Tuesday, February 28, 2012

A Drug For ADHD - Problems And Solutions

If you are taking a drug for ADHD, you will probably have noticed that supplies tend to be somewhat erratic. These problems surfaced during last year and there were massive shortages of the most popular drug, Adderall. Then other drugs began to be in short supply too.
I know that many doctors have switched their ADHD patients to the more expensive Vyvanse but that was not a popular choice with many parents and kids. The reason for the shortage is that the actual raw material is an amphetamine which is, of course, a controlled substance. So, supplies to the manufacturers are going to be limited anyway.
The same problems are occurring with the generic drugs. One solution to the problem when you are taking a drug for ADHD which is suffering from a shortage is to call pharmacies in your area to find out which of the ADHD drugs are available.
Then, you can ask the doctor to change the script accordingly although there may be problems in changing medication. But sometimes, the equivalent is just as effective.
You could also ask your doctor to call local pharmacies so that he knows what is in stock and can prescribe accordingly. This is no guarantee that you may find the drug there because they could have sold out in the meantime. Doctors are not allowed to call in prescriptions and reserve supplies of medicines for us, unfortunately.
We should also be very wary about trying to buy these meds online. There are risks that many fake ADHD drugs exist and they are nothing more than painkillers!
Actually, the whole question about a drug for ADHD should make us sit up and think about how effective these really are. Many parents are happy to note that their kids are reporting improvements in the following areas:-
• better focus
• longer attention span
• improved grades at school
• less restless and able to do homework much better than before.
The key issue here is that after thousands of parents were surveyed in the Consumer Reports on the effectiveness of these meds, the majority noted that as for behavior and social skills, there was very little difference and they felt at sea.
But we should also be looking the long term effects and asking ourselves if medication is really the answer to ADHD. In fact, it is only a partial answer and we should be absolutely certain that other measures are in place such as:-
• limits on behavior are clearly set and explained
• our homes are organised so that kids are helped, not hindered
• we are aware that dietary changes can affect behavior
• media time is limited
• green time activities are regularly planned.
So, the next time you dash to the pharmacy hoping to find your favourite drug for ADHD, think about all the other things we should be organising. The above suggestions are real long term solutions.

