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What Is Alzheimer's? | |
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Alois Alzheimer's Discovery | |
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The Puzzling and Peculiar Formations | |
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Alzheimer Reveals His Findings | |
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The Continuing Puzzle of Alzheimer's | |
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The Types of Alzheimer's | |
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What Causes Alzheimer's? | |
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A Cure in Sight? | |
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Drugs: New and Old | |
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Therapy and Lifestyle Changes | |
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How This Book Will Help You | |
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When to Worry: The Ten Warning Signs of Alzheimer's | |
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Warning Sign Number One: Difficulty with Familiar Tasks | |
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Warning Sign Number Two: Slipping Job Performance | |
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Warning Sign Number Three: Language Difficulties | |
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Warning Sign Number Four: Confusion of Time and Place | |
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Warning Sign Number Five: Increasingly Poor Judgment | |
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Warning Sign Number Six: Problems with Abstract Thinking | |
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Warning Sign Number Seven: Misplacing Objects | |
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Warning Sign Number Eight: Mood and Behavior Fluctuations | |
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Warning Sign Number Nine: Changes in Personality | |
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Warning Sign Number Ten: Lack of Initiative | |
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The Importance of Early Diagnosis | |
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How Affected People Try to Cope | |
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Why It's Difficult to Diagnose Alzheimer's | |
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The Causes of Dementia | |
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Multi-Infarct Disease | |
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Lewy Body Dementia | |
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Pick's Disease | |
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Parkinson's Disease | |
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Other Causes of Dementia | |
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Alcohol and Prescription Drugs | |
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Environmental Toxins | |
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Infections or Viruses | |
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Tumors and Other Structural Disorders | |
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Metabolic Disorders | |
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Depression, Delirium, and Isolation | |
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Reversible Dementias | |
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A Diagnosis of Exclusion | |
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The Diagnosis--a Frustrating Ordeal | |
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Find the Right Doctors | |
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The Medical History and Physical Exam | |
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Neurological Exam | |
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Lab Tests | |
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Mental Status Test | |
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Psychiatric and Neuropsychological Exams | |
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The Possible Results | |
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Mild Cognitive Impairment | |
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It's Most Likely Alzheimer's Disease | |
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Dealing with the Bad News | |
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The Patient's Feelings | |
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Acceptance or Denial | |
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Shame or Guilt | |
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Fear | |
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Sadness and Grief | |
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Depression | |
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Frustration and Anger | |
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Loneliness and Isolation | |
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Your Feelings | |
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Medical Support for the Patient | |
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Prescription Drugs | |
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Additional Treatments | |
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Clinical Trials | |
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Emotional Support for the Patient | |
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Support for You | |
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Plans for the Future | |
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Financial Plans | |
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What Will It Cost? | |
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What Are Your Combined Resources? | |
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Tax Issues | |
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Government Programs | |
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Other Income Sources | |
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Legal Plans | |
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Durable Power of Attorney | |
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Living Trust | |
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Medical and Nursing Care Plans | |
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Spiritual and Emotional Plans | |
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What to Expect in Stage 1 | |
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Difficulty with Routine Tasks | |
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When to Stop Driving | |
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When to Stop Working | |
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What to Wear | |
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Increasing Memory Loss | |
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Losing and Hiding Things | |
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Getting Lost and Wandering | |
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Emotional Changes | |
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Odd and Inappropriate Behavior | |
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Rummaging Through Things | |
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Stealing and Accusations | |
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Sexual Behavior and Nudity | |
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Physical Changes | |
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General Guidelines for Caring for Alzheimer's Patients | |
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Cooperate with the Patient's Wishes | |
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Stick to Daily Schedules | |
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Plan Meaningful Activities | |
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Music | |
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Gardening | |
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Reminiscing | |
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Quiet Time | |
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Children and Pets | |
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Create a Calm and Stable Environment | |
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Establish Good Verbal and Nonverbal Communication | |
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Stop Blaming | |
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How Do You Survive Stage 1? | |
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When You Are the Patient's Life Partner | |
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Prepare for Practical Changes | |
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Sexuality and Intimacy | |
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When You Are the Patient's Child | |
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Acknowledge Your Feelings | |
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Join a Support Group | |
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Keep a Journal | |
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Keep Your Sense of Humor | |
