Mike Adams, the Health Ranger
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 Calling it the "Scrubs for SiCKO" campaign, organizers will recruit registered nurses and doctors to every theater in the nation where "SiCKO" opens to ensure that caregivers -- in SiCKO scrubs -- are in the audience.
The caregivers will distribute information and urge moviegoers to join the drive for a fundamental overhaul of the nation's dysfunctional healthcare system -- as is so brilliantly described in "SiCKO. |
Charles Barber
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 Furthermore, two innovative treatment approaches—the Stages of Change model and Motivational Interviewing—have provided an entirely new paradigm of how caregivers conceive of the process by which people change and how to motivate them to do so. |
Ron Garner
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 Healthcare practitioners and caregivers are encouraged to use the information they find here, which may not have been part of their own training.
This book presents a complementary and evolutionary paradigm of healthcare. It brings together knowledge and understanding that can become shared and applied. Although the information is not new, the widespread application of it and the approach to "self-health" is.
Presently, diseases of all description appear to be beyond our control, and they are increasing. |
J. Douglas Bremner
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 Alzheimer's takes a particularly heavy toll on the families of affected patients: Studies show that 80% of caregivers are under heavy stress, and 50% suffer from depression. Given these grim statistics, it is no wonder that families, patients, and their doctors are desperate for treatments for this disorder. |
Bottom Line Health
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| If they understand better, if they communicate better, it makes it easier for caregivers to do their job."
Dr. David B. Hogan, holder of the Brenda Strafford chair in geriatric medicine at the University of Calgary Health Sciences Centre in Alberta, Canada, agrees that the people who care for Alzheimer's patients need help. "If you can decrease the strain on families, that would be very beneficial," he says. "It would also be beneficial to the staff caring for these people in nursing homes."
However, Hogan is not impressed with done-pezil's benefit to patients. |
Michael J. Panzner
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 Certain relationships, like those with doctors, caregivers, teachers, and contractors, will be about more than just money. Extra precautions, such as checking with licensing or other authorities, whether or not the data are available online, should be taken as a matter of course.
With the economy in trouble, money tight, and the fallout from an exploding systemic crisis causing broad Shockwaves, businesses will take aggressive and dramatic steps to contain the damage. These measures might include closing plants, slashing jobs, or filing for bankruptcy. |
Bill Sardi
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 She was looking for a way to conquer cancer without poisoning herself, and her caregivers were telling her to suffer through more chemotherapy. It made no sense to me. Chemo would destroy her immune system in an attempt to cure her, when the immune system is what keeps cancer at bay. But who am I to second guess doctors? Patti succumbed to cancer in a relatively short period of time. Treatment seemed to quicken her passing. |
| They know that patients and their caregivers feel they have paid for health insurance and they demand treatment. For fear of telling patients "there is nothing more that can be done,"the patient undergoes treatment that may extend life by a few short weeks, and then are told the same thing.
Sometimes no treatment is as good as treatment. For example, small brain tumors are often left alone because surgical intervention may cause brain damage. |
| One of the things that cancer patients, their families and caregivers must do, is dismiss from consideration any disproven or marginal cancer therapies. Instead, create a short list of treatments that are likely to be effective.
Cancer instruction book needed
I have written this book because, sadly, there is not an adequate written guide for patients facing cancer today. There are volumes written about cancer, but so little help on how to sort out all the information. |
Bottom Line Health
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| WHAT PARENTS CAN DO
Budnitz says that there are three things parents or caregivers can do to prevent medication accidents...
1. Keep medication out of the sight and reach of young children.
2. Don't assume that keeping medications in purses or pillboxes will prevent children from getting them.
3. Pay close attention when giving medication to children to ensure that they are getting the right drug and the correct dose.
