Alzheimer’s Disease touches as
many as 4.5 million people1 and their families in
the U.S. alone. The Alzheimer’s Association reports that as
many as 70% of people having Alzheimer’s live at home with
family. Most end their journey in a dedicated Alzheimer’s
facility that can clean out their personal wealth. The
advance of Alzheimer’s disease is devastating. Nancy Reagan
said that her husband descended into “a place she could no
longer go” in 1999, five years or more into the disease
progression.
Many of the health care costs
families incur with Alzheimer’s are out-of-pocket, considered
custodial care and not eligible for health insurance, Medicare
or Medicaid coverage. Some families are forced to spend down all
their assets to qualify for care under Medicaid’s Title 19.
Complicating matters, the average Alzheimer’s case lasts eight
years. Former President Ronald Reagan, for instance, may have
suffered for a dozen years or more. For families and
caregivers, finding relief from the caring for Alzheimer’s
patients, the time for personal needs or sleeping without
interruption or worry, takes on critical new meaning. Fatigue
is common. Caregivers can suffer from loneliness, helplessness
and of being disconnected from friends during the slow downward
spiral of Alzheimer’s.
The
Consequences
for Caregivers
During the slow journey, nearly 60%
will wander during some time. For people with Alzheimer’s,
their personal safety is at risk. They can easily hurt
themselves or others, become lost, dazed and confused, not
knowing their own name. Wandering puts a patient in places and
positions they often are incapable of understanding. Their
capacity to reason is impaired, yet in earlier stages they
physically are relatively unencumbered. That’s the cruelty of
the disease. If you’re the caregiver, your life will be gravely
affected. It could lead you to depression, extreme sleep
deprivation or both. Caregivers struggle to find time of their
own, free of worry. The things we take for granted like being
able to shower, do laundry, cook meals, clean house or reading
quietly become major challenges in homes with Alzheimer’s
patients.
Timing Is
Everything
If timing is everything in life,
it’s certainly never been truer than |
with Alzheimer’s. The slow
progression of the disease in many patients creates unrelenting
emotional strain on family and caregivers over an extended
period of time. Left unchecked many patients inevitably end up
in a nursing home. Their families unable to cope with the
stress any longer.
Early intervention in many
situations can bring peace of mind to the caregivers of
Alzheimer’s patients. There is hope with alternative strategies
for keeping an Alzheimer’s patient at home; solutions that help
relieve some of the emotional and physical burdens of caregiving.
Vivax’s Soma
Safe Enclosure
A relatively new product from Vivax
Medical, the Soma Safe Enclosure, known in generic terms as a
canopy bed, net bed, safety bed, safety-net bed, Vail bed or
enclosed bed system, provides a safe, secure and humane
environment for those prone to wandering or at risk of injury
from falling down or other accidents. It’s a twin bed except
that it is fully enclosed with black mesh netting zippered on
all sides. Though the individual is unable to open the zippered
windows from within, they nonetheless have full freedom of
movement and field of vision. Similar to a child’s crib, which
gives a parent the security of knowing their child is safe from
potential harm while they are asleep or otherwise occupied, so
the Soma Safe Enclosure gives a caregiver the piece of mind that
their Alzheimer’s patient is comfortable and safe.
Overcoming
Our
Misperceptions
Is this incarceration? The best
answer to that question is that those people for whom this
device was designed don’t perceive the interior world of the
enclosure as you or I might. The cognitively impaired mind of a
person with Alzheimer’s just doesn’t perceive of surroundings as
a normal person does. In fact, in clinical studies with
dementia patients, they felt “secure and cozy”, almost
“cocoon-like” in the enclosure. They never felt claustrophobic
or “caged”. In fact, the spouses of study patients related how
very comfortable they were about the use of enclosures given the
alternatives.
Reluctance to consider using a Soma
Safe Enclosure is really more about our own biases and |
perceptions than about how
our loved one may actually respond to it. If the end result can
help smooth out caregiver stresses and anxiety and/or reduce the
risk of fall-related injuries without upsetting the Alzheimer’s
individual who’s better off?
Institutionalizing Demented
Relative No Relief for Caregiver
Caregivers who must make the
difficult decision to place their relatives with Alzheimer’s
into institutionalized care get no relief from depression and
anxiety and in fact suffer additional emotional trauma following
their decision, according to results of a multi-site study
published in the Journal of the American Medical Association
(JAMA) in August of 2004. Results from the four-year study
of 1,222 caregiver-patient pairs found that for the 180
caregivers who had to turn over care of their loved one to an
institution, symptoms of depression and anxiety stayed as high
as they were when they were in-home caregivers.
The Healthcare Economic Case for Continued Care
of Your Alzheimer’s Relative at Home.
Soma Safe Enclosures are available
for home use on a rental basis at less than $15 per day. Compare
that with expensive nursing homes or special assisted living
facilities that can cost upwards of $250 per day. Furthermore,
care in a nursing home is uncertain at best. Studies have shown
that Alzheimer’s patients live and respond better when they are
kept in familiar surroundings.
Early caregiver intervention is
critical. Don’t let fatigue build up until nothing looks
possible except transfer to a nursing home. If you see a
situation developing, make the effort to explore the Soma Safe
Enclosure option from Vivax Medical Corporation.
Sources:
1 Alzheimer’s Association Facts
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