2.  Care-giving is a 24/7 job, with no holidays, no weekends  Overwhelming  Exhausting  Sense of loss  Depression

3.  Denial  Anger  Guilt  Sadness  Acceptance

4.  http://www.pbs.org/newshour/bb/healt h/july-dec06/alzheimers_07-31.html http

5.  Spouse -Taking turns -Splitting chores -Spending time  Parents -Spending time  Children -Spending time

6.  Well Spouse Association Mentorship program › Web blogs › Baby-sitting › Nights out › Telephone Communication › Mail › Wellspouse.org  Daily Strength › Blogs › Online journals › Chatting › Dailystrength.org

7.  Family Caregiver Association › Discussion boards › Medical advice › Caregiver tactics › Caregiver.org

8.  Support meetings  Individual Psychotherapy  Group Activities

9.  Increases socialization  Can be an alternative to nursing homes  A safe environment  Activities designed to keep individual active  Some day cares have medical components  Allows primary caregiver some time off

10.  Gardening  Reading clubs  Crafts  Bingo  Movie outings  Exercise  Music  Current events  ESL  Parties  Nature walks  Outings  Pet therapy  Flower arranging  Quilting  Cooking

11.  Many centers offer transportation  Centers offer snacks & meals  Hours vary according to center  http://youtube.com/watch?v=strqJsA40 b4 http://youtube.com/watch?v=strqJsA40 b4

12.  Fountain View Center for Alzheimer's Care › 404-325-1982  Gwinnett Senior Service › www.gwinnettseniorservice.com www.gwinnettseniorservice.com  Home Helpers › 770-623-1739  Gwinnett Council for Seniors › 770-822-5147  Parent Care, › 163 E. Crogan St, Lawrenceville 30045  Lawrenceville UMC – Grace Arbor › 770-963-0386 (support group, Tues. 1:30-3)  Alzheimer's Association of Gwinnett › 404-728-1181, 800-272-3900

13.  Center for Positive Aging › 404-872-9191  Caring for the Elderly Service, Support and Resource center › 770-736-1465  Visiting nurse health systems, Buford Senior Day club › www.vnhs.org www.vnhs.org › 770-614-2529  GA dept of Human resources division of aging services › 404-657-5258, www.dhr.state.ga.us

14. Developing countries Attitudes Towards older people  In Africa, older people are accorded great respect  In South Eastern Asia, supporting and respecting the elderly is traditionally rooted in the family  The concept of living alone is alien and dreaded  But, as the families are becoming nuclear, people with dementia are also increasing

15.  People with dementia live in extended families.  Most caregivers were women  Larger families are associated with lower caregiver strain The Caregiver in Developing Countries (ADI)  Alzheimer’s Disease International (ADI) is a 15 member Asia Pacific organization which help improve the quality of life of people with dementia and the families who care for them.  The Kyoto Declaration by ADI provides a framework for determining the actions sensitive to the needs of individual countries respecting their cultural, social and economic contexts

16. Support for Caregiver At Family Level:  Extended family  Distant retatives  Neighbors At Government Level:  Educational programs  Home Care Advisors  Supplementing with paid homecare workers  Part-time carers  Live-in carers  Respite care  Day centers  Nursing homes (for longer periods)

17.  http://www.pubmedcentral.nih.gov/articlerender.fcgi?art id=1810377 http://www.pubmedcentral.nih.gov/articlerender.fcgi?art id=1810377  http://www.eurohealth.ie/remind/care.htm http://www.eurohealth.ie/remind/care.htm  http://www.alzheimers.org.au/upload/AsiaPacificEpidemi cSept06ExecSummary.pdf http://www.alzheimers.org.au/upload/AsiaPacificEpidemi cSept06ExecSummary.pdf  http://www.wsff.com/gadca/