"Young children continue to swallow medications or doses of medications that are not intended for them," Budnitz says. |
Ann M. Coulston and Carol J. Boushey
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 Behavioral Intervention
In an effort to increase dietary intakes, caregivers of young children with CF may be engaged in ineffective feeding practices such as coaxing, commanding, physical prompts, and parental feeding. Adolescents with CF may intentionally skip pancreatic enzymes in order to achieve a certain body image. An in-depth assessment of eating behavior, feeding patterns, and family interactions at mealtimes should be performed in CF patients at risk or experiencing malnutrition. |
Charles Barber
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| And even depression, anxiety, and obsession have their benefits: a feeling that one is uniquely sensitive or special, "a rush" of adrenaline, enjoying the attention on the part of caregivers and family that sometimes attends the process of suffering. "Ambivalence takes the form of a conflict between two courses of action (e.g., indulgence versus restraint), each of which has perceived benefits and costs associated with it." Motivation comes from within the client and is not imposed upon the client by the therapist. |
Anne Harrington
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 He then gently suggested that the participants might get further in their practical clinical efforts if, rather than trying to figure out what "bliss" was, they focused instead on helping hospital caregivers cultivate greater reserves of kindness toward one another and their patients.
Nevertheless, since 1998 it has been "advanced" meditation—the meditation accomplishments of exceptional and often exotic-seeming people—that has tended to be at the forefront of conversations about the general benefits of meditation. |
Devra Davis
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 Children can literally bounce off the walls and furniture of their homes, injuring themselves and their caregivers. Teenagers with untreated learning disabilities tend to fare poorly in school and in the community. Often they end up in legal trouble or in jail.
Some people have asked whether the rise in these problems is tied to exposure to heavy metals, such as lead, to modern chemicals, or to endocrine-disrupting chemicals that can affect the brain. |
| I have come to admire the bold and compassionate work that is being carried out by cancer caregivers and researchers today. There are remarkable efforts under way involving natural products and breakthrough approaches in clinical trials, pushed by cancer patients who often have nothing to lose and doctors who may be wrestling with the disease themselves.
There is no one who deals with the disease now who doubts that we need to open a new front. |
Hyla Cass, M.D.
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 It's easy to forget what you've taken, and it gets worse as you age. Caregivers: this is where you step in and keep records.
• If you want to consume alcohol, make sure that it's compatible with your medications.
• Allow your doctor to monitor you closely any time he or she adds a new medication.
• Talk to your doctor or to a pharmacist before adding any OTC drug or herbal supplement to your regimen, and keep each of your doctors informed about what drugs and nutrients you are taking.
• Have all your doctors talk to each other. |
Shannon Brownlee
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 She underwent repeated skin grafts, and her caregivers took pains to keep her wounds as sterile as possible.
Within two weeks, the toddler was well enough to be moved from intensive care to a "step-down unit," a sort of halfway house for patients who are ready to leave the ICU but not quite well enough for the regular wards. Sorrel King, who had spent much of the time at her daughter's side, confided to Paidas that she was worried about the move. None of the nurses were familiar, she told him. Was Josie really ready? Paidas reassured King that her daughter was practically healed. |
| Workloads for doctors and nurses can be staggering; communication between multiple caregivers can be hit or miss; and in teaching hospitals, young, inexperienced doctors provide the lion's share of the day-to-day
I lie I lull L/angci uuo I idLC care of patients, and they do it on minimal sleep. (Doctors have a saying: Never get admitted to a teaching hospital in July, because that's when all the new interns arrive fresh from medical school.)
Yet despite the abundance of latent errors in complex systems, a single misstep rarely results in disaster. |
| No matter what Donald Berwick did, the lack of coordination between his wife's caregivers made it impossible for him to make sure that she got the drugs she needed—and didn't get drugs that might harm her. Rebecca Dawes had lived with untreated Addison's disease for nearly two thirds of her life, even though the clue to her condition was there in her blood the whole time. Numerous emergency room doctors had drawn her blood, seen the imbalance of sodium and potassium, and undoubtedly thought at least in passing of the possibility that she was suffering from Addison's. |
Mark Sircus
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 Unnoticed by caregivers. Hypoglycemia can occur before the diagnosis of diabetes, and during treatment with oral antihyperglycemic drugs or insulin injections.
