Read Case Study 5: Dementia (Alzheimer's Disease)
Case study 5: Dementia (Alzheimer’s Disease)
Patient description: SW is a 69 year old man, he is 5’9”, weighs 173 lbs. His blood pressure is 122/80 mmHg and total cholesterol is 204mg/dl, HDL-C is 47 mg/dl. He was diagnosed with Alzheimer’s disease 2 years ago, shortly after retiring from a career as a financial advisor. He has now reached symptoms consistent with stage 4 of the disease http://www.alzheimers.net/stages-of-alzheimers-disease/ . He is fully capable of walking at this stage, and shows no major signs of motor impairment. His wife, MW, aged 61 years, is seeking help from an exercise physiologist as an adjunct to his treatment in hopes of slowing the advance of the illness. SW was an avid golfer and fisherman, but has otherwise …show more content…
not regularly exercised for over 40 years. SW has expressed a willingness and enthusiasm for exercise as a treatment.
His medications include Aricept, a diuretic (for BP), and a statin (for cholesterol).
Alzheimer’s is one of the most frequent causes of both mortality and morbidity. SW is a 69 year old man. His age is a risk factor. SW’s blood pressure is a little high. He is slightly considered overweight, but not obese. He is in stage 4 of the disease which is a moderate decline in memory and normal activities. The clear cut symptoms of Alzheimer’s disease are:
Having difficulty with simple arithmetic
May forget details about their life histories
Have poor short term memory (may not recall what they ate for breakfast, for example)
Inability to manage finance and pay bills.
Starting an exercise program at first might be difficult because they may struggle with remembering the exercises, the time to come in and to come in at all. SW will be training in a well-equipped commercial gym with access to any equipment for 8 weeks. His warm up will consist of an 8 minute walk and an active stretch. SW’s cool down will consist of a static stretch as well. The first two weeks, he will start with 10 minute bouts of walking every Monday, Wednesday, and Friday for his aerobic exercise. For his endurance exercises, he will do a 10 minute mini-workout twice a day, for two days a week (Tuesday and Thursday). This mini-workout will include*********************** His RPE for weeks 1 and 2 will not go any higher then The next two weeks (week 3 through 4), SW will switch his walking with assisted swimming for 15 minutes three days a week.
For endurance exercises he will do the mini-workout for the same twice a day, for two days a week. However, the mini-workout will increase all of its exercises by two repetitions. Weeks 5 and 6 will consist of sitting/floor yoga on Monday and Friday, and assisted swimming on Wednesday. This will be done in bouts of 20 minutes. The last two weeks will consist of walking on Monday for 20 minutes, assisted swimming on Wednesday, and yoga on Friday. walking, swimming, water aerobics, yoga, and tai chi.
In conclusion, exercise helps people sleep better and feel more alert during the day, so it can promote a normal day-and-night routine for people with Alzheimer’s. It also will improve his mood. The repetitive exercises such as walking and indoor bicycling, may lower his anxiety, because they don't have to make decisions or remember what to do next. Working out will bring benefits like: better lubricate joints, a more stabilized spine, an increase circulation, strengthen postural muscles, and keep ankle joints flexible, strengthen mobilization muscles, and strengthen tibialis muscles or shin. Working out will obviously not cure the disease, but it will ease some of the symptoms that come along with
it.
Patient description: SW is a 69 year old man, he is 5’9”, weighs 173 lbs. His blood pressure is 122/80 mmHg and total cholesterol is 204mg/dl, HDL-C is 47 mg/dl. He was diagnosed with Alzheimer’s disease 2 years ago, shortly after retiring from a career as a financial advisor. He has now reached symptoms consistent with stage 4 of the disease http://www.alzheimers.net/stages-of-alzheimers-disease/ . He is fully capable of walking at this stage, and shows no major signs of motor impairment. His wife, MW, aged 61 years, is seeking help from an exercise physiologist as an adjunct to his treatment in hopes of slowing the advance of the illness. SW was an avid golfer and fisherman, but has otherwise …show more content…
not regularly exercised for over 40 years. SW has expressed a willingness and enthusiasm for exercise as a treatment.
His medications include Aricept, a diuretic (for BP), and a statin (for cholesterol).
Alzheimer’s is one of the most frequent causes of both mortality and morbidity. SW is a 69 year old man. His age is a risk factor. SW’s blood pressure is a little high. He is slightly considered overweight, but not obese. He is in stage 4 of the disease which is a moderate decline in memory and normal activities. The clear cut symptoms of Alzheimer’s disease are:
Having difficulty with simple arithmetic
May forget details about their life histories
Have poor short term memory (may not recall what they ate for breakfast, for example)
Inability to manage finance and pay bills.
Starting an exercise program at first might be difficult because they may struggle with remembering the exercises, the time to come in and to come in at all. SW will be training in a well-equipped commercial gym with access to any equipment for 8 weeks. His warm up will consist of an 8 minute walk and an active stretch. SW’s cool down will consist of a static stretch as well. The first two weeks, he will start with 10 minute bouts of walking every Monday, Wednesday, and Friday for his aerobic exercise. For his endurance exercises, he will do a 10 minute mini-workout twice a day, for two days a week (Tuesday and Thursday). This mini-workout will include*********************** His RPE for weeks 1 and 2 will not go any higher then The next two weeks (week 3 through 4), SW will switch his walking with assisted swimming for 15 minutes three days a week.
For endurance exercises he will do the mini-workout for the same twice a day, for two days a week. However, the mini-workout will increase all of its exercises by two repetitions. Weeks 5 and 6 will consist of sitting/floor yoga on Monday and Friday, and assisted swimming on Wednesday. This will be done in bouts of 20 minutes. The last two weeks will consist of walking on Monday for 20 minutes, assisted swimming on Wednesday, and yoga on Friday. walking, swimming, water aerobics, yoga, and tai chi.
In conclusion, exercise helps people sleep better and feel more alert during the day, so it can promote a normal day-and-night routine for people with Alzheimer’s. It also will improve his mood. The repetitive exercises such as walking and indoor bicycling, may lower his anxiety, because they don't have to make decisions or remember what to do next. Working out will bring benefits like: better lubricate joints, a more stabilized spine, an increase circulation, strengthen postural muscles, and keep ankle joints flexible, strengthen mobilization muscles, and strengthen tibialis muscles or shin. Working out will obviously not cure the disease, but it will ease some of the symptoms that come along with
it.