Manobal Klinik

Here at “Manobal Klinik” full attention is paid on the patients who are suffering form different kind of Mental Problems.

Specialty Clinics:

Anti smoking Klinik, Memory Klinik, Bipolar Klinik, Psycho Diagnostic Services, Counseling Services (Cognitive behavior therapy), Child Psychological & Psychiatric Services, Marriage Counseling.

A

We are specialize in psychiatry and are certified in treating mental disorders.
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B

full attention is paid on the patients who are suffering form different kind of Mental Problems.
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C

Psychiatric assessment typically starts with a mental status examination and the compilation of a case history.
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Services:

Memory Klinik



Facilities offered:

Psychodiagnostic workup

Clinical Evaluation

Conseling

Medical Treatment

Psycho social support

How to recognize Alzheimer's Disease?

Loss of memory could be of various types:

The person might forget what he/she was doing 5 minutes ago & repeat the same thing several times.

Forgetting words while communicating or finding difficulty in naming common things such as a flower or a dog.

Difficulty in carrying out daily  activities such as dressing, cooking & washing, how to use a knife, open the door eilitc.

Inability to carry out movements despite of muscular power & coordination, e.g., trying shoelaces, turning a tap on, fastening buttons or switching on a TV.

Diffculty in speaking & understanding spoken or written language. Using language which is difficult for others to understand.

Inability to recognize people.

Using a fork instead of spoon, a shoe instead of a cup & a knife instead of pencil etc.

Personality change: A person who has always beam quite, polite & friendly might behave in an aggressive & ill-mannered way. Frequent mood change are common.

Wandering during the day & night. Inability time & space.

Physical change: Weight loss can occur as a result of the person forgetting to chew or swallow. As people grow old, possibility of infection increases due to declinina immunity.

How is Alzheimer's Disease Diagnosed?
Though there is no single test to detect whether someone has Alzheimer's Disease, careful examination of the person's physical and mental states can lead to a closer conclusion.

You as a caregiver or a close relative can provide insights towards the person's behaviour, such as difficulties in getting dressed, travelling alone, purchasing 
household items from the market, managing daily work or even using household appliances like knife, spoon or iron. 

A simple test known as MINI STATE EXAMINATION is useful wherein the person is examined through various questions, like what's the date today? Which city we are in? The other half of the test is to follow a series of simple instructions. Your loved one might have to undergo blood & urine tests as well as brain imaging to distinguish whether his/her brain shows signs Alzheimer's disease.

Should be person be informed of their diagnosis?
Often a person with dementia is unaware or does not agree that he/she has a problem. Hence, are not intersested in going for a diagnosis. Some might feel depressed after knowing or rather they would be happier not knowing about it at all.

Yet, knowing has its own advantages. If a person knows about his/her Alzeheimer's disease & understands the process of its progression, he/she can plan to make most of the remaining years with initial stages of memory loss.

He/she can take decisions about planning their care, make arrangement accordingly, financial decisions as well as decide to participate in research, or arrange to denote brain tissue after death for research. Informing the person about his disease could be a one-to-one talk, in fornt of family members or personally through the doctor. This will depend  on the personality of the patient.

Is there any treatment for Alzheimer's disease?
Alzheimer's disease is progressive & hence doesn't have a cure. Despite this fact the memory loss due to Alzheimer's disease can be arrested at early  stages with the help of drugs available today. Use of such medication can help preserve the ability to function and carry out daily activities, therapy respecting his dignity and independence.

Do consult your doctor about the treatment & medication for your loved one.

Dos:
In communication:
  • Approach form the front, make eye contact & introduce yourself if necessary.
  • Speak slowly, calmly & use a friendly facial expression.
  • Use short, simple  & familiar words.
  • Show that you are listening & trying to understand what is being said.
  • Be careful not to interrupt; avoid arguing & criticizing.
  • Ask one question at a time & allow time for a reply.
  • Make positive suggestion e.g. "Let's go into  the garden" rather than negative ones, such as "let's not go there".
  • Identify others by name, rather than using pronouns ("she", "he"). 
  • Make suggestions if the person has trouble is choosing.
  • Empathize have patience & understanding. Touch or hug, if it helps.

In Daily Activities:
Always bathe the person first thing in the morning because that is when they are most agreeable.

  • Always prepare for the bath ahead of time.
  • Take the task of understanding, one step at a time.
  • Do it in unhurried manner.
  • If they do not want to remove thier clothes, then don't insist.
  • Reduce or eliminate choices,by hanging only one or two outfits in the closet.
  • Label drawers.
  • Have the family select different clothing. Things that don't have buttons & zippers.
  • You can also try putting out clothing one piece at a time.
Other points:
Always remain under constant supervision of a qualified medical doctor.

Maintain healthy habits as they may reduce symptoms of Dementia.

Adequate attention must be paid to proper excerise, diet & any long standing health problems.

Involve in light excerise & walking as they appear to reduce wandering, aggression & agitation.

Hearing & vision should be regularly evaluated & treated.

Supplement ongoing consultation with primary care physician with visits to other specialists to address specific needs.

Always eat a well balanced, nutrient rich meals.

Eat diet rich in vitamin E as it may help protect against dementia in some cases.

Engage in complementary health approaches which include herbal remedies.

Don'ts:
In communication:

Don't walk away from the person while talking.
Don't shout. Shouting out could have a negative effect as  the person would feel threatened. 
Don't show displeasure when the person could not respond properly.
Don't wave hand while talking.
Don't talk too fast.
Don't talk without pausing.
Don't use complicated words or jargons.
Don't confront or correct.
Don't treat the person as a child, but an adult.
Don't use bright colors such as yellow or red etc. in the environment.