38 Insulin induced neuropathy has been reported previously in people with diabetes treated with insulin, and subsequently reported in patients with insulinomas. However, neuropathy caused by rapid glycaemic control in patients with poorly controlled diabetes with chronic hyperglycaemia is not a widely recognised entity among clinicians worldwide. |
Dr. Edward F. Group III, DC, ND, DACBN
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| Although many schools are now making efforts to remove junk food from their campuses, parents and caregivers must be constantly vigilant for such self-supporting actions taken by school educators and administrators.
Reading the labels of sweet snacks and drinks can be confusing and manufacturers will often mask sugar as something else. Don't let the following terms fool you—they're all variants of refined sugar.
Refined Sugar May Appear on the Label As... |
Gary Null and Amy McDonald
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 Patients on antidepressants and their families or caregivers should watch for worsening depression symptoms, unusual changes in behavior and thoughts of suicide, as well as for anxiety, agitation, panic attacks, difficulty sleeping, irritability, hostility, aggressiveness, impulsivity, restlessness, or extreme hyperactivity. Call the doctor if you have thoughts of suicide or if any of these symptoms are severe or occur suddenly. Be especially observant at the beginning of treatment or whenever there is a change in dose. You should not stop taking PROZAC abruptly. |
Peter J. Whitehouse and Daniel George
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 Consequently, caregivers are often the best judges of normalcy, and it is wise to defer to their expertise.
Problems with language
People with dementia often forget simple words or substitute unusual words called "neologisms," making their speech or writing difficult to understand. The Alzheimer's Association gives the example of a person unable to find her toothbrush who instead asks for "that thing for my mouth" or uses garbled phrases to request it. With my patients, the most common problem is not making up new words but forgetting old ones. |
| The reframing of senility as Alzheimer's disease and the large-scale financial commitments from the government generated excitement among researchers and trickled down to family members and caregivers of Alzheimer's patients, who spoke passionately of its ravages in the mass media and helped shape the contemporary paradigm of AD. Not only did Alzheimer's disease begin to replace senility as a societal marker for cognitive impairments associated with age, a cultural "idiom of distress"11 also began to emerge around the concept of AD. |
| Books like the popular The 36-Hour Day (Nancy Mace and Peter Rabins, 1981) began to proliferate on bookshelves and became must-reads for patients and caregivers alike. The monstrous myth of Alzheimer's disease was sweeping the country, changing the way we thought about aging. While it was undoubtedly important for the practical challenges of caring for a loved one with progressive cognitive impairment to be recognized by policy makers, the "mythical" aspect of aging—that it is a separate disease that can be cured—has proven ultimately to be destructive. |
| The stranglehold that drug companies now have over consumers would be loosened and large numbers of patients and caregivers could be mobilized against the complacency and false boasts of a pharmaceutical industry that is slow to innovate products such as ChEIs, but quick to market them to consumers and doctors. evaluating "breakthroughs"
In the June 18, 1990, issue of Time, a headline proclaimed, new hope for Alzheimer's victims. |
| One of the hardest things to judge is the amount of activity that is appropriate. caregivers often have a hard time adjusting to the fact that somebody with dementia may need and want to lead a simpler life.
What's normal? Feeling weary of work or social obligations on occasion is normal, if not expected. A key question to ask is whether the patient has insight into their own problem or whether a caregiver must make this determination on their behalf. Those who lack the capacity to reflect inwardly on the reasons for their loss of initiative should be encouraged to receive medical care. |
| If things work out well, perhaps you can volunteer for them as many former caregivers (and persons with memory problems) have.
?Understand the options your insurance gives you.
?Consider your primary-care physician as a first consultation.
?Use the grassroots approach, seeking word-of-mouth recommendations from others who know of quality specialists in the area.
?Regardless of whether you receive care from your primary-care physician or a specialist, call or visit the Alzheimer's Association to see how they can help you. |
Dawson Church
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 A paper recently published by a Johns Hopkins University researcher, Bruce Barrett, summed up a survey of the remarkable internal pharmacy we have at our disposal with the following eight recommendations that caregivers can use to engage it: "speak positively about treatments, provide encouragement, develop trust, provide reassurance, support relationships, respect uniqueness, explore values, and create ceremony. These clinical actions can empower patients to seek greater health and may provide a healthful sense of being cared for." |
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