DateTimeFromToMessage
2019-08-28 06:56:17 PM juice24 is that extra credit too?
2019-08-28 06:56:26 PM mnissenbaum left the chat room
2019-08-28 06:56:29 PM cchase yes - extra credit
2019-08-28 06:56:30 PM best1 Yes awesome I will be there
2019-08-28 06:56:43 PM juice24 ill see ya there then lol
2019-08-28 06:56:52 PM twolcott Thanks Celeste. Enjoyed the chat. See you next Wed.
2019-08-28 06:56:57 PM cchase good work folks
2019-08-28 06:57:05 PM buddyrmorvent specifically for Alzheimers? or all dementia?
2019-08-28 06:57:08 PM cchase (})
2019-08-28 06:57:14 PM best1 left the chat room
2019-08-28 06:57:22 PM twolcott left the chat room
2019-08-28 06:57:23 PM cchase Alzheimer's/dementia
2019-08-28 06:57:30 PM buddyrmorvent TY GN
2019-08-28 06:57:33 PM juice24 goodnight
2019-08-28 06:57:36 PM juice24 left the chat room
2019-08-28 06:57:59 PM cchase left the chat room
2019-08-28 06:58:12 PM buddyrmorvent left the chat room
2019-09-04 05:51:58 PM cchase enter the chat room
2019-09-04 05:53:32 PM buddyrmorvent enter the chat room
2019-09-04 05:53:58 PM cchase hello there buddy
2019-09-04 05:54:12 PM buddyrmorvent Good evening.
2019-09-04 05:54:45 PM cchase are you in the path of Dorian?
2019-09-04 05:55:19 PM buddyrmorvent No. I am in Texas. Are you?
2019-09-04 05:56:22 PM cchase northeast - we are getting thunderstorm but sounds like it will move past us quickly
2019-09-04 05:57:22 PM cchase what class are you currently enrolled in?
2019-09-04 05:57:22 PM amberwilson enter the chat room
2019-09-04 05:57:29 PM cchase hello amber welcome
2019-09-04 05:57:34 PM buddyrmorvent ME01
2019-09-04 05:57:37 PM amberwilson hello
2019-09-04 05:57:45 PM cchase how is the course going for you/
2019-09-04 05:58:24 PM cchase amber we are just catching up - we are still af few mins. early
2019-09-04 05:58:32 PM cchase what class are you in Amber?
2019-09-04 05:58:34 PM buddyrmorvent Good I am finding my stride and begining to enjoy it.
2019-09-04 05:59:06 PM amberwilson It's been a little crazy, trying to get all the reading and assignments done plus i am currently taking 3 courses for my bachelors in nursing
2019-09-04 05:59:36 PM amberwilson ME01
2019-09-04 05:59:42 PM amberwilson me01
2019-09-04 06:00:18 PM cchase well that's neat - you plan on using this coursework until you complete your nursing degree?
2019-09-04 06:00:59 PM cchase So this is specialty extra credit chat
2019-09-04 06:01:18 PM amberwilson I am new to the activity position at my facility and when i finish the program i will also be the swing bed coordinator
2019-09-04 06:01:20 PM cchase the topic to be discussed is Alzheimer's/dementia
2019-09-04 06:01:59 PM cchase great amber -
2019-09-04 06:02:14 PM cchase what do you two know about Alzheimer's?
2019-09-04 06:02:41 PM best1 enter the chat room
2019-09-04 06:03:05 PM cchase hello best1 - would you kindly provide your name and class
2019-09-04 06:03:06 PM buddyrmorvent Caused by a plague build up on the brain.
2019-09-04 06:03:07 PM best1 Hello
2019-09-04 06:03:18 PM amberwilson It is a sad disease, not only does ot affect the patient but the family as well
2019-09-04 06:03:34 PM amberwilson hello best1
2019-09-04 06:03:45 PM best1 I pray that everyone is doing ok with this storm and prepared
2019-09-04 06:03:52 PM cchase yes buddy correct - plaque and tangles build up in the brain
2019-09-04 06:04:06 PM cchase yes amber it does affect all
2019-09-04 06:04:59 PM buddyrmorvent It seems every case is different given it is a desease of the brain.
