Alzheimers/Dementia

Considerations before switching from Nasogastric (Ryles) to PEG Tube feeding

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PEG tube (percutaneous endoscopic gastrostomy)  is a feeding tube that is surgically placed in the stomach to enable feeding directly. It is usually recommended if a feeding tube needs to be placed on a patient for long term basis. Examples are in case of stroke/ ALS patients who could no longer swallow, and illness/physical injury …

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DNR does not mean denying treatments that can help the patient recover

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In this article, I would provide the lay perspective of what a DNR meant in Thailand. This is because I have read some scary accounts where patients in ER in some hospitals overseas were denied treatments…. just because they have a DNR. These are not treatments like CPR or oxygen intubation, but more of like …

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Preserving Dignity and treating our loved ones who have Alzheimers/Dementia with respect

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As the stage of Alzheimer’s or dementia progresses, our loved one would no longer be able to comprehend or understand the meaning of dignity and privacy. They would no longer feel humiliation or shame if their uncovered body is exposed in public, nor would they feel embarassment when their diapers are completely soiled and the …

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Alzheimer’s | Dementia and Hallucinations

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Caregivers often report their loved ones with Alzheimer’s or dementia who would talk about seeing or hearing things that are not there. In the West, patients would be placed on medication to calm down especially if they react aggressively, fearfully or become very restless due to these visions. My mom herself also experience hallucinations which …

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Placing Alzheimer’s/ Dementia on Tube Feeding WILL improve their quality of life if you are willing to care for them

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In this article, I would share on the perspective of someone who have looked after my mom who have Alzheimers and is placed on tube feeding. I am not an outsider looking in but someone who is directly involved in the caregiving, accompanying my mother all the time in checkups and hospital stays. In other …

Placing Alzheimer’s/ Dementia on Tube Feeding WILL improve their quality of life if you are willing to care for them Read More »

Tube Feeding is discouraged for Alzheimers but recommended for stroke/ALS

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You would hear me sharing a lot on phlegm suction in my blog as well as my YouTube videos. You may wonder, where on earth would a person with Alzheimer’s or dementia ever require phlegm suction? The answer is, phlegm suction relates to those who develop difficulty swallowing which sometimes occurs in end stage. This …

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Nasogastric vs PEG tube for Alzheimer’s/dementia with swallowing problem

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Based on my mother’s experience in having a feeding tube placed when she could no longer consume enough by mouth due to dysphagia, nasogastric tube would be a better choice. A PEG tube (percutaneous endoscopic gastrostomy) is suited for those who required tube feeding but with intact cognitive function, ie still able to think and …

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Considerations before placing an Alzheimer/Dementia patient on tube feeding

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It is said 65 percent of Alzheimer’s or dementia patients would develop dysphagia, ie gradually losing the swallowing reflex towards the end stage of their disease. Even though they could still swallow, the quantity of fluid and nutrients is no longer sufficient to keep them alive for long. Hence, the decision would have to be …

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Hand restraints/special mittens for Alzheimer’s/dementia patients on tube feeding

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I am grateful that we are in Thailand and sought medical care from doctors here. When my mom developed difficulty swallowing due to late stage Alzheimer’s, all the doctors here recommended nose tube intubation (nasogastric tube). My mom survived and recovered her energy from nose tube feeding. Even my family and her friends back in …

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