What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others.
~Pericles
Champagne Salad ~ Dieter’s Delight
CHAMPAGNE SALAD
1 large wedge romaine lettuce, torn into bite size pieces
2 Roma tomatoes, sliced
1 small avocado, sliced
2 kiwis, skinned and sliced
1 small red onion, chopped
1 orange peeled, segmented and halved again
1/3 cup peanut oil
3 tablespoons champagne vinegar
Juice of 1 lemon
3 tablespoons sugar
salt & pepper to taste
2 Roma tomatoes, sliced
1 small avocado, sliced
2 kiwis, skinned and sliced
1 small red onion, chopped
1 orange peeled, segmented and halved again
1/3 cup peanut oil
3 tablespoons champagne vinegar
Juice of 1 lemon
3 tablespoons sugar
salt & pepper to taste
- Whisk together peanut oil, champagne vinegar, lemon juice, sugar, salt & pepper. Chill for several hours.
- Prepare veggies and toss well.
- Drizzle salad all over and toss again.
- Enjoy!
The Elephant in the Room…
When you google dementia this is what you get:
Dementia is a loss of brain function that occurs with certain diseases.
Symptoms ~ Problems may involve language, memory, perception, emotional behavior or personality, and cognitive skills (such as calculation, abstract thinking, or judgment). Dementia usually first appears as forgetfulness.
Symptoms include:
*Changed feeling (sensation) or perception
*Changed sleep patterns
*Change in sleep-wake cycle
*Insomnia
*Need for increased sleep
*Decrease in problem-solving skills and judgment
*Disorientation
*Confused about people, places, or times
*Unable to pick up cues from the environment
*Disorders of problem-solving or learning
*Trouble making calculations
*Unable to learn
*Unable to think abstractly
*Unable to think in general terms
* Impaired recognition (agnosia)
*Trouble recognizing familiar objects or people
*Trouble recognizing things through the senses
* Lack of or poor language ability (aphasia)
*Unable to form words
*Unable to name objects
*Unable to read or write
*Unable to repeat a phrase
*Unable to speak (without muscle paralysis)
*Unable to understand speech
*Have impaired language skills
*Repeat phrases
*Speak poorly (enunciation)
*Use slang or the wrong words
*Memory problems
*Unable to remember new things (short-term memory problems)
*Unable to remember the past (long-term memory problems)
*Motor system problems
*Gait changes
*Impaired skilled motor function (apraxia)
*Unable to copy geometric figures
*Unable to copy hand positions
*Unable to dress self ~ and lack of desire to bathe, brush teeth and the ability to live with those smells and without regard to those around them.
*Inappropriate movements
*Other motor system problems
* Seeing or hearing things that aren’t there (hallucinations) and having false ideas (delusions)
*Severe confusion
*Personality changes
*Anxiety
*Decreased ability to care for oneself
*Decreased interest in daily living activities ~ often accompanied by frequent “woe is me I’d be better off dead” drama scenes
*Depression
*Inappropriate mood or behavior ~ such as blurting out whatever they may be thinking without censure, often creating ambivalence in those around them.
*Irritability
*No mood (flat affect)
*Not flexible
*Only concerned with self (self-centered)
*Poor temper control
*Unable to function or interact in social or personal situations
*Unable to keep a job
*Unable to make decisions
*Withdrawal from social interaction
*Unable to be spontaneous
*Unable to concentrate
Other symptoms that may occur with dementia:
* Incontinence
* Swallowing problems
Treatment ~ The goal of treatment is to control the symptoms of dementia. Treatment depends on the condition causing the dementia. Some people may need to stay in the hospital for a short time.
Stopping or changing medications that make confusion worse may improve brain function. Medicines that contribute to confusion include:
* Anticholinergics
* Central nervous system depressants
* Cimetidine
* Lidocaine
* Painkillers (analgesics)
Treating conditions that can lead to confusion can often greatly improve mental functioning. Such conditions include:
* Anemia
* Decreased oxygen (hypoxia)
* Depression
* Heart failure
* Infections
* Nutritional disorders
* Thyroid disorders
Medications may be needed to control behavior problems. Possible medications include:
* Antipsychotics
* Cholinesterase inhibitors (donepezil, rivastigmine, galantamine) for Alzheimer’s-type dementia
* Dopamine blockers (haloperidol, risperdal, olanzapine, clozapine)
* Mood stabilizers (fluoxetine, imipramine, citalopram)
* Serotonin-affecting drugs (trazodone, buspirone)
* Stimulants (methylphenidate)
A person’s eyes and ears should be checked regularly. Hearing aids, glasses, or cataract surgery may be needed.
