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| Dianna Malkowski |
by Dianna Malkowski,
Physician Assistant & Nutritionist
As new Alzheimer’s
biomarker results are reported at the Alzheimer’s Association International
Conference 2014, let’s explore the relationship between Alzheimer’s and
incontinence and ways to help a loved one manage the disease.
This month, the
Alzheimer’s Association reported new biomarker results that may lead to earlier
detection of cognitive impairment. Results of four research trials were
reported this month at the Alzheimer’s Association International Conference in
Copenhagen, Demark.
The results show two
significant biomarkers for cognitive impairment and Alzheimer’s disease: A decreased
ability to identify odors indicated loss of brain cell function and progression
toward Alzheimer’s disease, while a buildup of beta-amyloid in the eye
correlated to buildup of this sticky plaque-like substance in the brain.
Beta-amyloid is known to build up in the brain for years before symptoms of
memory loss and other cognitive problems manifest themselves.
Although it’s only
possible to detect Alzheimer’s disease late in its development, this offers
hope for finding ways to detect it at an earlier stage.
Symptoms of
Alzheimer’s include persistent and worsening memory loss, disorientation,
changes in personality and behavior, and problems speaking, writing, thinking,
reasoning, making decisions or performing familiar tasks.
Incontinence also is
a symptom of Alzheimer’s disease. Because Alzheimer’s is a neurological
disease, patients often have trouble recognizing physical urges or remembering
where a bathroom is located, which can contribute to bladder or bowel
incontinence. Certain medications also relax the bladder muscles or cause
increased urination.”
Malkowski offers
tips from the Alzheimer’s Association for helping a loved one cope with
dementia and incontinence:
- Remind the person where the bathroom is located, and encourage a regular schedule.
- Ensure the path to the bathroom is clear of obstacles and well lit. Provide visual cues by painting the bathroom door a contrasting color and posting a toilet sign on the door.
- Make a bathroom safer with grab bars, a raised toilet seat and nightlights.
- Provide clothing that is easy to remove, with no complicated belts or buttons.
- Use an IncontinenceProduct Finder to choose disposable undergarments by style, selecting a type your loved one can easily get on and off.
- Explain the importance of keeping skin clean, moisturized and protected, using products made to prevent breakdown and infection.
- Protect bedding and furniture with disposable pads.
- Never withhold fluids, which can lead to dangerous dehydration, but encourage your loved one to cut back before bedtime.
Dianna Malkowski is
a Board Certified Physician Assistant and Mayo Clinic trained nutritionist
specializing in diabetes, cancer, wound healing, therapeutic diets and
nutrition support. She serves on the board of professional advisors for The
CareGiver Partnership and enjoys working with patients and caregivers alike. Ask Dianna a question.
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