
- With Mayo Clinic health education outreach coordinator
Angela Lunde
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Angela Lunde
Angela Lunde is a dementia education specialist in the education core of Mayo Clinic's Alzheimer's Disease Research Center at the Abigail Van Buren Alzheimer's Disease Research Clinic in Rochester, Minn.
Angela Lunde
The transfer of information about dementias, as well as understanding the need for participation in clinical trials, is an essential component of the education core.
Angela is a member of the Alzheimer's Association board of directors and co-chair of the annual Minnesota Dementia Conference. She is a member of the Dementia Behavior Assessment and Response Team (D-BART), a multidisciplinary outreach service assisting professional and family caregivers in understanding and managing difficult behaviors often present in dementia. She facilitates several support groups, including Memory Club, an early-stage education and support series, and more recently, helped to develop and now deliver Healthy Action to Benefit Independence and Thinking (HABIT), a 10-day cognitive rehab and wellness program for people with mild cognitive impairment.
Angela takes a personal interest in understanding the complex changes that take place within relationships and among families when dementia is present. She is particularly interested in providing innovative and accessible ways for people with dementia and their families to receive information and participate in valuable programs that promote well-being.
"Amid a devastating disease, there are tools, therapies, programs and ways to cope, and it is vital that families are connected to these resources," she says.
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Alzheimer's blog
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Feb. 7, 2012
Alzheimer's research volunteers critical to helping find a cure
By Angela Lunde
Every year, it seems there's buzz around a miracle treatment for Alzheimer's that captures our attention. Right now, it's stories of Alzheimer's being halted or reversed with coconut oil. The recent testimonials are compelling indeed.
Those of you who read this blog know that I'm deeply passionate about helping caregivers stay positive and find ways to cope with the devastation that surrounds Alzheimer's — you know I would love nothing more than to share in the excitement and possibility of a cure. As it stands however, there's been limited research on coconut oil. Any existing evidence lacks scientific confidence that it helps. The individuals who have experienced such incredible results remain too few to get our hopes up just yet. But, like many of you, I'll remain cautiously optimistic and pay attention to what unfolds.
This compels me to take this time and highlight how critically important it is to keep research moving forward. What follows is a guest posting by Elisabeth Paine. Elisabeth is a fellow caregiver on this journey who exquisitely describes her story and her bold effort to fight back.
"At the age of 42, I married a wonderful man, John, who was intelligent, competent, independent and fun. We laughed a lot. We talked about growing old together, traveling and building memories. That vision shattered about three years ago. When he was 65, John was diagnosed with Alzheimer's.
I began to suspect something was wrong long before we heard the official news. I was practiced; I have watched first my grandmother, then my father and now my husband be slowly destroyed by dementia. Now at 53, I am caring full time for John as he suffers from this irreversible, progressive and heartbreaking disease. Although I fear for my husband as he struggles with his daily challenges, I am also worried about losing myself to this new set of responsibilities ... forgetting who I was and who I am.
I see my new life as existing in three concentric circles.
The innermost circle is for John: caregiving. It is not a natural role for me and I have to work hard at it. I try to slow down, to be a lot more patient. Both are a constant struggle. I read books and blogs and take classes, all to educate myself, to develop techniques and learn about the disease.
The next bigger circle is for me: a support group for early onset spouses which I started. Our issues are different than those of older people with Alzheimer's and we help each other cope by sharing knowledge, techniques, laughter and providing a safe place to vent. Starting this group let me fight back a little against this disease.
My biggest "fight back" is my outermost circle: participating in Alzheimer's research as John's study partner. This circle is for both of us, for his sons and for future generations. Alzheimer's is currently not just incurable but untreatable. The available drugs can alleviate some of the symptoms, but they don't slow the disease.
We joined a clinical trial, led by the Alzheimer's Disease Cooperative Study (ADCS), for two reasons. The personal one was that it gave John access to a potential new treatment that might help him. That was a long shot, though, and the bigger reason was to pull some good out of our situation by contributing to a future cure. John is very proud to be contributing to science.
There are over 5 million Americans today living with Alzheimer's and 14.9 million Alzheimer's caregivers like me. My brother, my stepsons and I all have a history of Alzheimer's in the family. I want a cure before this disease devastates another generation, for us and for the millions of other families like us.