Tuesday, February 21, 2012

Anxiety Disorder - The Causes of a Panic Attack

Panic attacks are unpredictable, sometimes occurring during sleep. A panic attack is defined as the sudden feeling of intense fear that reaches its peak within minutes and that includes at least four of the following symptoms: Feeling of imminent danger; Need to get away; Palpitations; Sweats; Tremors; Difficulty in breathing; Feeling of choking; Pain or discomfort in the chest; Nausea or abdominal distress; Dizziness;
Feeling that things are not real; Depersonalization; Fear of losing control or "going crazy" Fear of dying
Because of the similarity of these symptoms with symptoms related to heart disease, thyroid and respiration, etc.., Most people with panic disorder directed to the hospital emergency room, convinced that it is one of these diseases.
There are many people who have panic attacks and do not know that this is a real illness and healing. The panic disorder develops in early adulthood and is three times more common in women than in men.
This disorder often occurs in conjunction with other mental and physical disorders, including anxiety disorders, depression, irritability syndrome, or substance abuse. This may hinder a correct diagnosis.
Agoraphobia
Some people fail to put themselves in situations or going places where they had panic attacks. These people have agoraphobia, avoiding public places of which they consider to be hard to escape, such as shopping centres, public transport, or stadiums. Your world can become smaller, they are always on guard, waiting for the next anxiety attack. Some people set up a route, and it becomes impossible for them to turn from the path traced without having severe panic attacks. One of three people with panic disorder develop agoraphobia.
Anxiety attacks are the same as panic attacks;
The National Institute of Mental Health categorizes anxiety attacks and panic disorders. Anxiety attacks are often referred to as disorder panic attack or anxiety attack disorder. The anxiety attack disorder is included in the extensive category of anxiety disorder. It is estimated that 19% of the U.S. adult population (18 to 54) have problems with anxiety disorder. All people experience a brief episode of intense anxiety from time to time, and many people have experienced one or two attacks of anxiety during their lifetime, but only one can speak of disorder anxiety attack when they become persistent attacks by interfering with the daily routine.
Usually begins with an unexplained attack. As other attacks will occur, increasing the fear of having anxiety attacks, and consequently increase the symptoms. This increase fear of the catalyst is often attacks by taking the individual in a vicious cycle, the more fear, more panic, and so on. An anxiety attack can be described as a sudden attack of fear, terror, who appears without warning and without apparent reason.
This strong feeling can be accompanied by numerous other symptoms such as palpitations, sweating, nausea, chest pain, numb hands and feet, irrational thoughts. A panic attack can last up to about 30 minutes. It is also common to be followed by other small attacks, which cause anxiety attacks last much longer.
Even when any attack ends, the symptoms may remain for several hours or even days, depending on the severity of the attack. The age group most prone to anxiety attacks is from 17 to 25 years, although they can occur at all ages.
When anxiety attack disorder is usually misunderstood. Based on the professional experience with anxiety and anxiety disorders, it is known that the factors which are not cause genetic or biological, but behaviour.
In fact, anxiety disorders have a biological component, but is the result of our behaviour and not its cause. The anxiety attack disorder is completely curable with the right information, help and support. Being easier to cure when diagnosed early, can be cured in any of its phases.
The most effective treatment is a combination of some information for self-help and therapy. Therapy will ensure that the causative factors of attacks will be eliminated. The worst they can do is not to seek help! The disorder anxiety attack, like so many other disorders, does not disappear by itself.

Wednesday, February 15, 2012

ADHD and Sleeplessness - The Connection Between The Two Along With Six Helpful Tips

If you struggle with ADHD symptoms you already know that getting a good night's sleep is next to impossible, that is unless you are so exhausted you seemingly can't stay awake one moment longer. But even if you seemingly can sleep okay you may experience difficulty getting to sleep, awaken regularly at night, or experience sluggishness for an uncharacteristically long-period of time after waking in the morning.
There are many different reasons why ADHD and sleeplessness seem to be such good bedfellows with two common explanations being hyper-fixation/focus ultimately dragging bedtime way past what was initially planned or pent-up nervous or hyperactive energy make winding down in a short period of time next to impossible.
There is also a possibility that there could be a sleep disorder lurking in the background depriving the brain of the important brain chemical serotonin while further disrupting ADHD neurotransmitter balance.
Sleep quality may also be an issue a worries may linger late into the night leading to tossing and turning.
Quick fact: It is estimated that children with attention deficit hyperactivity disorder sleep on average 30 minutes less than their peers.
Another important point worth mentioning is that those with the condition tend to be innately more sensitive to certain stimuli. Two great examples as they apply to ADHD and sleeplessness are light and sound.
This hypersensitivity would make it extremely difficult for someone with attention deficit hyperactivity disorder to sleep during the day and/or when quite cannot be found.
Delving into the research
According to the NIMH (National Institute of Mental Health) ADHD can be divided up into three categories: predominately inattentive; hyperactive-impulsive; and the combined type.
In a study involving 582 children and teenagers it was determined that most problems related to sleep included snoring, insomnia, talking in ones sleep, sleep terrors, and bruxism (primarily hyperactivity and impulsivity).
This study also revealed a significant link between ADHD and sleeplessness in relation to specific subtypes of ADHD. The two subtypes most likely to experience problems with sleep were the inattentive type and hyperactive-impulsive type. The scientists also observed that inadvertent daytime napping was a common trait amongst study participants who had been diagnosed with these two types of ADHD.
In conclusion, there is an ever-growing amount of research supporting the conclusion that individuals with attention deficit disorder struggle with getting enough quality sleep.
Here are a six suggestions which might prove helpful if either you have attention deficit hyperactivity disorder or have children with the condition.
They are to: limit stimulating activities such as watching television or playing video games prior to bedtime; establish a consistent sleep routine and stick to it; eliminate intake of sugar or simple carbohydrates one hour before bedtime; eliminate any outside stimuli that might disrupt falling and staying asleep; closely monitor any medications taken in the evening as some contain ingredients disruptive to natural sleep patterns; and last but not least consider a homeopathic ADHD remedy specially formulated to help reduce ADHD symptoms and calm the mind.

