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Saturday, April 27, 2013

Silver Innings Alzheimer's / Dementia Home Care Services

'Silver Innings Dementia Management Service' (SIDMS) a project since April 2008 of Silver Innings , a social enterprise in association with  ARDSI Greater Mumbai chapter has been pioneer in India in Dementia and Alzheimer's Home Care services which includes Online , Telephonic , person to person Counseling , Talks , Training and Consultancy, Weekly Mental Stimulation activities / DMS service  , Information booklets , Video's , MMSE TEST , Assessment by medical doctors and redesigning / design dementia home / day care center's etc

Our Multidisciplinary Expert Team Includes :
  • Gerontology Expert
  • Social Worker
  • Counselor
  • Clinical Psychologist
  • Psychiatrist
  • Neurologist
  • Nursing Expert
  • General Physician
  • Physiotherapist   
  • Palliative Expert 
  • Family Members

For family around the India / World we also offer telephonic & web base support. 

We offer FREE Counseling for BPL (Below Poverty Line) family & Charge people who can Pay.

For more information you can contact us by email : silverinnings@gmail.com and Telephone us on 09987104233 / 09029000091 (MON to FRI , 10am to 6pm) .

End of Life Guide for Dementia & Alzheimer's : Helping with Comfort and Care

At the end of life, each story is different. Death comes suddenly, or a person lingers, gradually failing. For some older people, the body weakenswhile the mind stays alert. Others remain physically strong, and cognitivelosses take a huge toll. But for everyone, death is inevitable, and each lossis personally felt by those close to the one who has died.

End-of-life care is the term used to describe the support and medical caregiven during the time surrounding death. Such care does not happen justin the moments before breathing finally stops and a heart ceases to beat. An older person is often living, and dying, with one or more
chronic illnesses and needs a lot of care for days, weeks, and sometimeseven months.
End of Life: Helping With Comfort and Carehopes to make the unfamiliarterritory of death slightly more comfortable for everyone involved. Thispublication is based on research, such as that supported by the NationalInstitute on Aging, part of the National Institutes of Health. This researchbase is augmented with suggestions from practitioners with expertise in 
helping individuals and families through this difficult time. Throughoutthe booklet, the terms comfort care, supportive care, and palliative careare used to describe individualized care that can provide a dying person the best quality of life until the end. Most of the stories in this booklet
are fictitious, but they depict situations that reflect common experiencesat the end of life.
Read and Downland here : 
End of Life: Helping with Comfort and Care - end_of_life_helping_with_comfort_care_0.pdf

Identifying and Addressing Pain in Demnetia & Alzheimer's

There is a growing segment of the population that is susceptible to losing the ability to report that they are experiencing pain. According to a recent report by the Alzheimer's Association, there are an estimated 5.3 million people in the United States who are living with Alzheimer's disease (2009). Pain is defined as "whatever the experiencing patient says it is, existing whenever the patient says it does" (McCaffery, 1968, p. 95). This common definition of pain captures the subjective nature of pain and maintains an individual's dignity. As individuals reach the moderate and severe stages of Alzheimer's and other dementias, their ability to communicate their needs with language, including the need for pain relief, is lost.

Possible Indications of Pain
How then can we know if those in the mid- to late-stages of dementia are experiencing pain? Although they can no longer self-report pain accurately, do they still have a way of communicating discomfort? What form of communication remains for them? One way for the concerned caregiver to detect possible pain is to observe persons with dementia for the presence and/or absence of certain behaviors. This behavior may be subtle, like a slight frown or fidgeting or a reduction in movement. Or it may be more pronounced, like grimacing, continued groaning, or physical or verbal aggression. The American Geriatrics Society Panel on Persistent Pain in Older Persons (2002) identified six common pain behavior categories to diagnose pain in cognitively impaired older persons:

* facial expressions such as grimacing or rapid blinking
* verbalizations or vocalizations such as moaning, noisy breathing, or calls for help
* body movements such as increased pacing, guarding certain areas of the body or having a tense body posture
* changes in interpersonal interactions such as becoming disruptive or socially withdrawn
* changes in activity patterns or routines such as a change in appetite or sleep pattern
* mental status changes such as increased confusion or irritability

As the ability to communicate is lost, the keen observation of caregivers becomes more important. Informal caregivers should keep an eye out for one or more of the behaviors listed above. In organizations that serve cognitively impaired older adults, staff can be trained to use one of many tools designed to assess for pain. The City of Hope Pain & Palliative Care Resource Center (2008) identified 17 such tools, all of which include at least one of the behaviors mentioned above.

Additional Considerations
There are other questions you should consider if you observe behavior that may indicate pain. Are the person's basic needs being met? We have all experienced discomfort related to hunger, thirst, or extremes of environmental temperature. Are the behaviors surfacing when the person is being moved or during the provision of personal care, when pain is more likely to occur? If so, talk to the person's doctor about the possibility of administering pain-relieving medications before initiating activities that may cause pain. Does the person have a history of, or currently have, a medical condition that is likely to cause pain, such as osteoarthritis? Research has found that persons with or without cognitive impairments did not differ with respect to the prevalence of conditions likely to cause pain (Proctor & Hirdes, 2001). How did the person relieve pain in the past? Sometimes non- pharmacological options, like massage or even just a cold or hot pack, may suffice.