2019-09-04 06:05:10 PM cchase how long do you think those plaques and tangles are actively causing havoc in the brain before it is detected
2019-09-04 06:05:41 PM amberwilson I think every patient is different
2019-09-04 06:05:55 PM buddyrmorvent years?
2019-09-04 06:05:56 PM cchase yes - that is absolutely correct buddy. the damage is unique to each individual but eventually causes death
2019-09-04 06:05:57 PM best1 Alzheimers the patient is very forget ful. Chiquila Best Kathy Hughes MEI060419
2019-09-04 06:06:51 PM cchase yes buddy years, in fact it is said to be brewing as long as ten years prior to be detectd
2019-09-04 06:06:59 PM cchase detected*
2019-09-04 06:07:33 PM amberwilson I do think that those that work on activities that keep the brain active tend to show signs later than those that don't
2019-09-04 06:07:58 PM best1 I agree with you on that.
2019-09-04 06:08:58 PM cchase the studies show that keeping the brain engaged - is more like prolonging auto pilot for as long as the disease allows
2019-09-04 06:09:24 PM cchase what about dementia - what do you all know about that?
2019-09-04 06:09:31 PM buddyrmorvent Are we able to detect it before the person starts presenting?
2019-09-04 06:10:13 PM buddyrmorvent I have learned there are many forms of dementia,
2019-09-04 06:10:13 PM cchase very recent research is showing promising blood test to identify it
2019-09-04 06:10:20 PM amberwilson its an impairement of atleast 2 brainfunctions
2019-09-04 06:10:30 PM best1 I had a client that went with us to the bird musem. Do the next day we discussed the trip . Her statement was I didnt go with yall . Yall lift me . I was with my family, She had forgetten all abt the trip.
2019-09-04 06:10:55 PM amberwilson interfers with daily function
2019-09-04 06:10:57 PM cchase not surprising that she forgot
2019-09-04 06:11:28 PM cchase yes - dementia is a symptom of a number of diseases and illness
2019-09-04 06:11:31 PM best1 With Dementria you see many signs of sundown when they start to show alot thru there actions
2019-09-04 06:11:48 PM cchase it is also a symptom related to Alzheimers
2019-09-04 06:12:49 PM cchase all of these cause dementia:
2019-09-04 06:12:52 PM cchase Alzheimer's disease.Vascular cognitive impairment.Dementia with Lewy bodies.Frontotemporal dementia.Parkinson's disease.Huntington's disease.HIV.Traumatic brain injury
2019-09-04 06:13:18 PM amberwilson It can be challenging to care for someone with either disease
2019-09-04 06:13:19 PM best1 Really...
2019-09-04 06:13:59 PM cchase Alzheimer's willeventually prevent the brain from telling internal organs how to function
2019-09-04 06:14:05 PM cchase yup really
2019-09-04 06:14:35 PM cchase those plaques & tangles prevent the neurons from exchanging communications
2019-09-04 06:15:19 PM cchase what do you all know about long term memory and short term memory?
2019-09-04 06:16:46 PM buddyrmorvent Short term memory is lost the fastest and during the progression long term memory can surplant the short term.
2019-09-04 06:17:49 PM best1 Long Term memory is a stage of Atkinson-Shiffrin mrmory model where knowledge is basically held . Short term is short term which holds abt 18 to 30 secs
2019-09-04 06:18:49 PM cchase yes - short term memory refers to the very quick loss of events and information
2019-09-04 06:19:11 PM amberwilson long term-information help indefinitley, short term memory- not able to hold information for long
2019-09-04 06:19:33 PM cchase long term memory represents those memories from long ago that were saved prior to the Alz.s disease onset
2019-09-04 06:20:44 PM cchase The plaques and tangles block the brains ability to save information which in turn then creates the short term memory scenario
2019-09-04 06:21:11 PM cchase eventually even long term memories filed before the disease onset are lost
2019-09-04 06:21:35 PM cchase have you ever seen a resident that did not recognize a son or daugther, or husband, wife?