Tuesday, February 7, 2012

HMO Vs PPO

In everyone's life insurance plays very important role either as part of investment or for the safety of life as well as asset. In any continent or country, the insurance market is one of the basics of the economy. One must be conversant with insurance terms like HMO and PPO. Now actually we need to see actually what HMO and PPO means.
HMO refers to Health Maintenance Organization, and is an organization made of such members which are paying their monthly premium for the health insurance. HMO owns and operates its own healthcare facilities. It's a form of health insurance consisting of range of different coverage in various forms. It is also having various doctors and medical professionals which offer care through HMO plans at attractive monthly rates and premium. The doctor's visits as well as medical treatments charges are covered under this policy. HMO is having a network of doctors and health care service providers. One who enrolls in HMO plan will get his private doctor and all the service will be provided by the private doctor. The doctors enrolled in the HMO are given the salary from HMO and also full authority over the doctor is taken by HMO. If HMO makes profit then doctors are also given their share of profit.
Another such plan is PPO i.e. Preferred Provider Organization which is same as HMO. It is composed of doctors, hospitals and other healthcare service providers which provide medical services at reduced price. Here a member of PPO plan has the freedom to choose the desired doctor as well as hospitals they want to visit. Obtaining service from the preferred medical service provider is the main motto of PPO plan. The coverage under PPO plan requires ongoing payment of the premium for the policy holders. PPO plan also offers flexibility to the plan owners that they can hire a doctor or can avail the service of such healthcare providers which are out of the network of PPO.
As PPO and HMO are sometimes confusing so most of them find it difficult to decide which plan to avail and what benefits they will get. So for that one needs to understand basic difference between PPO vs HMO. In PPO a policy owner can acquire the service of physician and doctor who are out of the network of PPO but this is not the case in HMO. While PPO owners pays the extra premium on availing this service for the flexible reason.

