If you have dementia then there are certain, dementia care, needs when, dementia, presents itself because it goes until death. Let’s say that my mom or someone I’m responsible for starts exhibiting, symptoms of dementia. How do I decide on whether to put them in a, nursing home, or to get, home care?
Listen to the full podcast interview here:
My guest today is MERRILY ORSINI, Pres/CEO of Corecubed, is considered a thought leader in the healthcare at home industry and is involved in numerous organizations, providing insight and advice. Merrily is a leader in the Help Choose Home initiative, podcast creator and host. She focuses on educating how and when to choose healthcare at home. Orsini won a Lifetime Achievement in Business Award at the 2017 Stevie Awards for Women in Business. Orsini’s business ownership began with a geriatric care managed in-home care agency, a venture that garnered her the prestigious Ernst & Young Entrepreneur of the Year Award in 1996
Myrna – Tell us your journey into your first geriatric care managed in home care agency. Was it because you had a, dementia, parent who needed help?
Introduction to Home Care
Merrily – I sort of fell into it. I have a master’s in social work and an interest in helping people. I was in a personal situation where I needed to make more money. So, I decided to become an entrepreneur and start my own Business. Soon after I opened the doors of that business, I got a request from a friend of mine to provide what at that time we called a babysitting service for one of her clients whose wife had senile, dementia.
That began was a lifelong commitment for me to provide care for anyone who is suffering from, Alzheimer’s. We progressed with my first patient from her early stages of, Alzheimer’s dementia, through end stage.
We ended up caring for lots of other people with lots of other issues but the issue of, dementia, is probably the most frightening and the hardest care. I stayed in the, home care, space directly providing, nursing care, services from 1981 to 1998.
Sponsored Ad
About 3 years ago, I started losing my hair. A dermatologist confirmed I had Alopecia. This dampened my spirits; but instead of becoming depressed and sad, I wanted to regrow my hair along my personality and mood.
That’s how my bald and bougie collection was born. My shirt collection is made for people like me, who suffer from Alopecia. It is my way of offering them something to smile about and hold their bald heads high.
As a resident of Atlanta. GA, I want to offer my bald and bougie collection to help women, men and kids who are suffering hair loss due to alopecia, cancer, or any type of disease a shirt from my BALD AND BOUGIE… collection. Visit www.baldandbougie.com
Myrna – I don’t have any personal experience with this, in my family but there’s a lot of movies out there that address the subject of, Alzheimer’s disease. The most famous is the movie the Notebook.
When I started, menopause, I personally started forgetting things and I was very afraid of that it was the start of, Alzheimer’s disease. But I was reassured by my doctor that if there is no history of, dementia, in my family then there is a good chance that I would not get, Alzheimer’s disease.
Dementia Care for patients?
Merrily – my business provides support to the industry. I’m not in the direct provision of, home care, anymore. The thing about, dementia, is that it’s not a one-size-fits-all disease. It also manifests itself differently in different people. Some people become very calm, quiet and reserved and other people become aggressive.
The disease progresses at different times, it is a debilitating disease if you have an, Alzheimer’s, type, dementia, or some of the other kinds of, dementia, it’s debilitating and it gets worse.
For instance you mentioned, menopause, there are several things that do cause something that looks like, dementia. For instance, medication mismanagement. I had a client one time who was severely malnourished, and that malnourishment actually translated itself into, dementia.
The question of, dementia care, it is again it’s not a one-size-fits-all because someone who has a, dementia, needs a totally different kind of care than someone who has a frailty or a disease. It’s two totally different kinds of care and it’s also takes different kinds of caregivers.
Sponsored Ad
The Science-Fiction/Fantasy novel, The Seed of Life is now available on Amazon. This book features strong female leads at the forefront of their planet’s defense militia.
At just 23 years old Kameclara achieved her childhood dream of becoming an operative of the Intergalactic Military. Their main task is protecting their home planet Teroma.
This mission afforded them the chance of finding another place more like home; her team is taken into the fold of the planet’s deepest secrets. They learn their system contains nine planets, not the seven they were taught in school.
Pick up your copy of the Seed of Life today and discover with Kameclara the fate of all her people… and the true purpose of their mission.
The Seed of Life now available on Amazon.
Why Home Care is the best Dementia Care for Patients.
There’s different ways that you actually can talk to someone or be around someone with, Alzheimer’s, and there’s a handful of generic kinds of rules for, dementia care; but the biggest one is this. It is hard for families is when someone starts forgetting and they actually have, dementia.
That’s irreversible and it’s going to get worse. the worst thing you can do is try to orient them to right now, because they’re not there. They’re not mentally in the present and it’s very scary for someone with the, dementia, to think that they’re somewhere else and then have someone try to orient them today.
It’s like waking up in a dream and you know you you’re dreaming you’re someplace and if someone said you’re not there it would be scary. The, dementia, patient turns against them, because they quit trusting them.