2019-09-04 06:21:51 PM amberwilson yes ma'am
2019-09-04 06:21:59 PM buddyrmorvent yes
2019-09-04 06:22:02 PM best1 yes had that to happen on today
2019-09-04 06:23:01 PM cchase quirky thing is that a resident can tell you a story about his/her childhood with crystal clear clarity like is just happened
2019-09-04 06:23:52 PM best1 Its like that they remember their younger time frame more then they remember their present time
2019-09-04 06:24:02 PM cchase it's like a time warp
2019-09-04 06:24:11 PM amberwilson sometimes the progression of the disease can increase abuptly
2019-09-04 06:24:46 PM buddyrmorvent I have had residents that thought they were in school and living with there parents most of the time.
2019-09-04 06:24:50 PM cchase yes- there are plateaus
2019-09-04 06:25:15 PM cchase some last longer depending on the stage of the disease
2019-09-04 06:25:39 PM amberwilson Do you feel like acute care illnesses can increase symptoms of alzheimers or dementia?
2019-09-04 06:25:43 PM cchase we do not recommend mirrors for exactly that reason
2019-09-04 06:26:16 PM cchase imagine the horror of believing that you are only 18 and you see someone that is 88 in the mirro
2019-09-04 06:26:57 PM cchase acute care can cause advanced dementia decline
2019-09-04 06:27:29 PM cchase Alzheimer's is believe to have hereditary origins
2019-09-04 06:28:22 PM cchase if a family member had Alz - the probability is higher (not absolute) but higher that you may have it
2019-09-04 06:29:02 PM amberwilson I agree as seen in my family
2019-09-04 06:29:59 PM cchase A new culprit tangles with ApoE4 in Alzheimer's disease. For more than 25 years, the protein ApoE4 has been linked to late onset Alzheimer's disease (AD). ApoE has also been linked to the formation of amyloid-β deposits in the brain, one of the hallmarks of Alzheimer's disease
2019-09-04 06:30:48 PM best1 Instresting
2019-09-04 06:31:32 PM cchase of course - people can forget things without having Alz's
2019-09-04 06:32:02 PM cchase I always run upstairs then forget what I was going to get ({)
2019-09-04 06:32:58 PM amberwilson happens to me....lol
2019-09-04 06:33:21 PM cchase lol ......let's talk programming for Alz's
2019-09-04 06:33:37 PM best1 Sometimes I forget things at times also.....
2019-09-04 06:34:20 PM cchase I use the EEE method - engage, encourage, ellict a response
2019-09-04 06:34:31 PM amberwilson yes please!!!
2019-09-04 06:34:48 PM best1 Yes
2019-09-04 06:35:00 PM buddyrmorvent me too.
2019-09-04 06:35:10 PM cchase one of my best pieces of advice is that you need to be quick on your feet
2019-09-04 06:35:22 PM best1 I agree
2019-09-04 06:35:33 PM amberwilson what do you guys see to be the best activities for these patients?
2019-09-04 06:35:34 PM cchase by that I mean that you cannot hesitate when working with this population
2019-09-04 06:35:52 PM cchase you cannot reason with them - the brain is unable to reason
2019-09-04 06:35:56 PM best1 I totally agrree with u
2019-09-04 06:36:15 PM cchase but you need them to be safe and do go along with what has to happen
2019-09-04 06:36:24 PM cchase so - - - -
2019-09-04 06:36:36 PM cchase how do you do that?? ideas?
2019-09-04 06:38:05 PM cchase anyone?
2019-09-04 06:38:37 PM best1 Have to Guide them
2019-09-04 06:38:37 PM amberwilson i would think conversation about events that happened years ago that they would be able to remember?
2019-09-04 06:39:13 PM cchase are you familiar with "redirection"?
2019-09-04 06:39:19 PM buddyrmorvent I talk to them and get to know them and have them feel safe with me then I am able to engauge them in activities.
