Showing posts with label Dementia. Show all posts
Showing posts with label Dementia. Show all posts

Friday, December 29, 2017

A Mindfulness Diary for the Alzheimer's Patient

I’ve become increasingly concerned about the cognitive decline I’ve been experiencing. Could it be a symptom of sleep apnea or another sleep disorder? Is it related to depression? Am I getting Alzheimer's?

I decided to start tracking episodes of “mindlessness.” I thought to use a weekly planner as a medical journal. I envisioned a planner in which the user / patient could select a symptom and rate its severity. But I saw only regular planners in bookstores. So I searched online for “journal diary for alzheimers patients.” Amazingly nothing related to a downloadable diary showed up. So I decided to create my own.

I found a really nice weekly planner template written in Excel by SmartSheet. I downloaded it, saved it with LibreOffice Calc and modified it in two distinct ways.

First I improved the date calculations. Now the starting date for each week is derived from a global starting date and the sheet name. Thus a new week can be added just by copying an existing sheet to a new sheet and changing the sheet name. The original template contained only five weeks of content; it was necessary to edit the start date on each new worksheet. So adding new weeks was tedious without redesigning the date calculation.

Second, I changed the layout of the page to a two-column format and gave each day the same amount of space. The TASKS and NOTES sections have been moved to the bottom, and TASKS was repurposed into two sections: CATEGORY and SEVERITY. The content in these new sections comes from a non-calendar worksheet, called SourceLists, to allow for easy changes to the lists that appear on all weeks.

Cells A1 through A10 on SourceLists contain the ten categories of symptoms. You can change the text in them and/or blank a few out. The severities are 0 (for no problem), 9 for highest functioning, and -9 for lowest functioning. Originally, I had 0 through 9 to represent symptoms from lowest to highest. But then I realized that I’d like to record good episodes, and a positive number seemed appropriate to represent this condition.  The idea is to jot down a Severity/Category code followed by a brief note.  For example, yesterday I had "-1A: I momentarily forgot that I was driving JC home after I got gas."  The "-1A" code is short for a very slight / brief memory impairment.  Having codes like this can make it easy to use a statistics program (such as R) to chart trends and to correlate with other sets of data.

I found the original list of symptoms in the Alzheimer’s Symptom Diary. I tailored the list to my needs and limited the number to ten to fit the available space.

Here's a link to the PDF document that I'm currently using.  Let me know if you're interested in seeing the spreadsheet source document.  I'm not publishing it out of deference to SmartSheet.  Someone put a lot of effort into designing that template, and I don't wish to subvert their business model by publishing a derivative work.

Friday, November 14, 2014

How to Maintain Brain Function

The current issue of Neurology Now magazine includes an article on how to maintain cognitive function.  "Staying Sharp: What you do during your free time could help save your brain" lists the following "brain-boosting activities":
  • Learn A Second Language
  • Become A Social Butterfly
  • Play Music
  • Exercise
The article also claims that heart-protective measures may also protect the brain.  For example, it recommends:
  • Don't smoke.
  • Sleep 7–8 hours a night.
  • Keep your blood pressure and cholesterol levels in check.
  • Eat a low-fat, healthy diet.
  • Get plenty of exercise.
  • Maintain a healthy weight.
  • Limit alcohol consumption.
  • Get blood sugar levels (and diabetes, if you have it) under control.
Yes, cholesterol is still a villain, despite assertions from both cardiologists and neurologists that high blood sugar causes damage, and it's the cholesterol that aids in the repair of that damage.

The biggest payoff is to stimulate your intellect while elevating your blood flow.  Learn to dance or practice martial arts for example.  I try to meditate while I walk, or walk mindfully.

Sunday, October 12, 2014

October is LBD Month

Lewy body dementias (LBD) affect an estimated 1.3 million individuals and their families in the United States. Though many families are affected by this disease, few individuals and medical professionals are aware of the symptoms, diagnostic criteria, or even that LBD exists. Here are 10 important facts about Lewy body dementias that you should know if you, a loved one, or a patient you are treating may have LBD: http://www.lbda.org/content/10-things-you-should-know-about-lbd