Psychotherapy or group therapy usually does not help because it may cause more confusion.
LONG-TERM TREATMENT:
A person with dementia may need monitoring and help at home or in an institution. Possible options include:
* Adult day care
* Boarding homes
* Convalescent homes
* In-home care
Family members can get help caring for the person with dementia from:
* Adult protective services
* Community resources
* Homemakers
* Visiting nurses or aides
* Volunteer services
In some communities, support groups may be available (see elder care – support group). Family counseling can help family members cope with home care.
Other tips for reducing disorientation:
* Have familiar objects and people around
* Keep lights on at night
* Provide environmental and other cues with reality orientation
* Reward appropriate behaviors and ignore inappropriate ones to control unacceptable or dangerous behaviors
* Stick to a simple activity schedule
Advance directives, power of attorney, and other legal actions may make it easier to decide about the care of the person with dementia. Seek legal advice early in the course of the disorder, before the person with dementia is unable to make such decisions.
Causes
Causes
The two major causes of non-reversible (degenerative) dementia are:
- Alzheimer’s disease ~ Alzheimer’s disease is the most common form of dementia. Dementia is a term that is used to describe a group of brain disorders. These brain disorders cause memory loss and make it harder to carry out daily tasks. Alzheimer’s disease develops slowly over time. The symptoms begin to appear so gradually that it is often mistaken for normal aging.
- Loss of brain function due to a series of small strokes (vascular dementia)
The two conditions often occur together.
Dementia with Lewy bodies (DLB) is a leading cause of dementia in elderly adults. People with this condition have abnormal protein structures in certain areas of the brain.
The structures and symptoms of DLB are similar to those of Alzheimer’s disease, but it is not clear whether DLB is a form of Alzheimer’s or a separate disease. There is no cure for DLB or Alzheimer’s.
Conditions that damage blood vessels or nerve structures of the brain can also lead to dementia.
Treatable causes of dementia include:
* Brain tumors
* Dementia due to metabolic causes
* Infections
* Low vitamin B12 levels
* Normal pressure hydrocephalus
* Thyroid conditions
Dementia usually occurs in older age. It is rare in people under age 60. The risk for dementia increases as a person gets older.
Tests & diagnosis
The following tests and procedures may be done:
* B12 level
* Blood ammonia levels
* Blood chemistry (chem-20)
* Blood gas analysis
* Cerebrospinal fluid (CSF) analysis
* Drug or alcohol levels (toxicology screen)
* Electroencephalograph (EEG)
* Glucose test
* Head CT
* Liver function tests
* Mental status test
* MRI of head
* Serum calcium
* Serum electrolytes
* Thyroid function tests
* Thyroid stimulating hormone level
* Urinalysis
Prognosis ~ Dementia usually gets worse and often decreases quality of life and lifespan.
Prevention ~ Most causes of dementia are not preventable.
You can reduce the risk of vascular dementia, which is caused by a series of small strokes, by quitting smoking and controlling high blood pressure and diabetes. Eating a low-fat diet and exercising regularly may also reduce the risk of vascular dementia.
Complications ~ Complications depend on the cause of the dementia, but may include the following:
* Abuse by an overstressed caregiver
* Increased infections anywhere in the body
* Loss of ability to function or care for self
* Loss of ability to interact
* Reduced life span
* Side effects of medications used to treat the disorder
When to contact a doctor:
* Call your health care provider if dementia develops or a sudden change in mental status occurs.
* Call your health care provider if the condition of a person with dementia gets worse.
* Call your health care provider if you are unable to care for a person with dementia at home.
Bruschetta – Monday Munchies
THE ELEPHANT IN THE ROOM..
When you google dementia this is what you get:
Dementia is a loss of brain function that occurs with certain diseases.
Symptoms ~ Problems may involve language, memory, perception, emotional behavior or personality, and cognitive skills (such as calculation, abstract thinking, or judgment). Dementia usually first appears as forgetfulness.
