ALZ newz
Newsletter of the Alzheimer's Disease Association (Singapore)

Galantamine Clinical Trials

In a previous issue of ALZ newz, we mentioned that the acetylcholinesterase inhibitor galantamine had received preliminary approval in Sweden to serve as a symptomatic treatment for Alzheimer's disease. We are pleased to note that the drug has been approved for use in Singapore and is now available. In addition, clinical trials of galantamine for dementia due to strokes will begin in Singapore this September, at both Tan Tock Seng Hospital and the Singapore General Hospital. If interested, please page either Ms Kimberley Chua at TTSH (95994331) or Ms Goh Meiling at SGH (95790406).

Tips for Caregivers: Creating a Safe Environment

Persons with memory loss often can't remember where they are and sometimes see the surroundings as threatening. The following tips will help promote a sense of security and comfort for persons with dementia.

1. Focus on Prevention
   Try to prevent problems before they happen.
   Allow ample time for performing tasks. Accidents usually happen when a person is rushed.
    
2. Use Safety Devices
   Put gates at the top of stairs and secure handrails.
   Install safety latches or locks on cabinets.
   Use safety covers for doorknobs to prevent wandering.
    
3. Keep Things Simple
   Remove all unnecessary furniture and clutter including ornaments.
   Keep frequently used items in the same place.
   Put away items that may cause confusion. For example, don't leave the shaving cream next to the toothpaste.
    
4. Remove Hazardous Items
   Check all household items for potential dangers. Lock up or remove medications, cleaning supplies and insecticides.
   Put small objects, which may be swallowed, out of sight and lock up all items.
   Make sure electrical cords are secured and cannot be tripped over.
    
5. Provide Good Lighting
   Use lamps that won't knock over.
   Ensure adequate lighting and avoid having lighting in positions that will cast shadows which might cause the person to see things that are not there.
    
6. Have a Safe Kitchen
   Put away kitchen appliances such as blenders and toasters when not in use.
   Remove oven knobs from your stove and make the stove inoperable when not in use under supervision.
    
7. Have a Safe Bedroom
   Remove or fasten down floor rugs to prevent slipping
   Clear closets and drawers of unnecessary clutter.
    
8. Have a Safe Bathroom
   Use non-slip decals or mats in the tub and shower.
   Install grab bars in the shower or tub and around the toilet.
   Use a bath bench or hand-held shower.
   Make sure the temperature gauge on the hot water heater is turned low to prevent scalding.
    
9. Lock Doors and Windows
   If the person wanders, put latches higher or lower than eye level on doors and windows.
    
10. Be Prepared for Emergencies
    Keep recent photos handy to assist the police in case the person wanders off.
    Have the person wear an ID bracelet or some other form of identification including a statement on 'Memory loss'
    Do not leave the person home alone if he or she can't respond to an emergency situation.
     

Acknowledgement
The above information was extracted from the education booklet 'Tips for Caregivers: Caring for Alzheimer's patients' prepared by the Tsao Foundation and Norvartis Singapore Pte Ltd

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