Fifty percent of people past the age of 80 will get this disease — yes, that means you and your family are on the firing line. And right now the pace of research is slowed because of a lack of volunteers!
Please, please think about getting involved in Alzheimer's research. We need people from all age groups — not just the elderly — and all levels of cognitive ability: "normal", mild impairment and Alzheimer's patients. Do it for yourself, for your children, for the greater human good.
Studies like the Alzheimer's Disease Neuroimaging Initiative (ADNI) are at the cusp of further discoveries that could help better treat Alzheimer's, but need volunteers to be successful. To continue the momentum, we must spread the word that everyone can contribute in some way to finding a cure. Changing the face of Alzheimer's is possible, but we can't find the answers we need without volunteer partners in science.
The National Institute of Aging is the lead Federal agency for Alzheimer's disease research and continues to study new drugs to reverse Alzheimer's disease. In addition, websites of ADNI, Alzheimer's.org and clinicaltrials.gov offer information on research opportunities and ways you can help."
53 comments posted
February 14, 2013 10:44 p.m.
I am a firm believer! My mother, post open heart bypass surgery has not recovered well at all. At age 75 she was seeing people who weren't there, forgetting family, standing in the room but didn't know where she was or which way to her room, all of this post surgery and within a year. One doctor diagnosed Parkinson's, I'm not convinced. But anyhow, I purchased a book Awakening from Alzheimer's, and WOW , we began a coconut oil regimen. Within two weeks, she was again able to go to the salon, no more hallucinations, began sleeping better, too. She was faithful on it for three months and had to be hospitalized for CHF fluid overload. Now after just over a week, no coconut oil, sadly she cannot keep her thoughts together and adds random words in wrong places. She has a lot of confusion. She has been put in SNF so I hope to sneak it back in to her. I have seen it go full circle and I testify of its amazing benefits whenever I can. I just wonder if there are capsules as effective?? It would be easy to get this form back into her diet. Any comments welcome!!
- Cecilia
September 19, 2012 4:49 p.m.
COMPLEMENTING: Two research articles about benefits of extravirgin coconut oil : 1) EFFECTS OF DIETARY SUPPLEMENTATION WITH COCONUT OIL ON LIPID AND CARDIOVASCULAR PROFILE OF DYSLIPIDEMIC SUBJECTS (from the journal : Brasília Med 2011;48(1):42-49) “ … Conclusion. The results suggest that dietary supplementation with extra virgin coconut oil is able to exert benefits on lipid profile and cardiovascular hypercholesterolemic subjects. However, randomized controlled trials are needed …” 2) EFFECTS OF DIETARY COCONUT OIL ON THE BIOCHEMICAL AND ANTHROPOMETRIC PROFILES OF WOMEN PR ESENTING ABDOMINAL OBESITY - LIPIDS - VOLUME 44, NUMBER 7 (2009) (A randomised, double-blind, clinical trial that involved 40 women aged 20–40 years , using coconut oil versus soy oil ) “ ... group C (group C – it is the COCONUT oil group–EVCO) presented a higher level of HDL (48.7 ± 2.4 vs. 45.00 ± 5.6; P = 0.01) and a lower LDL:HDL ratio (2.41 ± 0.8 vs. 3.1 ± 0.8; P = 0.04) ... “. “ ... Group S ( group S – it is the SOY oil group ) presented an increase (P < 0.05) in total cholesterol , LDL and LDL:HDL ratio, whith HDL diminished (P = 0.03). Such alterations were not observed in group C (coconut oil group) ...” Coclusion : It appears that dietetic supplementation with COCONUT OIL (EVCO) does NOT cause dyslipidemia and seems to promote a reduction in abdominal obesity
- Carlos
September 19, 2012 4:40 p.m.