Symptoms include:
*Changed feeling (sensation) or perception
*Changed sleep patterns
*Change in sleep-wake cycle
*Insomnia
*Need for increased sleep
*Decrease in problem-solving skills and judgment
*Disorientation
*Confused about people, places, or times
*Unable to pick up cues from the environment
*Disorders of problem-solving or learning
*Trouble making calculations
*Unable to learn
*Unable to think abstractly
*Unable to think in general terms
* Impaired recognition (agnosia)
*Trouble recognizing familiar objects or people
*Trouble recognizing things through the senses
* Lack of or poor language ability (aphasia)
*Unable to form words
*Unable to name objects
*Unable to read or write
*Unable to repeat a phrase
*Unable to speak (without muscle paralysis)
*Unable to understand speech
*Have impaired language skills
*Repeat phrases
*Speak poorly (enunciation)
*Use slang or the wrong words
*Memory problems
*Unable to remember new things (short-term memory problems)
*Unable to remember the past (long-term memory problems)
*Motor system problems
*Gait changes
*Impaired skilled motor function (apraxia)
*Unable to copy geometric figures
*Unable to copy hand positions
*Unable to dress self ~ and lack of desire to bathe, brush teeth and the ability to live with those smells and without regard to those around them.
*Inappropriate movements
*Other motor system problems
* Seeing or hearing things that aren’t there (hallucinations) and having false ideas (delusions)
*Severe confusion
*Personality changes
*Anxiety
*Decreased ability to care for oneself
*Decreased interest in daily living activities ~ often accompanied by frequent “woe is me I’d be better off dead” drama scenes
*Depression
*Inappropriate mood or behavior ~ such as blurting out whatever they may be thinking without censure, often creating ambivalence in those around them.
*Irritability
*No mood (flat affect)
*Not flexible
*Only concerned with self (self-centered)
*Poor temper control
*Unable to function or interact in social or personal situations
*Unable to keep a job
*Unable to make decisions
*Withdrawal from social interaction
*Unable to be spontaneous
*Unable to concentrate
Other symptoms that may occur with dementia:
* Incontinence
* Swallowing problems
Treatment ~ The goal of treatment is to control the symptoms of dementia. Treatment depends on the condition causing the dementia. Some people may need to stay in the hospital for a short time.
Stopping or changing medications that make confusion worse may improve brain function. Medicines that contribute to confusion include:
* Anticholinergics
* Central nervous system depressants
* Cimetidine
* Lidocaine
* Painkillers (analgesics)
Treating conditions that can lead to confusion can often greatly improve mental functioning. Such conditions include:
* Anemia
* Decreased oxygen (hypoxia)
* Depression
* Heart failure
* Infections
* Nutritional disorders
* Thyroid disorders
Medications may be needed to control behavior problems. Possible medications include:
* Antipsychotics
* Cholinesterase inhibitors (donepezil, rivastigmine, galantamine) for Alzheimer’s-type dementia
* Dopamine blockers (haloperidol, risperdal, olanzapine, clozapine)
* Mood stabilizers (fluoxetine, imipramine, citalopram)
* Serotonin-affecting drugs (trazodone, buspirone)
* Stimulants (methylphenidate)
A person’s eyes and ears should be checked regularly. Hearing aids, glasses, or cataract surgery may be needed.
Psychotherapy or group therapy usually does not help because it may cause more confusion.
LONG-TERM TREATMENT:
A person with dementia may need monitoring and help at home or in an institution. Possible options include:
* Adult day care
* Boarding homes
* Convalescent homes
* In-home care
Family members can get help caring for the person with dementia from:
* Adult protective services
* Community resources
* Homemakers
* Visiting nurses or aides
* Volunteer services
In some communities, support groups may be available (see elder care – support group). Family counseling can help family members cope with home care.
Other tips for reducing disorientation:
* Have familiar objects and people around
* Keep lights on at night
* Provide environmental and other cues with reality orientation
* Reward appropriate behaviors and ignore inappropriate ones to control unacceptable or dangerous behaviors
* Stick to a simple activity schedule
Advance directives, power of attorney, and other legal actions may make it easier to decide about the care of the person with dementia. Seek legal advice early in the course of the disorder, before the person with dementia is unable to make such decisions.