They quit trusting them because the person is trying to orient them back to reality.
Sponsored Ad
Are you a burdened content creator, indie artist , or unsigned musician who is looking for an opportunity to go viral without bias? Then Lit vibe is for you.
Lit vibe is a short format social network designed for creatives to showcase their talents to the world and build their audience without special endorsement or referrals. Lit vibe is easy to use with fun innovative features. We take user privacy seriously. Lit vibe is the new go to app.
Don’t sit on the sidelines and let your music or creativity go unnoticed.
Download lit vibe today and start posting your content, you might become the next internet sensation. Lit vibe is available on AppStore and Playstore or visit www.litvibe.co
Dementia Test
The mini mental status test is about five questions:
- It starts off with “what day is today”
- Who’s the president of the United States
- Ask them to make you a cup of tea because that requires is sequential steps.
- Can they still dress themselves or take care of themselves. Oftentimes not because they don’t remember. Sometimes people with, dementia, take all their clothes off and run out into the yard.
So many of the normal activities of daily living processes that you that you would not lose unless you had, dementia.
Ways to prevent Alzheimer’s type dementia
If you have a healthy lifestyle and by that I mean eating well, exercising and getting plenty of sleep. All of those things can help you prevent that onset of, dementia, but if you actually have an, Alzheimer’s, type, dementia, no matter what you do it is going to eventually come.
Keeping your mind active is the other way to prevent the onset of, dementia. We’re creatures of habit so if you brush your teeth with your right hand, try brushing your teeth with your left hand. Simple things like that.
Learning a foreign language that’s one of the most amazing things you can do because it uses parts of your brain that you don’t normally use.
So if you’ve done crossword puzzles your whole life and you think by continuing to do crossword puzzles you’re going to somehow keep dementia at bay, that’s not true. You need to do something different like learn how to dance. Do something that involves your body and your mind, that is different than anything that you’ve ever done before.
Is Alzheimer’s dementia different from just dementia?
You characterize, Alzheimer’s dementia, from just, dementia, can you give us what the difference is?
Merrily – There are all different kinds of, dementia. Alzheimer’s, is what we most hear about; but it is a specific disease that has some specific characteristics.
There are other types of, dementia.
- Lewy Body dementia which is what Robin Williams had
- There’s frontal-temporal dementia.
- Alcohol related dementia that comes from overusing alcohol
- Vascular Dementia
- Mixed dementia and that is a combination of Alzheimer’s dementia and Vascular dementia.
Home Care for Dementia patients
If you have, dementia, then there are certain, nursing care, needs when, dementia, presents itself because it goes until death.
Let’s say that my mom or someone I’m responsible for starts exhibiting symptoms of, dementia. How do I decide on whether to put them in a nursing home or to get, home care?
There is no universal long-term care program for people in America, we have an overly complicated, home care, system. Some of it funded by the government and some of it paid for privately, so it really depends on what your financial resources are and what your support system is.
Right now very few people want to go into a congregant, nursing home, setting because of the exposure. You look at the deaths in America where 40 percent or more happen in congregate, nursing home, care settings from COVID 19.
So, if you have a loved one with, dementia, the first thing to do is go somewhere where you can get a real good screening. I would recommend a geriatric evaluation and treatment program through a teaching university.
The next step after they say you do have a progressive disease, is to really look at time frame, because a lot of people can stay at home with just a little bit of care as long as there, dementia, is not progressed to the point where they are endangering themselves.
Staying at home is probably the best place because people who have, dementia, like familiar surroundings and they also like a routine.
But the question between, home care, or, nursing home, really comes down to cost and support.
Sponsored Ad
Are you using different types of cosmetics and still can’t get rid of your acne or wrinkles? Are you gaining weight and want to lose some fat to get in beautiful shape?
Introducing bossyroosa’s health and beauty products specially designed for women who have acne, wrinkles, dull skin, and extra fat that is getting in your way to look and feel more beautiful. Our beauty products can get rid of those problems and bring out your true beauty within a few weeks.
So Say hello to spotless, translucent skin with a healthy glow and celebrate every day with your new health.
Visit bossyroosa.com and find your true beauty now. That’s bossyroosa.com
Tell us about your podcast Help Choose Home.
The reason I started the Help Choose home podcast, is that what I have found is people don’t actually look for any of these answers or even information until they have a need. Someone has a care need for a family member and then they start researching. So the Help Choose home podcast, is really just about educating people about how to choose, nursing homes, or, home care.
How can those listening and watching on YouTube connect with you?
The national association for home care and hospice which is one of the sponsors of my podcast has very good resources and you mentioned AARP. AARP has excellent resources as well The home care association of America and the National Palliative Hospice and Palliative care organization.
My own website is www.merrilyorsini.com My business is corecubed.com
I’m inviting you to join my Facebook group called life coach and please subscribe to the podcast on our YouTube channel and where ever you get your podcasts.
