Friday, December 23, 2011

Alzheimer ke Nyanyuk? Familiar?

Sama jer yer, tu cakap kita orang melayu la. Alzheimer's is a type of dementia that causes problems with memory, thinking and behavior. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks.Yep, happen gradually. Apa yang boleh saya bagitau, bersabarlah menjaga mereka kalau dah semakin teruk...i mean 500% of patience.

Napa tiba2 saya citer pasal ni? Out of sudden i remember my late father, al fatihah to him. We took care of him during his mild Alzheimer until he been attack with stroke and bed ridden for over a year before he died. :). pesanan khidmat masyarakat gak la, disamping info tuk korang2 kan kan? Pesanan saya, jagalah mereka bila mereka memerlukan because one day it will be our turn too. Ok, back to our topic yer.

According to Barry Reisberg, M.D., clinical director of the New York University School of Medicine's Silberstein Aging and Dementia Research Center, there is 7 stages of this Alzheimer Disease (AD). Tiap orang mungkin tak lalui benda yang sama and mayb ada yg skip certain stage ataupun overlapped with each other. Ni ai amek terus la, sebab kalau edit lain macam plak kan. ni link dia.

Stage 1  - No impairment (normal function) - The person does not experience any memory problems. An interview with a medical professional does not show any evidence of symptoms of dementia. Belum ada lagi la..stage kita semua ni.

Stage 2 - Very mild cognitive decline (may be normal age-related changes or earliest signs of Alzheimer's disease) - The person may feel as if he or she is having memory lapses — forgetting familiar words or the location of everyday objects. But no symptoms of dementia can be detected during a medical examination or by friends, family or co-workers. Biasanya they will keep it by themselves. yer la tak ingat takkan nak cakap dengan orang kan?

Stage 3 - Mild cognitive decline (early-stage Alzheimer's can be diagnosed in some, but not all, individuals with these symptoms) -  Friends, family or co-workers begin to notice difficulties. Yang ni kita sedar tak sedar la ada, cuba tengok apa yer. Common stage 3 difficulties include:
  • Noticeable problems coming up with the right word or name
  • Trouble remembering names when introduced to new people
  • Having noticeably greater difficulty performing tasks in social or work settings 
  • Forgetting material that one has just read
  • Losing or misplacing a valuable object
  • Increasing trouble with planning or organizing 

Stage 4 -  Moderate cognitive decline (Mild or early-stage Alzheimer's disease)  - At this point, a careful medical interview should be able to detect clear-cut symptoms in several areas:
  • Forgetfulness of recent events
  • Impaired ability to perform challenging mental arithmetic — for example, counting backward from 100 by 7s
  • Greater difficulty performing complex tasks, such as planning dinner for guests, paying bills or managing finances
  • Forgetfulness about one's own personal history
  • Becoming moody or withdrawn, especially in socially or mentally challenging situations 

Stage 5 -  Moderately severe cognitive decline (Moderate or mid-stage Alzheimer's disease) - Gaps in memory and thinking are noticeable, and individuals begin to need help with day-to-day activities. At this stage, those with Alzheimer's may:
  • Be unable to recall their own address or telephone number or the high school or college from which they graduated
  • Become confused about where they are or what day it is
  • Have trouble with less challenging mental arithmetic; such as counting backward from 40 by subtracting 4s or from 20 by 2s
  • Need help choosing proper clothing for the season or the occasion
  • Still remember significant details about themselves and their family
  • Still require no assistance with eating or using the toilet 

Stage 6 - Severe cognitive decline (Moderately severe or mid-stage Alzheimer's disease) - Memory continues to worsen, personality changes may take place and individuals need extensive help with daily activities. At this stage, individuals may: 
  • Lose awareness of recent experiences as well as of their surroundings
  • Remember their own name but have difficulty with their personal history 
  •  Distinguish familiar and unfamiliar faces but have trouble remembering the name of a spouse or caregiver
  • Need help dressing properly and may, without supervision, make mistakes such as putting pajamas over daytime clothes or shoes on the wrong feet
  • Experience major changes in sleep patterns — sleeping during the day and becoming restless at night
  • Need help handling details of toileting (for example, flushing the toilet, wiping or disposing of tissue properly)
  • Have increasingly frequent trouble controlling their bladder or bowels
  • Experience major personality and behavioral changes, including suspiciousness and delusions (such as believing that their caregiver is an impostor)or compulsive, repetitive behavior like hand-wringing or tissue shredding
  • Tend to wander or become lost 

Stage 7 -  Very severe cognitive decline (Severe or late-stage Alzheimer's disease) - In the final stage of this disease, individuals lose the ability to respond to their environment, to carry on a conversation and, eventually, to control movement. They may still say words or phrases. At this stage, individuals need help with much of their daily personal care, including eating or using the toilet. They may also lose the ability to smile, to sit without support and to hold their heads up. Reflexes become abnormal. Muscles grow rigid. Swallowing impaired. Tak mudah yer it with your sincere heart :). Dengan keadaan dorang, they are super sensitive. Layankan ajer yer.

Kami jaga ayah sampai dia ke stage 7. yes, tak mudah tapi alhamdulillah, we did everythg with our bare hand, the rest is history. Kudos to my sister & my mak who did this 24hrs. Masa ayah dah terlantar sebab stroke, im pregnant and delivered my 1st baby Hisham. Dia sempat la tengok Hisham and still able to talk, but he dont understand at all and he couldnt recognise us anymore. Yep, we missed him..its been a year now. Alfatihah to ayah and may he will be place in Al-Jannah.

comeynya ai hihihi...Alfatihah to ayah


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