Here are a few “tricks of the trade” designed by Big Pharma to make you spend far more money than you need — buyer beware!
One of my favorite principles of “enlightened leadership” is called “Expect the Best” — a principle that is ignored with alarming regularity in long-term care, on both the provider and the regulator sides.
Given the reality that most people are not currently equipped with the knowledge and resources to implement other solutions, there will be times when the use of medication may need to be considered. So here are some guidelines for those along the journey who have not yet created the infrastructure for an anti-psychotic-free environment.
Recently, a friend who works in long-term care wrote to ask if I had any formal guidelines for prescribing antipsychotic drugs to people living with dementia.
Recently, I was interviewed for an article at Chabad.org about tips for including loved ones living with dementia in Chanukah celebrations. With Christmas fast approaching, it seems appropriate to review a few of those tips here for your upcoming family gatherings.
One of the nicest compliments I ever received for my work came in an unexpected way; in fact, I had to think about it for a while to decide if it truly was a compliment.
Thanks to NPR for identifying this ongoing issue, but we need to also broaden the discussion to look at how our society views dementia, how we have chosen to care for our elders, and the systems that regulate and reimburse that care.
I have been advocating that community planners switch to the terms “age-inclusive” and “dementia-inclusive,” as these terms raise the bar by requiring the inclusion of such people in all aspects of community life and planning, rather than simply creating a kind but misguided process of substituted judgment.
We have been graphing the age and dementia distribution for baby boomers for decades, and yet none of our projections have ever extended beyond the year 2050. Why is that?
I recently cautioned in an op-ed that our attempts to reduce antipsychotic drugs among patients with dementia would soon become problematic if we have not also learned how to care differently. And the chickens are starting to come home to roost.
A new study from UCSD demonstrates the potential of self-fulfilling prophecy for those who live in a world with a highly stigmatized view of dementia.
Okay everyone, are you listening to me?? STOP! Just…stop. If there were a “Hitchhiker’s Guide to Dementia”, the first words would still be: “Don’t panic.”
Is it possible Alzheimer’s is the result of progressive vascular disease as a consequence of aging, and therefore curing Alzheimer’s will be as difficult as curing aging?
I generally avoid posting news about the latest food, vitamin, supplement, or lifestyle factor that may or may not affect your risk of dementia, for better or worse.
Recently, I have been thinking a lot about the “lack of empirical evidence” label that hounds culture change enthusiasts.
Several people are hailing this new step in our approach to Alzheimer’s as a possible breakthrough in the making. So why do I not get filled with hope?
A few news reports on psychotropic drugs have come across my desk recently and, although completely unrelated, they share a common thread. Each case documents either widespread overuse or gross abuse of a powerful drug. And in each case, the abuse or overuse could have been reduced through a more person-centered approach.
For more than two decades, proponents of culture change in long-term care have worked on transforming the institutional nursing home model. More recently, the focus has turned to assisted living and even independent community housing.
What we see is that America falls short in all living environments when it comes to older adults engaging in diverse communities. How can we optimize the quality of life, across a multitude of settings, for our nation’s elders?
During a recent conversation with my friend Emi Kiyota, she mentioned that it would be a good neighborhood team project for elders in US nursing homes to send messages of hope and support to those in Japanese homes affected by the recent earthquake. I am happy to say that St. John’s Home is taking on the project. There is no… Read more →
This week I am out at the AgeSong communities of San Francisco and Oakland, singing, speaking and working on the Presence Project. I’ll be teaming up with mindfulness expert Marguerite Manteau-Rao, AgeSong CEO Dr. Nader Shabahangi and Dr. Leslie Ross of UCSF to develop and test a curriculum that teaches both my experiential view of dementia (which we here call… Read more →