Causes
Causes
The two major causes of non-reversible (degenerative) dementia are:
- Alzheimer’s disease ~ Alzheimer’s disease is the most common form of dementia. Dementia is a term that is used to describe a group of brain disorders. These brain disorders cause memory loss and make it harder to carry out daily tasks. Alzheimer’s disease develops slowly over time. The symptoms begin to appear so gradually that it is often mistaken for normal aging.
- Loss of brain function due to a series of small strokes (vascular dementia)
The two conditions often occur together.
Dementia with Lewy bodies (DLB) is a leading cause of dementia in elderly adults. People with this condition have abnormal protein structures in certain areas of the brain.
The structures and symptoms of DLB are similar to those of Alzheimer’s disease, but it is not clear whether DLB is a form of Alzheimer’s or a separate disease. There is no cure for DLB or Alzheimer’s.
Conditions that damage blood vessels or nerve structures of the brain can also lead to dementia.
Treatable causes of dementia include:
* Brain tumors
* Dementia due to metabolic causes
* Infections
* Low vitamin B12 levels
* Normal pressure hydrocephalus
* Thyroid conditions
Dementia usually occurs in older age. It is rare in people under age 60. The risk for dementia increases as a person gets older.
Tests & diagnosis
The following tests and procedures may be done:
* B12 level
* Blood ammonia levels
* Blood chemistry (chem-20)
* Blood gas analysis
* Cerebrospinal fluid (CSF) analysis
* Drug or alcohol levels (toxicology screen)
* Electroencephalograph (EEG)
* Glucose test
* Head CT
* Liver function tests
* Mental status test
* MRI of head
* Serum calcium
* Serum electrolytes
* Thyroid function tests
* Thyroid stimulating hormone level
* Urinalysis
Prognosis ~ Dementia usually gets worse and often decreases quality of life and lifespan.
Prevention ~ Most causes of dementia are not preventable.
You can reduce the risk of vascular dementia, which is caused by a series of small strokes, by quitting smoking and controlling high blood pressure and diabetes. Eating a low-fat diet and exercising regularly may also reduce the risk of vascular dementia.
Complications ~ Complications depend on the cause of the dementia, but may include the following:
* Abuse by an overstressed caregiver
* Increased infections anywhere in the body
* Loss of ability to function or care for self
* Loss of ability to interact
* Reduced life span
* Side effects of medications used to treat the disorder
When to contact a doctor:
* Call your health care provider if dementia develops or a sudden change in mental status occurs.
* Call your health care provider if the condition of a person with dementia gets worse.
* Call your health care provider if you are unable to care for a person with dementia at home.
Menu Plan Monday
Menu Plan Monday hosted by Laura at I’m an Organizing Junkie
| DATE |
BREAKFAST |
LUNCH |
DINNER |
|
| MONDAY | 11/9 | CEREAL |
SANDWICHES | Tuna Melts |
| TUESDAY | 11/10 |
TOAST |
LEFTOVERS |
Tomato Spaghetti Cups |
| WEDNESDAY | 11/11 |
YOGURT |
SOUP |
Recipe Experiment Night |
| THURSDAY | 11/12 |
FRUIT |
CHEESE & FRUIT |
French Onion Soup |
| FRIDAY | 11/13 |
OATMEAL |
C.O.R.N. |
|
| SATURDAY | 11/14 |
Shirred Eggs | leftovers |
Peach Pork Chops & Potatoes |
| SUNDAY | 11/15 |
Huevos con Yummy | Chicken Posole | Stuffed Shells |
Menu Plans for 3 Sides of Crazy
Menu Plan Monday hosted by Laura at I’m an Organizing Junkie
| DATE |
BREAKFAST |
LUNCH |
DINNER |
|
| MONDAY | 11/9 | CEREAL |
SANDWICHES | Tuna Melts |
| TUESDAY | 11/10 |
TOAST |
LEFTOVERS |
Tomato Spaghetti Cups |
| WEDNESDAY | 11/11 |
YOGURT |
SOUP |
Recipe Experiment Night |
| THURSDAY | 11/12 |
FRUIT |
CHEESE & FRUIT |
French Onion Soup |
| FRIDAY | 11/13 |
OATMEAL |
C.O.R.N. |
|
| SATURDAY | 11/14 |
Shirred Eggs | leftovers |
Peach Pork Chops & Potatoes |
| SUNDAY | 11/15 |
Huevos con Yummy | Chicken Posole | Stuffed Shells |
Kitchen Wishes
This week’s dreams brought to you by King Arthur flour
With the Thanksgiving & Christmas Holidays approaching here are a few more tools I’d like to have at hand.