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Laughter | |
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Fun | |
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Ask for Help! | |
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Getting Time Off | |
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Getting Professional Help | |
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Exercise and Eat Well | |
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What to Expect in Stage 2 | |
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Some General Changes | |
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Severe Memory Loss | |
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Difficulty Communicating | |
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Difficulty Speaking | |
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Difficulty Understanding Speech | |
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Physical Changes | |
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Personality Changes | |
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The Hygiene Nightmare | |
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Eating | |
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Personal Hygiene | |
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Dealing with Difficult Behavior | |
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Repetition | |
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Already Asked and Answered | |
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Been There, Done That | |
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Clinging | |
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Suspiciousness and Paranoia | |
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Rage and Catastrophic Outbursts | |
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Hallucinations or Delusions | |
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Depression | |
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Sexual Behaviors | |
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Sundowning and Sleep Disturbances | |
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How Do You Survive Stage 2? | |
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Expressing Your Emotions | |
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Anger | |
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Sadness and Grief | |
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Guilt | |
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Identify Your Trigger Points | |
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Love | |
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Physical Reactions | |
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Fatigue | |
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Stress-Related Illness | |
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When Is It Time to Get Help? | |
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Avoiding Isolation | |
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What to Expect in Stage 3 | |
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Severe Intellectual Impairment | |
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Severe Speech Impairment | |
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Very Little Awareness of Surroundings | |
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Loss of Other Mental Functions | |
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Refusal to Eat | |
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Complete Dependency | |
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Incontinence | |
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Inability to Perform Most Activities Without Help | |
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The Final Months | |
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Medical Care Issues in Stage 3 | |
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Falls | |
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Pressure Sores | |
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Dental Problems | |
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Vision and Hearing Problems | |
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Dehydration | |
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Constipation | |
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Infections and Pneumonia | |
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Before Death Comes | |
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Medical Intervention | |
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Feeding Tubes | |
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Medication | |
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Surgery | |
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Resuscitation | |
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Where Will the Patient Die? | |
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The Last Moments | |
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After-Death Decisions | |
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Should There Be an Autopsy? | |
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What Type of Funeral? | |
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How Do You Survive Stage 3? | |
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Are You Ready to Let Go? | |
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There's Nothing Wrong with Feeling Relief | |
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Guilt, Anger, and Depression | |
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Guilt | |
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Anger and Depression | |
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Experiencing Sadness and Grief | |
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Anticipatory Grief | |
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Symptoms and Stages of Grief | |
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Coping Strategies | |
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How Long Does Grieving Last? | |
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Moving On | |
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If You Are Not the Primary Caregiver | |
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Securing Your Home | |
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General Safety Considerations | |
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Is It Too Cluttered, Busy, or Noisy? | |
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Is It Too Dark? | |
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Is It Too Hot? | |
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Is It Hazardous? | |
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Is It Sharp, Slippery, or in the Way? | |
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What Should Be Locked? | |
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Stairways | |
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The Bathroom | |
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The Bedroom | |
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The Kitchen | |
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Outdoors | |
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Other Issues | |
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Fire Safety | |
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Memory Aids | |
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Mealtime Traumas | |
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Planning and Preparing Meals | |
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What to Serve | |
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When to Eat | |
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At the Table | |
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How to Eat | |
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Other Mealtime Problems | |
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Choking | |
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Feeding Someone Who Is Bedridden | |
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Drinking | |
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Personal Hygiene at Home | |
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Getting Dressed | |
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How You Can Help | |
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What to Wear | |
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Still Having Problems? | |
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Personal Grooming | |
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Hair | |
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Shaving and Make-Up | |
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Nails | |
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Oral Hygiene | |
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Bathing | |
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Preparing the Bath | |
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Tips for Successful Bathing | |