2019-09-04 06:39:29 PM amberwilson yes
2019-09-04 06:39:34 PM best1 Yes
2019-09-04 06:39:41 PM cchase great!
2019-09-04 06:39:59 PM cchase that's the best tool to use
2019-09-04 06:40:28 PM cchase when you need them to leave something and go with you - tell them you need help making a sandwich
2019-09-04 06:41:00 PM best1 Right pretty much guiding them in the right direction
2019-09-04 06:41:02 PM cchase tell them that they have a phone call (be sure there is someone to call them)
2019-09-04 06:42:06 PM cchase we used to have a resident that got upset in the afternoon till the head nurse started to call him and pretend she was his daughter
2019-09-04 06:42:17 PM cchase it worked like a charm
2019-09-04 06:42:59 PM cchase he would chat up a storm with her on the phone then became a very nice person
2019-09-04 06:43:32 PM cchase there is also "therapeutic fiblets"
2019-09-04 06:44:02 PM cchase never, never, never tell them that a loved one has passed on
2019-09-04 06:44:20 PM cchase why do you think that is so?
2019-09-04 06:44:53 PM amberwilson becuase they won't remember it happened and will thinks its new.... therefore they live it over and over again.
2019-09-04 06:45:09 PM cchase yes
2019-09-04 06:45:16 PM buddyrmorvent Greive again for the person
2019-09-04 06:45:26 PM cchase they will feel the grieve like is just happened
2019-09-04 06:46:08 PM amberwilson what do you do for patients that are agressive? physical?
2019-09-04 06:46:37 PM cchase I recommend that you all check out VDT - Virtual Dementia Tour
2019-09-04 06:47:23 PM cchase it gives you a great experience into how the Alz. sees, hears, etc.
2019-09-04 06:48:04 PM cchase aggression can stem from many reasons
2019-09-04 06:48:06 PM buddyrmorvent is that on YouTube?
2019-09-04 06:48:17 PM cchase you need to determine what that is
2019-09-04 06:48:50 PM cchase I have seen VDT on utube - do a general google search you will find it easily
2019-09-04 06:49:28 PM cchase aggression can happen because the resident feels un validated, unheard, angry
2019-09-04 06:49:47 PM cchase even just because they do not feel well
2019-09-04 06:51:11 PM cchase also look up "Still Alive Inside"
2019-09-04 06:51:23 PM amberwilson ok
2019-09-04 06:51:42 PM cchase it;s focus is music & memory
2019-09-04 06:53:14 PM cchase was this information helpful?
2019-09-04 06:53:28 PM cchase any questions?
2019-09-04 06:53:35 PM amberwilson yes ma'am
2019-09-04 06:53:45 PM amberwilson thank you for the information
2019-09-04 06:54:16 PM buddyrmorvent Very helpful. helped order what I have observed working with memory care residents.
2019-09-04 06:54:39 PM cchase what are each of you doing to try that is different now that you know all this info
2019-09-04 06:55:24 PM cchase going to try*
2019-09-04 06:56:31 PM amberwilson work more on redirection, find the source of aggression or reason behind. slow down (which in acute care can be difficult at times)
2019-09-04 06:56:41 PM buddyrmorvent I am not sure. I am doing most of what you described. I now know more as to why I do it.
2019-09-04 06:57:25 PM cchase it's instinctive for you buddy - that's a good foundation
2019-09-04 06:57:48 PM cchase hey amber - who gets to slow down in acute care???
2019-09-04 06:57:56 PM cchase good work folks
2019-09-04 06:58:16 PM cchase hope you learned and are encouraged to keep learning
2019-09-04 06:58:48 PM amberwilson goodnight all
2019-09-04 06:58:58 PM cchase (})
2019-09-04 06:59:09 PM amberwilson left the chat room
2019-09-04 06:59:09 PM buddyrmorvent good night
2019-09-04 06:59:19 PM cchase be well
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2019-09-17 04:59:33 PM adriannamarshall enter the chat room
2019-09-17 05:00:14 PM adriannamarshall is this the room for the live chat starting at 7p
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