Journal of Novel Physiotherapies
Open Access

The impairments of patients with Alzheimer's disease are the result of a complex and progressive central nervous system, as well as dysfunction of the motor, sensory, and cranial peripheral nervous systems. Twelve cranial nerves are primarily responsible for functions affecting human emotions and behavior [1]. Sensation, sight, focus (sight-motor), expression (facial muscles), chewing, tasting, swallowing, balance and coordination, hearing, speech (motor speech), digestion, appetite and general well-being, vision (neck or cervical movement), and verbal articulation, all of which are controlled by the cranial nerves and are important to us humans and related to our emotions. Most cranial nerves are located in the brain stem region, including the midbrain. Patients with Alzheimer's disease, to varying degrees, have difficulty with functions controlled by the cranial nerves . They also have difficulty expressing thoughts, feelings, ideas, concepts, and feelings. The exact anatomical and physiological reasons why Alzheimer's patients experience such complex and diverse neurological losses are unknown. Empiricly, Alzheimer's patients may still be able to think and feel emotions. However, it is possible that their unexplained sensations or perceptions, originating in the frontal lobes or cortex, may also be the result of problems with nerve impulse forwarding in the midbrain and brain stem. . Developing a consistent method for recording and documenting everyday emotions and experiences as the disease progresses would be a useful approach to helping both Alzheimer's patients and caregivers emotionally. Conscious thinking, then being able to express one's emotions, will also activate motor, sensory, and relay neural pathways in the brain, which incidentally can also be physically target The objective of this report is to present and propose a caregiversupported method for monitoring the emotional health of patients with Alzheimer's disease [2-4]. The long-accepted journaling method for recording feelings and experiences cannot be used with people with cognitive impairment. An alternative strategy designed to meet similar human psychological needs in dementia patients would be a useful tool for caregivers. Documenting the feelings and emotions of patients with Alzheimer's disease over time can provide useful insights into the longterm physical and emotional health of patients and caregivers.

Method

A piece of the Alzheimer's puzzle variables that can predict future prognosis Alzheimer's disease is characterized by common diagnostic symptoms, but clinically, the disease can present with functional symptoms that vary from day to day (within patients) and between patients. Working with patients diagnosed with dementia and Alzheimer's disease in a physical therapy and rehabilitation consulting agency, the therapist offers a wide range of functional diversity clinically. , both cognitively and physically . Attempting to understand the causal relationship between the underlying neuromuscular disease and the clinical psychomotor dysfunction of each Alzheimer's patient is an important part of evidence-based or outcome-oriented care [4-6]. Prescribing "assessment and treatment" physical therapy to patients diagnosed with Alzheimer's disease has become the standard practice and personalized treatment planning is the norm. However, it is important to document the long-term benefits of a home therapy program for all patients in a similar and consistent manner . For patients and carers with Alzheimer's disease, this includes their emotional health as well as their physical health . The psychological benefits of journaling as a recovery counseling tool have been used for many years. However, Alzheimer's patients have difficulty expressing their feelings verbally. An appropriate mode of communication will help achieve the same rehabilitation goals at home that healthy patients have. on cognitive attainment, people who keep a therapeutic diary about their emotions .We have developed a simple method to track the relative happiness and emotional well-being of Alzheimer's patients at home.

Result

Tracking and recording patient and caregiver ratings: happiness as a predictor

Allowing patients to self-care is clinically beneficial, as patients develop a sense of ownership of their treatment outcomes . Clinically, the use of subjective assessments is both effective and contributes to the delivery of evidence-based care .

In an effort to monitor the well-being of patients with Alzheimer's disease, primary caregivers provide ratings on the following "signals," rating each point on a 0-5 scale where 0 is absent and 5 is high: a) hope, b) vision, c) new idea, d) new hobby, e) sense of humour, f) fitness, g) cooperation, h.) mobility.

There is a need for meaningful interaction with the patient and support from the physiotherapist and/or primary caregiver on a daily basis; however, the relative level of support can vary and will be directly related to the degree of decline in cognitive function of the Alzheimer's patient on that day [7]. Shared recovery and patient involvement in their own rehabilitation are important treatment goals of home programming for Alzheimer's disease. Attempts to quantify progress in evidence-based neuromuscular care

Consistent with efforts to objectify treatment outcomes , the patients themselves would report how "HAPPY" they were, giving a happiness index score where the left side of the scale was "distressed and desperate" ("I FEEL SAD") and the right side of the line reflects "happiness and healing" ("I FEEL HAPPY") on a Likert-type scale. Again, depending on the cognitive function of the individual patient, this effort will require calm and supportive efforts from the physiotherapist and/or primary caregiver while helps Alzheimer's patients put their "mark" on the line closest to their current feelings, "SAD" ("unhappy") or "Happy," as described at either end of the scale [8].

Discussion

Summary of ways to reflect "patient progression" in Alzheimer's home programming

Primary Caregiver Assessments and Patient Happiness Indexes can become simple and important ways to document progress over time and maintain an objective method for monitoring and tracking. Alzheimer's patients, as part of their home. programme. Traditional at-home programming techniques for patients with Alzheimer's disease should be individually designed and described by a healthcare professional and may include therapeutic exercise, walking (with assistance if needed), diet foods (healthy choices like eating fruit every day), cognitive activities (game cards, reading books, looking at picture books) and socializing (such as going to the mall or restaurant every day) [9]. Meeting patients "where", as an individual, assess and treat them with "unconditional positive care", implying that health care providers Healthcare professionals need to interact with each patient first rather than simply prescribe a "treatment plan". Previously, the more complicated the diagnosis, the more inadequately treated the patient was . In the past, people with visual impairments, speech impairments, stuttering, learning disabilities, autism, psychological disorders such as clinical depression, solitary confinement and social exclusion, cerebral palsy, obesity , recurrent pain, fibromyalgia, chronic fatigue, bipolar personality disorder, infantile growth retardation syndrome, stroke, autoimmune rheumatoid disease, etc., are often shunned by a system The health care system simply doesn't have the time or energy to treat "chronic syndromes". More and more, however, even with the new model of healthcare reform, corporate principles and rationality are, again, necessarily the norm. A cost-benefit ratio assessment for all treatments is clearly needed. The extent to which a patient with Alzheimer's disease maintains or improves their well-being over time may be an indicator of their rehabilitation prognosis [10]. In Alzheimer's disease, the "happiness index" could provide an objective way to assess an important variable in human personality, potentially related to motivation, behavioral changes, and physical function.

Conclusion

The incidence of Alzheimer's disease is increasing exponentially worldwide. It is a complex disease, from many different perspectives, including neuroanatomy, psycho-educational, social, financial, and cognitive perspectives. The illness causes so much pain and emotional frustration for families. Alzheimer's disease is responsible for $183 billion in annual costs in the United States. Currently, the disease affects approximately 5.4 million people, representing nearly 15 million caregivers with Alzheimer's disease and dementia, who provide $202 billion in unpaid care to the elderly. their relatives . Given the nature of the disease, functional studies of Alzheimer's patients, either in the clinic or at home, are needed if the societal goal is to understand how this neuropathy affects human behavior. "Improving functional behavior" is a multifaceted goal, often considered the most important outcome variable in physical therapy and rehabilitation. Tracking an individual's "happiness" in dementia treatment could be a possible home physical therapy program approach that would contribute to the "functional behavior improvement" of patients with the disease. Alzheimer's.

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