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Dealing with Problems | |
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When Accidents Happen | |
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Why Accidents Happen | |
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Dealing with Incontinence | |
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Time Off: Getting Help for You | |
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Help from Family and Friends | |
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Help from Outside Providers | |
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Home Aides--Where to Find Them | |
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Agencies | |
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On Your Own | |
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How to Supervise Your Help | |
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Adult Day Care | |
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Vacations: Short-Term Respite Care | |
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Moving the Patient in Advance of a Crisis | |
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When Is the Right Time? | |
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The Right Time for You | |
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The Right Time for the Alzheimer's Patient | |
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Involve Others in the Decision | |
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Medical Professionals | |
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Family Members | |
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Involve the Person with Alzheimer's | |
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Allow Time to Find the Right Place | |
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Retirement Residence with Assisted-Living Program | |
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Licensed Residential Care Home | |
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Alzheimer's Dedicated Care Facility | |
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Nursing Home with a Dedicated Alzheimer's Care Program | |
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How to Choose the Right Nursing Home | |
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The Level of Care Needed | |
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Geographical Area | |
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Licensing or Certification | |
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Financial Considerations | |
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Inspect the Facility | |
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Physical Layout | |
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Residents' Rooms | |
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Bathrooms | |
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The Staff | |
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Medical Policies | |
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General Policies and Considerations | |
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Safety and Emergency Policies | |
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Visiting Policies | |
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Use of Physical and Chemical Restraints | |
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Activities and Entertainment | |
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Food Service | |
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Moving In | |
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A Smooth Transition | |
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What to Bring | |
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Spend Time at the Facility | |
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Build Relationships with the Staff | |
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The Patient's Reaction | |
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Sometimes It's Traumatic | |
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Sometimes It's Positive | |
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Your Reaction | |
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A Change, Not a Defeat | |
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Express Your Feelings | |
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When It's Your Partner | |
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Deal with Your Overwhelming Loss | |
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Don't Stay Isolated | |
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Start to Build a Single Life | |
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When It's Your Parent | |
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Make Your Visits Count | |
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Create a Regular Visiting Routine | |
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Creative Ways to Connect | |
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Bring a Favorite Food | |
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Decorate the Patient's Room for Holidays | |
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Personal Grooming for Fun and Relaxation | |
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Bring Scrapbooks and Old Pictures | |
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Outings | |
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Visits During Scheduled Activities | |
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Positive Feedback | |
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How to Handle an Upsetting Visit | |
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Keep in Touch with the Staff | |
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The Present: Caring for Yourself Through It All | |
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Empathy for You | |
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Your Limits and Limitations | |
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Staying in Balance | |
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Signs of Stress | |
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The Physical Part of Staying Healthy | |
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Sleep and Relaxation | |
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Diet | |
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Exercise | |
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Regular Medical Care | |
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The Mental and Spiritual Parts of Staying Healthy | |
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Meditation | |
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Relaxation Exercises | |
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Guided Imagery or Visualization | |
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Breathing Exercises | |
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Get a Massage | |
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Be Good to Yourself | |
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The Future: Is There Hope? | |
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Solving Dr. Alzheimer's Puzzle | |
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Tangles | |
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Plaques | |
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Clues from Gene Research | |
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Clues from Mice Models | |
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Making a Mouse Sick | |
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A Promising Vaccine | |
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Drugs | |
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Secretase Inhibitors--Memapsin 2 | |
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Anti-Inflammatories and OX2 | |
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Estrogen | |
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Memantine | |
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Herbs | |
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Gingko, Ginseng, and Phosphatidyl Choline | |
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Huperzine A | |
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Sage | |
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Other Research Areas | |
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Brain Imaging Techniques | |
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Reviving Brain Cells | |
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Head Injuries | |
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Glia Cells | |
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Helping to Fund Hope | |
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Appendixes | |
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Glossary | |
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Further Reading | |
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Community Resources | |
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Online Resources | |
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Index | |