isn't-
2018-05-02 06:48:26 PM cchase yes.. it can be reversed elizabeth. to some degree
2018-05-02 06:48:39 PM delanie02 I ask because we have a couple long term alcoholics and I always wonder if they will ever get better. They are so young
2018-05-02 06:48:48 PM michellelheldt we have 3 in our unit now from alcohol so sad
2018-05-02 06:49:15 PM tonjaboyd We have one
2018-05-02 06:49:15 PM cchase yes uti does cause related symptoms..great one elizabeth
2018-05-02 06:49:32 PM priscillad great in debt info....ive seen alot of alcohol induced dementia in patients alot lately in the last 8 years at our facility
2018-05-02 06:49:45 PM cchase some are just to far in to recover.
2018-05-02 06:49:56 PM delanie02 OK. sad but good to know.
2018-05-02 06:50:16 PM cchase football head injuries cause dementia
2018-05-02 06:50:25 PM asantana CTE
2018-05-02 06:50:27 PM cchase and other sports with head injuries
2018-05-02 06:50:32 PM cchase yes... CTE
2018-05-02 06:50:34 PM priscillad We once had a patient with alcohol induced dementia and she was just 45 years old....
2018-05-02 06:50:54 PM cchase so young priscilla...awful
2018-05-02 06:51:05 PM michellelheldt so sad
2018-05-02 06:51:30 PM priscillad Yes, It was hard to fathum myself....
2018-05-02 06:51:33 PM elizabethrahe The thing that i struggle with is working in a SNF that has a dementia unit- most with dementia have a POA and are not their own person but the state wants us to still give them the freedom that people who are their own persons have and that can get scary...
2018-05-02 06:51:38 PM cchase the more you know about how the disease process works the better you can be at planning activities for them
2018-05-02 06:52:01 PM vrandle thats true
2018-05-02 06:52:20 PM priscillad I agree...
2018-05-02 06:52:20 PM cchase yes - elizabeth - I have seen that as well
2018-05-02 06:52:37 PM tonjaboyd I also agree...
2018-05-02 06:52:51 PM cchase the court must step in and rule that the individual is no longer their own person in light of the disease
2018-05-02 06:53:03 PM michellelheldt the hardesst part is when they are all at different stages
2018-05-02 06:53:14 PM elizabethrahe which can be complicated with family dynamics..
2018-05-02 06:53:14 PM cchase a PCP needs to assist with that process by providing evidence of such
2018-05-02 06:53:33 PM delanie02 Yes- makes for difficult activity planning when you have to consider so many different stages
2018-05-02 06:53:50 PM cchase early onset Alzheimer's makes for a much faster progression of the disease
2018-05-02 06:53:52 PM priscillad so true michelle and delanie....
2018-05-02 06:54:01 PM cchase the early you have it the faster you decline
2018-05-02 06:54:05 PM asantana in our secure unit it is required that every patient have a guardian or next of kin availalbe to sign consents for treatment prior to admission
2018-05-02 06:54:23 PM cchase use the knowledge about emotions to plan activities
2018-05-02 06:54:28 PM tonjaboyd Wow I did not know that
2018-05-02 06:54:37 PM cchase that is the last thing they may still have
2018-05-02 06:54:40 PM vrandle really now that I didnt know
2018-05-02 06:55:22 PM cchase If you have Alzheimer's in the family you are at higher risk to have it but that is not absolute
2018-05-02 06:55:42 PM cchase family history increases your probability to have it
2018-05-02 06:55:44 PM michellelheldt why is that ? the early you have it the the faster you decline
2018-05-02 06:56:22 PM cchase medically speaking not sure....but it is common knowledge
2018-05-02 06:56:23 PM vrandle yes, why?
2018-05-02 06:56:38 PM delanie02 Interesting
2018-05-02 06:56:44 PM priscillad wow
2018-05-02 06:56:47 PM tonjaboyd I can see that
2018-05-02 06:56:49 PM cchase we had a young woman of 33 with it
2018-05-02 06:57:02 PM elizabethrahe I think earlies case recorded is 22?
2018-05-02 06:57:03 PM vrandle 33!
2018-05-02 06:57:08 PM cchase she passed by time she reached 40
2018-05-02 06:57:18 PM delanie02 So very sad
2018-05-02 06:57:18 PM cchase sorry 45
2018-05-02 06:57:27 PM vrandle Ohh wow!
2018-05-02 06:57:37 PM michellelheldt wow
2018-05-02 06:57:38 PM tonjaboyd Sad, sorry!!
