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Blogger Babies and Mummy believe in sharing resources and ideas to enable the best possible care and support of our vulnerable.

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Tuesday, 12 December 2017

Can Cognitive Behaviour Therapy Help Dementia Patients?



Whilst visiting my nana at the weekend, I saw that her motivation had gone and that she seemed to be finding comfort in doing the same routine everyday – almost as though she has intentionally isolated herself or even institutionalised herself!

It made me think about how I could support my nana better and I thought out cognitive behaviour therapy.

However, is there such as thing as cognitive behavioural therapy for people with dementia?

With Dementia and dementia related illnesses such as MCI, there is a large proportion of patients suffering underlying issues such as anxiety and depression, in fact there is an estimated 50% of patients experiencing some symptoms of depression.

Depression can decrease quality of life, worsen dementia symptoms and increase carer stress.  Anxiety is also common in people with dementia and has a similarly negative impact.  Therefore, can Cognitive Behaviour Therapy help?  And if it can how would it need adapting to ensure the best possible outcome for the patient?

What is Cognitive Behaviour Therapy?

Cognitive behavioural therapy (CBT) is a widely used psychological therapy. It was initially developed to treat depression in adults without dementia and can be effective in treating both anxiety and depression. 

I believe that in its current form it cannot be used to help people with dementia as it requires thinking and memory abilities that may be affected by the condition.  But that is just my opinion.

Adapting Cognitive Behaviour Therapy

There has been some research into adapting CBT to help those with dementia, but this is still in the early stages.

Dr Stott has already undertaken some preliminary work on this project, including consulting with experts in CBT and people affected by dementia to determine the aims of the project.

Dr Stott aims to better understand the skills that people with dementia need in order to take part in CBT.

I believe that once this study is completed then Dr Stott will conclude that CBT is feasible for people with mild to moderate dementia and clinically significant anxiety.

UK Blogger Award 2018

Why Vote For Me?

It is important to raise awareness around dementia, older people's care and the crisis the UK faces to Adult Social Care. It is equally important to promote good care and good care practices. My aim is to make as many memories as I can through living as to live is the rarest thing in the world most people simply exist. I deserve to win because my journey through dementia is personal and having gone through the stages of grief for the life I could have had I am now celebrating the life I got.
Please follow the link and vote, share and comment

Thursday, 7 December 2017

#UKCharityWeek2017



For UK charity week the team are joining forces with Starbucks.

If any of you would like the chance to win a cash prize just before Christmas let get in touch!
You don’t have to be local to get involved!

UK Charity Week

Tuesday, 5 December 2017

Diabetes Insipidus



blogger baby after his head injuryFirst off, I just wanted to apologise to everyone for not posting for a while. I am afraid my blog has been a bit neglected in the last couple of months. My Mummy duties have taken a priority.

During the Summer of 2017 one of the blogger babies had a head injury, which resulted in him needing his head to be glued and stitched.

Since then, Blogger Baby has been fairly poorly and a bit of an enigma. 

His symptoms were:
·         Extreme thirst (polydipsia)
·         Passing large amounts of urine, even at night (polyuria)

You could expect that with extreme thirst that the urine output would increase.  And Separately these symptoms wouldn’t usually have me worried but when you include that he has suffered since the head injury
·         Ketonaemia (burning fat instead of glucose.)
·         Dehydration – despite his thirst
·         Hypoglycaemia (low blood sugar)
·         Tiredness
·         Irritability
·         Unexplained Weight Loss

Excessive thirst can be difficult to recognise in children who are too young to speak. Signs and symptoms that could suggest diabetes insipidus include:
·         excessive crying
·         irritability
·         slower than expected growth
·         hyperthermia (high body temperature)

This resulted in many trips to the GP and Paediatric Ward at our local hospital.  Following numerous tests and blood samples we finally received a diagnosis this week.

Diabetes Insipidus

Diabetes Insipidus (DI) is a rare condition where you produce a large amount of urine and often feel thirsty, it isn't related to diabetes mellitus.

Because DI is so rare there is very little literature that is easy to follow.  It was because of this I thought I could share what we know and what we have learnt.

DI is not Diabetes Mellitus however, it does share some of the same signs and symptoms.
The two main symptoms of diabetes insipidus are:
·         extreme thirst (polydipsia)
·         passing large amounts of urine, even at night (polyuria)

In very severe cases of diabetes insipidus, up to 20 litres of urine can be passed in a day.

top symptoms
Diabetes insipidus is caused by problems with a hormone called vasopressin (AVP), also called antidiuretic hormone (ADH).  In diabetes insipidus, the lack of production of AVP means the kidney can't make enough concentrated urine and too much water is passed from the body. In rare cases, the kidney doesn't respond to AVP. This causes a specific form of diabetes insipidus, called nephrogenic diabetes insipidus.

People feel thirsty as the body tries to compensate for the increased loss of water by increasing the amount of water taken in.

There are two main types of diabetes insipidus:
·         cranial diabetes insipidus
·         nephrogenic diabetes insipidus

Through this article we are going to concentrate on Cranial DI.  Cranial diabetes insipidus occurs when there's not enough AVP in the body to regulate urine production.

Cranial diabetes insipidus is the most common type of diabetes insipidus. It can be caused by
·         damage to the hypothalamus or pituitary gland – for example, after an infection, operation, brain tumour or Head Injury.

In about one in three cases of cranial diabetes insipidus there's no obvious reason why the hypothalamus stops making enough AVP.

And luckily treatment isn't always needed for mild cases of cranial diabetes insipidus. You just need to increase the amount of water you drink to compensate for the fluid lost through urination.

If necessary, a medication called desmopressin can be used to replicate the functions of AVP.

There is a complication that can occur, as diabetes insipidus increases water loss in the urine, the amount of water in the body can become low. This is known as dehydration.

Rehydration with water can be used to treat mild dehydration.
Severe dehydration will need to be treated in hospital.

If you would like to know more about Diabetes Insipidus please contact me and I will support you as best I can, if you have concerns that your child or loved one has Diabetes Insipidus please contact your GP.

#Diabetes #DiabetesInsipidus #Awareness #NeverGiveUp

Top Influencers of Diabetes on Twitter @vic_pallares @mangelesprieto @escpacientes @cristinatejerap @saludand