Heart benefits of extra virgin coconut oil : About extravirgin coconut oil and heart health , I found two brazilian articles .I guess that any universities and institutions around the world , that works with research of dementia , can makes similar researches with extravirgin coconut oil and MCTs , to get their own conclusions. The first article , showed strong benefits to protect against heart and other vascular diseases with the use of extravirgin coconut oil , as I paste bellow . The study was made by the Universidade Paulista (UNIP), Campus Brasília, Distrito Federal, Brasil ,and was found on line in march 2011. EFFECTS OF DIETARY SUPPLEMENTATION WITH COCONUT OIL ON LIPID AND CARDIOVASCULAR PROFILE OF DYSLIPIDEMIC SUBJECTS (from the journal : Brasília Med 2011;48(1):42-49) Objective. To evaluate the effect of dietary supplementation with extra virgin coconut oil on lipid profile and cardiovascular dyslipidemic subjects. Method. This is an intervention research conducted in a cardiology clinic of Valparaiso de Goiás. The sample consisted of 32 patients with hypercholesterolemia, 50% female, mean age 48 years. All patients were supplemented with 30 mL/day coconut oil for three months. The authors analyzed body weight, body mass index, abdominal perimeter and abdomen-hip ratio, dietary intake (24 hour recall), as well as full lipid profile, fasting glucose, apolipoprotinein AI and B, high-sensitivity C-reactive protein, lipoprotein (a) [Lp (a)] and fibrinogen before and
- Carlos
August 29, 2012 4:05 p.m.
You would think that in investigation would take place when specialists hear of the 'coconut oil treatment' that people are giving to their loved ones with AD. And not just say ...'As it stands however, there's been limited research on coconut oil. Any existing evidence lacks scientific confidence that it helps. The individuals who have experienced such incredible results remain too few to get our hopes up just yet. But, like many of you, I'll remain cautiously optimistic and pay attention to what unfolds.' Ya know....some of us cannot just wait, so we take this coconut oil treatment and apply it and pray it helps while others wait and see what unfolds...
- RJM
August 22, 2012 7:22 a.m.
I would like to be part of any research that will stop this disease. I feel normal but my mom has late stage AD and Lung Cancer.
- Debbie
August 11, 2012 7:06 a.m.
My father 86 with A|D started taking coconut oil initially 1 to 2 tbsps a day in food. We daughters and wife feed him. After about 10 weeks all of us and my mother saw an improvement in alertness and communication plus hands opening more. So she gives him another tbsp at lunch most days. There have been no other changes with his Respiridone and Lexapro. Wishful thinking?? We do not think so. This communication we are getting is a blessing as he used to just keep his eyes closed with being fed. He was and still is a great man. Please continue with more research into this.
- Lynne
August 6, 2012 4:33 p.m.
My husband is 58 years old and was diagnosed 2 years ago with Early-Onset Alzheimers. He is taking Aricept, Vitamin B-12, folic acid and coconut oil. We have found promise in this regimine. After reading many articles and speaking with Dr. Mary Newport who has been a leader in the use of coconut oil for her husband, also diagosed at age 58, I was convinced that we needed to try this. The use of coconut oil may not be for everyone, but we have seen that there has not be a significant increase in his symptoms since beginning the oil. He currently takes 1 tablespoon, three times a day. With his next mini-mental test, we may bump up the amount to see what it does.
- Debbie
July 9, 2012 9:10 p.m.
My daddy died last week after being diagnosed with AD over 8 years ago. My sister got him into a Geriatric Assessment Program (GAP)early on and I think this program and drug regime slowed the progression of AD in him drastically. He lived at home until January of this year when a bout of aspiration pneumonia and UTI was more than he could recover from and he had to be placed in a facility. We had help come in 3 days a week prior to that which both my parents resisted but it worked out great.
- vicki
May 11, 2012 5:43 a.m.
I Love your articles guys keep it up. coconut oil
- coconut oil
April 25, 2012 5:33 p.m.
I would love to get my mom (shes 81) into a clinical trial but shes has progressed so quickly that the doctors said there is nothing they can do for her. She was diagnosed at 77 with AD because she was having problems with word retrieval. Otherwise she was fine. They put her on Aricept and Namenda and I believe it made her progress very quickly. She started getting terrible seizures (like twitches) and they said it was just the diease. One neurologist didn't even know what it was. After alot of frustration and anger I researched a new doctor who said it was from the Aricept and took her off it but they haven't stopped. My dad doesn't do anything to help her. My sister and I live far away and my dad is very stubborn so she basically deteriorated to nothing. Shes in a wheelchair all the time and the caregiver uses a lift to move her. She doesn't talk at all and doesn't know us. she just stares at the TV all day. The doctors say this is the disease and there is nothing you can do. I put her on coconut oil but she doesn't take any other supplements. I think that is a mistake but my dad refuses. The doctor said she is to far gone to put her in any clinical trials. So basically everyone but me has given up on her and are waiting for her to die. I don't accept that. Please let me know if there is anything I can do. I love her so much and if she knew what her life is like she would have killed herself.