2018-05-02 06:57:58 PM cchase so why don't you all so some homework and learn why it is that early onset progresses faster
2018-05-02 06:58:21 PM cchase then come back to our chat next month to share what you have learned
2018-05-02 06:58:29 PM elizabethrahe sounds good!
2018-05-02 06:58:29 PM vrandle ok
2018-05-02 06:58:30 PM priscillad I will research that this week
2018-05-02 06:58:37 PM delanie02 When is the chat next month, do you know?
2018-05-02 06:58:45 PM michellelheldt i am going to that is just crazy
2018-05-02 06:58:53 PM cchase super..I hold the next Alz. first Wed. of the month..look for my reminder
2018-05-02 06:59:09 PM tonjaboyd can seizures cause Alz?
2018-05-02 06:59:21 PM delanie02 June 6th looks like guys
2018-05-02 06:59:42 PM michellelheldt thank you for the wonderful chat tonight very imformative!
2018-05-02 06:59:44 PM cchase possibly seizures can - medically makes sense of that
2018-05-02 07:00:00 PM elizabethrahe left the chat room
2018-05-02 07:00:06 PM cchase yes- just checked June 6th
2018-05-02 07:00:07 PM priscillad thx chase. Great chat tonight! Very informative
2018-05-02 07:00:08 PM tonjaboyd Ok thanks
2018-05-02 07:00:22 PM delanie02 Good chat- Goodnight all! Chase- do you need student ID's?
2018-05-02 07:00:24 PM cchase be there or be square
2018-05-02 07:00:28 PM delanie02 lol
2018-05-02 07:00:38 PM cchase good chat everyone... awesome job you all
2018-05-02 07:00:43 PM priscillad Priscillad...Mepap2030618
2018-05-02 07:00:47 PM asantana (y)
2018-05-02 07:00:48 PM michellelheldt have a good week everyone!
2018-05-02 07:00:53 PM cchase yes please leave your name and class
2018-05-02 07:00:58 PM cchase before you go
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2018-05-02 07:01:06 PM priscillad Good week to all n all a good night
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2018-05-02 07:01:14 PM vrandle good night all
2018-05-02 07:01:18 PM delanie02 Delanie Dill Me1-030618
2018-05-02 07:01:19 PM michellelheldt michellelheldt 020618
2018-05-02 07:01:21 PM tonjaboyd Good chat tonight!! good nite everyone
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2018-05-02 07:01:36 PM vrandle class #030618
2018-05-02 07:01:36 PM cchase (})
2018-05-02 07:01:48 PM olivcar Olivia Carver- MEII 020618
2018-05-02 07:01:54 PM olivcar Thank you so much!
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2018-05-02 07:02:08 PM cchase welcome(F)
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2018-05-08 07:36:20 PM amandaw00 hello everyone although i'm late
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2018-05-10 07:16:14 PM 2960580 enter the chat room
2018-05-10 07:16:23 PM 2960580 me too
2018-05-10 07:16:38 PM 2960580 how are you all
2018-05-10 07:16:43 PM 2960580 hi kathy
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2018-05-10 09:29:50 PM 2960580 mepap 01050018
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2018-05-14 06:26:15 PM 2960580 enter the chat room
2018-05-14 06:26:25 PM 2960580 hi everyone
2018-05-14 06:26:34 PM 2960580 anyone there to talk to me
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2018-05-20 12:26:26 PM cchase test
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2018-05-21 05:54:42 PM dfrana Is this the right place for tonights AL Chat
2018-05-21 06:00:05 PM dfrana MEMPAP1-040318
2018-05-21 06:05:48 PM tealbesing enter the chat room
2018-05-21 06:06:08 PM tealbesing hi
2018-05-21 06:06:35 PM tealbesing MEPAP1-050518
2018-05-21 06:15:42 PM tealbesing hello
2018-05-21 06:16:04 PM tealbesing Im so lost
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2018-05-23 06:03:09 PM suerahn hello
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2018-05-24 07:34:51 PM laurajackson I am at week 8 and trying to do my Midterm Pack. On pg. 5 Is this what we have already done and just put the dates or this more to do?
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2018-05-30 05:57:09 PM cchase hello there
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2018-05-30 05:57:34 PM cchase how are you all doing??
2018-05-30 05:57:53 PM tonjaboyd Good thank you
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2018-05-30 05:58:22 PM cchase tonights specialty chat topic is Adult Day Health
2018-05-30 05:58:22 PM dfrana Is this tonights Chat Room?
2018-05-30 05:58:39 PM cchase yes - this is the specialty chat for extra credit

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