Oven Barbecued Chicken ~ Simply Delicious Sunday
OVEN BARBECUED CHICKEN
2-3 pounds boneless chicken breasts
olive oil to coat pan well
3 tablespoons butter
1 small onion, chopped
1 cup ketchup
1/3 cup roasted garlic rice vinegar
4 tablespoons brown sugar
1 tablespoon Worcestershire sauce
1/2 teaspoon sea salt
1/2 teaspoon white pepper
olive oil to coat pan well
3 tablespoons butter
1 small onion, chopped
1 cup ketchup
1/3 cup roasted garlic rice vinegar
4 tablespoons brown sugar
1 tablespoon Worcestershire sauce
1/2 teaspoon sea salt
1/2 teaspoon white pepper
- Heat oil in a large skillet
- Brown chicken on all sides
- Transfer chicken to 9×13 olive oiled baking dish
- In a saucepan melt the butter and saute the onion
- Stir in the remaining the ingredients and simmer uncovered for 15 minutes
- Pour the sauce mixture over the chicken
- Bake at 350 degrees for 1 hour
- Baste periodically
- We like to use the excess sauce over a serving of rice and serve this with home made Potato Salad
Previously posted at 3 Sides of Crazy May 2008
San Antonio Chicken~ Simple Saturday with girlichef
This is a delicious Tex-Mex dish from my Gloria’s books The Foods and Flavors of San Antonio…with a few modifications. It’s very simple…yet packed with flavor…give it a try!
San Antonio Chicken
San Antonio ChickenFrom Foods & Flavors of San Antonio by Gloria Chadwick–slightly adapted
2 skinless, boneless chicken breasts I actually used 3
1 1.25 oz. pkg. taco seasoning (or 1/4 c. of your own blend)
3 Tbs. water
2-3 Tbs. vegetable oil
1 medium onion, chopped coarsely
1 green bell pepper, coarsely chopped
1 c. frozen corn, thawed I used 1 can Mexican-style corn
1 2 oz. jar pimientos I omitted this
1 15 oz. can black beans, drained & rinsed
3 c. cooked white rice, hot
1 c. picante sauce I used 1/2 c.
Place chicken in saucepan and cover with water. Let simmer slowly until cooked through. Let cool in broth (I think it makes the chicken more flavorful) until cook enough to handle. Then chop or pull apart and toss with taco seasoning and water. Set aside.
Heat the oil in a 12″ skillet over medium-high heat. Add onion, green bell pepper and corn. Saute until tender.
Add pimientos, black beans, reserved chicken .
Stir it up well. Allow all to heat through. Stir in picante sauce. 
Gloria also mixes in the rice, but I decided I wanted to serve it over the rice. Garnish w/ your favorite toppings. I used sour cream, cilantro and shredded “Mexican Style” cheese & crumbled queso fresco. I also toasted up a flour tortilla to eat with it. DELICIOSO!
*originally posted at girlichef
*originally posted at girlichef
BBQ Meat Marinade
Bread Pudding with Butterscotch Sauce
I found some Lender’s cinnamon bagels on clearance for $.79 bag and grabbed four. We had some for breakfast, but they weren’t on clearance for nothing…they were sadly stale. Solution: bread pudding.
with Butterscotch sauce.
Bread Pudding:
3 eggs, beaten
2 cups milk
1/2 cup sugar
1/2 tsp vanilla
7 torn up cinnamon bagels (or enough bread product to fill a 2 quart casserole dish)
Tear up bread and place in a greased casserole dish. Combine the sugar and cinnamon then sprinkle over bread and mix with hands. Combine milk, eggs, and vanilla and pour over the bread. Let sit for 45 minutes on the counter to soak up the liquid. Bake 350 degrees, uncovered for 30 minutes. If not eating immediately, let cool on the counter and then refrigerate.
Butterscotch Sauce:
1/2 stick butter
2 cups brown sugar
1/2 cup cream
1/8 tsp salt
Mix all ingredients together in a saucepan. Cook over low heat, stirring occasionally for 25 minutes. Refrigerate leftovers.
What Did You Bake Today?