- Laurie
March 4, 2012 3:49 p.m.
Does coconut hold promise for memor or dementia disorders? How can we get into the research studies at Mayo? joyjonesleyh@aol.com
- Joy
February 27, 2012 11:41 a.m.
I have read about Coconut Oil (the ketones) helping alzheimer victims. What does Mayo have to say about that?
- Joan
February 22, 2012 8:50 a.m.
Liz, thank you for your interest. Please see Angela's suggestions for who to contact at the bottom of this blog posting. If you're interested in Mayo Clinic clinical trials go to the "Research'' link at the top of this page, or at this URL: http://clinicaltrials.mayo.edu/ Thanks again.
- MayoClinic.com staff
February 22, 2012 7:39 a.m.
the first thing i would say to you francis is change your attitude approach to your attitude about ad or mini stroke dementia this is the hardest ( or maybe easiest) thing that anyone can do. you can't change your husband he has ad or mini stroke dementia or is it related to alcohol whatever you cant change him so any changes to be made must be you. if you cant do this then you have a problem and any thing any one will suggest will not work because you are not open to ways of helping your partner if you are willing to change then i am willing to offer potential ways to help you
- liz
February 22, 2012 7:22 a.m.
i would be only too willing to join any research project to help i have been a rn i have taught classes of nurses aboutdementia now i try to teach my friends coping skills for caring with people with dementia or alzheimers eg get in their space but how do you teach the every day nurse" go to work come home done my job " if only for some very few simple skills their day at work would be easy and what about the person with ad their day would be better so if their is someone doing research i want to help
- liz
February 19, 2012 7:49 p.m.
My husband of 57 years has dementia. He was diagnosed about 3 years ago, although I saw signs at least 10 years ago. From then on, I tried to get him to talk to his doctor. He would tell me he did and the doctor said it was nothing wrong. I then wrote letters to his doctors, becasue he would not let me go with him. He said he gave the letter to the doctor but I found out much later, he did not. the doctor did suggest he take fish oil pill and omeg 3. He told me the doctor said only if he wanted to, to please me so he did not. Finally 3 years ago, I got him to go to my primary doctor and she sent him to a geriatic, that ran the test to determine he had had a numerous mini strokes. He is now on medication but he is very angry with me for getting him into taking the test, the medicine he has to take is my fault, yet, he has to depend on me to see to his medicine, food, clothes, and most everything. And all this, he still think he is in better shape than me. He has to be in charge. I can not get any private time, as he will not stay with anyone else. Has anyone else had a problem like this? Even after three different doctors, all types of test determine he has dementia and he will say at time, I don't rememeber and still think he is fine and does not have dementia? I am at a lost as to how to deal with this.
- Frances
February 15, 2012 10:33 p.m.
I've just heard that coconut oil helps with alzheimers. Is that true?
- Sandy
February 15, 2012 9:12 a.m.
Please everyone do what you can about volunteering for research, this disease is going on without real help way to long, ( I for one am tired of hearing about cancer patients(they can see what they are up against)I apologize I have friends who have "beaten cancer" even relatives, I am envious I guess. I have early onset AD otherwise now known as MCI, dementia (because you need an autopsy to confirm AD later) I know Very well what is going on and what will go on.I am at the present fighting every step of the way,praying to be one of the % that does not progress too bad. However you doctors and authors are all right about one thing . It is the "most devastating disiese" there is. I know, I saw it first hand, cared for it first hand and now I will get to experience it first hand. As I walk down the beach in the sand, I turn and look, even my foot prints are dissappearing. Please get involved in Research for our children and grandchildren, we are. - not ready to leave my mind behind
- not ready to leave my mind behind
February 13, 2012 4:32 p.m.