Next Steps If Pain Is Suspected
What should you do if you think pain is present? Discuss with the doctor whether pharmacological or non-pharmacological interventions would be helpful. Also discuss the risks and benefits of using various types of pain medications. Some analgesic (pain-relieving) medications, like aspirin or acetaminophen (Tylenol), can be bought over-the-counter, and without a doctor's prescription. If stronger medications are needed to relieve pain, a prescription for that medication, which may be a narcotic drug, will be needed. All medications have side effects, but stronger pain medications may have undesirable side effects, like constipation. The doctor prescribing a drug that may cause a problematic side effect may also prescribe a medication that will prevent the side effect from occurring. If a strong pain medication is prescribed some people may be concerned that the person with dementia will become addicted. Because dementia is a terminal disease (i.e., one that will eventually result in a person's death unless they succumb to another disease first), addiction will generally not be a major concern. The compassionate course of action should be to address pain so as to help the cognitively impaired person be as comfortable as possible

By Edward Cisek, PhD, Research Associate , Bon Secours Center for Research in Geriatric Care

Courtesy : 
Identifying and Addressing Pain in Cognitively Impaired Older Adults

Monday, April 8, 2013

New Beginning for Single & Lonely Elders by Silver Inning Foundation

Press Release : 7th April 2013
For the first time in India, live in relationship / companionship options, besides marriage; was included in a unique match-making initiative for senior citizens in ‘Senior Citizens Jeevan Saathi Samelan’. This event was organized at Dadar ,  Mumbai by the Rotary Club of Mumbai Nariman Point, in association with Silver Inning Foundation and Vina Mulya Amulya Sewa (VMAS) on 7th April 2013.

At Inauguration Rotarian Rajiv Agarwal , President of Rotary Club of Mumbai Nariman Point ; Sailesh Mishra , Founder President Silver Inning Foundation ; Natubhai Patel, Founder VMAS , Mr. Dicholkar , Secretary of FESCOM Mumbai and Live - In Senior Citizens couple Mr. Jawahar & Mrs. Leela Raichuria were present.

During Inauguration Adv. Nausheen, Adv Namitabh and Clinical Psychologist Raheen Jummani of OYA guided the participant on various legal and psycho social aspects.
This ‘Senior Citizens Jeevan Saathi Samelan’, was for the 50+ unmarried, divorced or widowed and seek the company of a soul mate. The Full day event with some romantic Bollywood songs by elders , was held from 10am to 6pm at Dadar Matunga Cultural Centre, Dadar west and around 275 senior citizens from across the country participated which included around 200 men and 75 Ladies. The Entry was free and it was open for all religions, castes and communities.

This was first time that there was strict pre registration process and Senior Citizens participant were asked to submit legal proof ; including ID proof , Divorce or Death Certificate of spouse. Some of the applicant was even rejected due to non availability of legal document. This was done to protect the interest of Senior Couple. 

All over the event organizer were making announcement to go slow on making new relationship and date each other for few time and take decision after verifying all legal documents and also consulting family and friends . 

Some Interesting aspect of this event: Minimum Age among the Ladies participant was 45yrs, maximum was 77 yrs and in Men minimum age was 50 yrs and maximum 86 yrs. Another interesting aspect was Ladies preferred Marriage and Men preferred Liv in / Companionship as option. Most of Ladies were Widow and in Men there was mix of Divorcee and Widower. Very few among both were Unmarried.

The organizer were happy to announce 4 Relationship ( 1 for marriage & 3 for companionship ) and 4 informal relationship for which elders wanted to date each other and then decided .

In lonely and depressing old age for those who are divorced or have lost their spouse and by taking up this initiative the organiser's hope to help elderly singles to find a suitable companion and enter into matrimony.

Due to huge response and need of hour ; Silver Inning Foundation , an NGO working with Senior Citizens since 2008 will Launch its unique initiative “Silver Innings Matrimonial & Companionship” a match making bureau for senior citizens on 11th April 2013 .

This programme was supported by AISCCON, FESCOM, Mumbai; iVolunteers, iCONGO and 1298 Senior Citizens Helpline. Around 40 Youth Volunteer's were backbone for the success of the event

For Registration & Membership Contact 'Silver Innings Matrimonial & Companionship' :
Silver Innings , Bdlg: J/47-48, Shop no. 10, opp. Navgraha Bldg, Behind Allahabad Bank, Poonam Sagar Complex, Mira Road East. Mumbai. India. Pincode: 401107
Tel: 09167765451 ( Mon to Fri . 11am to 5pm)

Contact: silverinnings@gmail.com 

A good companion shortens the longest road

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