Sunday, January 29, 2012

The Alzheimer's and Dementia Care Secret Formula to Champion a Team Approach

Do you speak Alzheimer's? You do, if you are an at-home caregiver or a professional provider in a long-term setting. No matter your position, it takes a TEAM approach to provide Championship-level care to individuals with Alzheimer's or Dementia.
Consider yourself a Coach because that's what you are as a family caregiver of a memory-impaired person. Right now, you make the rules and the game plan. You are the focal point of your at-home care team. You can't do it alone though; so surround yourself with support players needed to help you execute the game plan.
So let's look at what it takes to make a TEAM.
What do the Chicago Bulls, New York Yankees and Green Bay Packers have in common? All three of these franchises have set records in their respective sports for multiple Championships.
In the 1990s, the Bulls permanently placed their name in the record books by winning three-consecutive Championships not once, but twice, in the decade. The Bulls were six-time champions in a mere ten-year period.
The New York Yankees have won 27 World Series Championships and 40 American League pennants. Both of these massive accomplishments are Major league records.
The Green Bay Packers of the National Football league have won 13 National Championship games and four Super Bowl titles. Like the Bulls, they too have won three-consecutive championships twice in franchise history: The only team in NFL history to accomplish this milestone.
When analyzing these organizations to find secrets to their substantial success, commonalities emerge that unite them respectively in the record books. To have consistent championship-level success, these teams share some similarities whether on a sports team or as a memory-care provider.
• Strong leadership. A coach with a defined game plan and the ability to oversee the nuances of executing the game plan.
• Strong players. All of these teams certainly had stand-out stars that shined brighter than others on their team. Each team still had to work in concert with each other to execute the plan on their journey to multiple championships. Michael Jordan, Derek Jeter and Brett Favre are Hall of Fame players, but they couldn't win the championships alone. They needed a surrounding cast of players who played a role in the overall team success as well.
• Strong work ethic. The ability to overcome, overachieve and deliver the effort, even when faced with adversity. Championship-level teams often are playing injured, fatigued and mentally exhausted as they strive for their professional pinnacle.
Doctors, family members, neighbors, the pharmacist, your pastor and a whole cast of characters are integral to your care-giving success, especially when your loved one has been diagnosed with Alzheimer's or dementia.
Too often, family caregivers attempt to provide 100 percent of the care 100 percent of the time. Unfortunately, being the sole care provider 100 percent of the time does not lead to a championship level of care. You may think that you are the only one who can provide the care, but indeed, you are diminishing the overall success of the game plan that may play out over many years.
Providing care is exhausting. It is 24 hours a day, seven days a week and 365 days a year. Michael Jordan, the standout superstar of the Chicago Bulls during the 1990s was capable of scoring 50 points a game; however, if the other team scored 51, then Michael's valiant efforts were for nothing. Even Michael Jordan needed the support of his teammates to score points too and play defense against the other team to keep them from scoring. It took a team of players who excelled in their roles to bring home six championships in ten years.
As the primary care provider (coach & superstar) of your at-home care-giving team, you are no good to your loved one if you are sick, tired, unmotivated, uninspired and overwhelmed. You need to build your team, utilize their talents and execute the game plan as you strive to provide championship-level care for an Alzheimer's patient.
In a professional setting, the executive leadership is imperative to the overall success of the team's ability to provide care. When the Executive Director or corporate leadership (Coaches) doesn't have a clear vision or a clear game plan, the team's chances of success are diminished.
When the team isn't aware of the game plan or worse yet, isn't given the tools and training for success, there is limited chance for championship-quality care.
The Coach must be present. The Coach needs to set the rules and hold their team accountable for executing the overall plan. The Coach needs to train, teach, mentor and lead by example.
Meanwhile, the players on the professional care-giving team need to be solid and capable. Not everyone on the team can be a Derek Jeter or Brett Favre caliber player. What's the key? The team must be cohesive and work together in concert as opposed to fragmented and working against each other. "That's not my job" is not championship-level-care language.
In a long-term setting, everyone in the building is a part of the care-giving team. Along with the frontline care staff, the housekeepers, front desk greeter, bus driver, sales staff, business director and food service personnel are all imperative to the overall success of the organization. These folks require the proper training in dementia care and communication.
For example, on a championship level care team, the housekeepers would be trained to be aware of changes in the resident's environment that they may discover while conducting their duties. Is the once-tidy room, now a disheveled mess? Is the person hoarding and hiding objects? Do incontinence issues exist where none were before? A housekeeper may observe these hints and clues. The Coach needs to empower that team player to have a voice and alert other members of the team when they notice a drastic change.
In a long-term setting, everyone must retain an awareness of their role in the care-providing process. All the responsibility for giving care can't fall solely on the shoulders of the frontline staff. Much like Michael Jordan, they can't win the game by themselves. They need the support of their fellow teammates across the board to operate at a championship level.
Being a champion takes a lot of hard work. It takes long hours of practice and a never-say-quit attitude. The Chicago Bulls, New York Yankees and Green Bay Packers all have the awards and medals to show for their efforts. Unfortunately, care providers of loved ones with some form of memory impairment seldom get awards, but they do usually show their scars over time from the heavy load they bear.
Whether you provide care at home or in a professional setting, your championship-level care will be reflected in the eyes of those you serve. They will be content, honored and respected. Now that's Championship caliber care.