My wife has early onset AD. Now 65, she is well into moderate to severe AD. Issue with clinical trials is the treating physician. PHYSICIAN needs to automatically encourage participation. Instead, they seem to put one on the defensive when suggesting participation; they make you feel like you are questioning their ability to treat the patient. The treating physician would know or should know what clinical trial would benefit the most based on his patient's current status.
- Andy
February 13, 2012 3:57 p.m.
As a follow up to the current posting on participating in research I want to offer a couple of links to websites where you can search clinical trails that are currently available, as well as review the criteria for being considered. The National Institute of Aging is the lead Federal agency for Alzheimer's disease research and continues to study new drugs to reverse Alzheimer's disease. http://www.nia.nih.gov/Alzheimers The Alzheimer's Association TrialMatch™, is a free service for people with Alzheimer's, caregivers, families and physicians to locate clinical trials based on personal criteria (diagnosis, stage of disease) and location. www.alz.org/TrialMatch or (800) 272-3900. Thanks for your interest and support.
- Angela Lunde
February 13, 2012 1:33 p.m.
For Betty- May God give you the strength to care for your husband, but do ask for help otherwise you will be physically and emotionally exhausted. Is there any way you can get involved in some type of prayer meeting,support group, or ask friends to help out?
- Martha
February 11, 2012 7:00 p.m.
For Darlene--Re: bladder drugs: My father (90), who has Lewy Body dementia, has similar problems with frequent urination, especially at night. I, too, was aware of the association between anticholinergics and confusion, and decided (with dr's. permission ) to take him off his Ditropan temporarily, to see if that would make a difference. At the time, I also questioned the efficacy of the drug, since he was still frequently wet, both day and night. I found out two things with this trial and error experiment; the first was that YES, the drug was working, because without it, he was twice as wet and twice as often, and secondly, even after a period off the Ditropan, he was just as confused as he had been on it. So I happily resumed giving it to him, and believe that his quality of life is better with the drug. You might want to ask your dr. if she would be willing to do just do a trial on Ditropan or something similar--it may be that it affects different people in different ways. I also told myself that everytime Dad gets up at night (not to mention during the day), it increases his fall risk by several times, so that was a factor, as well. I wish you luck.
- No name given
February 11, 2012 3:57 p.m.
Have been caring for my husband who has AD for the past 6 years, and as I look back, even longer, just not as severe. He had a stroke 3 years ago, and since that time, can not remember anything, but is mobile. Thank the good Lord for that. Days get long, and lonely. I long for someone to have a normal conversation with. He doesn't understand most things. I am hoping to get some help to come and give me a break, tried adult day care, they wouldn't keep him as he walked out and they don't have staff for one on one to watch. I don't think he he quite ready for the memory care unit, but it's close, and that will take all our resources. I know he will fuss when I get some relief, but I am going to give it a try. Those of us who are caregivers are fighting such a losing battle. I pray for us all.
- Betty
February 11, 2012 10:04 a.m.
Marie, your suggestion is so very right.If I could share some things I experienced. I helped care for may people with AD, including my father for 9 years ( he started at 57).He loved to play cards,so we would play cards with him,I had always found "quiet" better than noisy, no distractions, soft voice over raising a voice. When I took care of "Lolly" she was a music teacher in her well time,and liked to try on hats, so when it was time for a shower (I was the only one to be able to give her one) I would put on some familiar piano music softly and she would change her mood almost instantly,(tv off)then I would tell her "as soon as she can gets her shower finished she could try on hats, it was amazing. It does take un-ending patients for caregivers. I found in my past too of caregiving....don't ever "rush a person", don't use the word "we" there can be misconceptions on your intentions to an AD patients,( had it happen several times with my friend Lolly until I (cought on what was upsettig her) when I used we she apparently thought I meant WE! What you say is not what they interpret. Be patient and kind as you can as a caregiver, find some peace in caregiving, our lives are what they are now, not in the past. I myself have MCI,I have only to keep letting people know we need Research, I am waiting to hear on a Research program and we have spoken to my Dr at Mayo in regards to testing and brain donation, that is my prayer for anyone af
- Catherine
February 11, 2012 8:39 a.m.
Being new to this circle of "care-givers", the idea that we might be able to join a research project offers some sort of validation to our journey. The future can be brighter as we make our contribution. We offer prayer daily that others might be spared this condition.
- Hazel
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53 comments posted