Below are the minutes from our monthly caregiver support group meeting. Meetings are free and open to the public. For more information click on the "Support Group" link.
FTD Support Group
Meeting Minutes- July 23,
2013
Announcement: Is there interest in the group having a guest speaker come
talk about a new drug trial on tau? Tau Rx company wants to come chat. In the
past, there have only a few clinical trials at Jax Mayo and USF. Previous
trials have had some issues, hope with this for the future. (Consensus was yes,
there is an interest).
Welcome to Dr. Dody
- Director of UF Memory Disorders
Clinic
- Patients come to office, do an
evaluation, send report to home physician to follow-up
- She is leaving a hard copy of AD
Education Manual for the group to use. It will be located in the UF Cognition
and Language Lab.
- Shared important resources,
especially online and local
- Alz Place- adult day health care
for people with progressive dementia; highly recommended by Dr. Dody
- Shared resources for disaster
relief, especially during hurricane season. Know which shelters provide
accommodations for people with dementia
- Checklist for family matters –
bills, power of attorney, etc.
- Have a family gathering with
those that you trust
Question- how do navigate the SSI
before FTD patient is normal retirement age?
First, must assume that your
initial application will be rejected. Find out who your case manager is and
meet with them about what is required on the application form. Give what you
think are ridiculous examples, i.e. a company would have to hire two people to
ensure that the job could be done with the person with FTD.
Can also get a good attorney who
will help with wording. Dr. Dody can also offer help if you want to run a
paragraph by her.
FTD is a special exempt condition
that can get SSI 5 years before AD
FTLD Review
- Early symptoms- loss of
boundaries or self-awareness (anosognosia)
Question- how to deal with that
as a caregiver?
Know ahead of time when things
might come up and keep an arsenal of distractors (i.e when at home- wrapped
snacks, going outside, inside activity; when out in the community- pictures to
spark convos to allow the emotion to calm down), bring objects to allow her to
squeeze and do exercises, get patient to help the caregiver, spark conversation
with old family stories
Things that increase fatigue
factor can make things worse
Driving is a major point of
contention
- Doctor can revoke license
- Make the car unusable
- Can report anonymously to DOT tip
line
- Make paper copy to include in
medical record of physician’s record
Question- how to find a good
primary doctor that understands and believes the problem?
Suggestions: Dr. William Rios, Dr.
Alan Goldblatt
Question- when trying to find the
right word, when as the caretaker to intervene?
Difficult to balance. Whatever
system works with your family that keeps the family happy.
- Exercise- research has found that
walking is one of the best exercises for the brain
- Biking, resistance training,
gravity weight-bearing exercise also good
- 30-40 minutes 5 days/week
- Important to stay hydrated, lots
of fruits and veggies
- Reduce negative stress
- Constant release of cortisol can
dampen areas of short term memory and longer term storage
- Indulgent activities- especially
for caregivers that are just for themselves to distract them for awhile
Question: correlation between FTD
and night horrors?
Sleep does change with some
people with FTD, and some meds should not be taken at bedtime (i.e. airicept
should be taken in the morning after breakfast). Avoid fats and carbs late at
night because sleep quality will be inferior. Sometimes there’s something in
the room that can be bothersome when waking. Its also important to start winding down
in the evening by avoiding stimulants (caffeine), watching the news, arguing,
stimulating tv programs, no pets in the room.
Next month: Clinical trials speaker. Meet again at Milhopper library at
3pm. Date set for Tuesday, August 20th.