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How Early Can Someone Get Alzheimer’s

Confusion With Time Or Place

early onset dementia

If your loved one has trouble with the time or place of events, it could be an early symptom of dementia. Forgetting the date, month, time of year, or important events may be a red flag.

Take note of when you notice a family member is unable to keep track of time. If dad briefly forgets the day of the week, its probably nothing to worry about. But if he doesnt know the month or forgets family is coming over for dinner, it may be a cause for concern.

The Various Causes Of Early

The Dutch study found that overall, Alzheimers disease was the most common cause of young-onset dementia. But when symptoms developed before age 50, early-onset Alzheimers was a less likely explanation than two other causes: vascular dementia and frontotemporal dementia.

Vascular dementia results from a blockage or injury to blood vessels in the brain that interfere with circulation and deprive the brain of oxygen and nutrients. Its most common symptoms, in addition to memory problems, are confusion, difficulty concentrating, trouble organizing thoughts or tasks, and slowed thinking.

In frontotemporal dementia, portions of the brain that lie behind the forehead and ears shrink, resulting in dramatic personality changes, socially inappropriate or impulsive behavior and emotional indifference. Movement and memory problems typically develop later in the course of the disease. According to the Mayo Clinic, frontotemporal dementia often begins between the ages of 40 and 65 and may be misdiagnosed as a psychiatric problem.

Alzheimers disease remains the most common cause of dementia in younger as well as older adults. There is an inherited form of Alzheimers that typically arises at younger ages, but those cases account for fewer than 10 percent of young-onset disease. Most cases of Alzheimers occur sporadically, for unknown reasons, though genetic factors may increase risk.

Early Symptoms Of Dementia

Although the early signs vary, common early symptoms of dementia include:

  • memory problems, particularly remembering recent events
  • increasing confusion
  • apathy and withdrawal or depression
  • loss of ability to do everyday tasks.

Sometimes, people fail to recognise that these symptoms indicate that something is wrong. They may mistakenly assume that such behaviour is a normal part of the ageing process. Symptoms may also develop gradually and go unnoticed for a long time. Also, some people may refuse to act, even when they know something is wrong.

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Life Expectancy By Stage Of The Disease

The average number of years a person lives with Alzheimers disease is about 10. Keep in mind, however, that theres a gap between when symptoms begin and when a diagnosis is actually sought. The first symptoms of Alzheimers diseaseforgetting names, misplacing items, difficulty concentrating at work or performing simple tasksarrive an average of almost three years before the diagnosis is made.

The scale most commonly used by health professionals for the stages of dementia is the Global Deterioration Scale , also called the Reisberg Scale. The table below shows a patients average life expectancy by the stage of dementia. These are averages based on studies of large numbers of Alzheimers patients.

Life Expectancy By Stage of Alzheimers / Dementia
Stage
Stage 7: Very Severe Cognitive Decline 1.5 to 2.5 years 2.5 years or less

Forgetfulness And Memory Loss

What is Dementia?

While forgetting where you placed your car keys may commonly occur with anyone at any age, and perhaps a bit more as you age, persistent forgetfulness or lapses in memory is typically a sign that something is wrong. For people with early onset Alzheimers, they may begin noticing abnormal and chronic lapses in memory as early as their 30s or 40s.

If youre missing where you are and how you got there, struggling to find the right words when conversing or consistently forgetting what your partner asked you to do, yet you feel as if youre too young to be experiencing these things, you may be developing some signs of early memory decline.

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Inability To Recognize Sarcasm

I was being sarcastic. We say this regularly because we can tell when someone is using the wise-guy device of sarcasm. But if you fail to recognize it, or take it very literally and seriously, it may be a sign of atrophy in your brain.

A study by Katherine Rankin, Ph.D., of the University of California/San Francisco found that Alzheimers patients and those with Frontotemporal Disease were among those who could not recognize sarcasm in face-to-face encounters.

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A Failing Sense Of Direction

A persons sense of direction and spatial orientation commonly starts to get worse with the onset of dementia. They may have difficulty recognizing once-familiar landmarks and forget how to get to familiar places they used to have no trouble finding.

It may also become more difficult to follow a series of directions and step-by-step instructions.

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Variables Impacting Life Expectancy Calculations

Gender. Men dont live as long with Alzheimers as women. A study of more than 500 people diagnosed with Alzheimers disease between 1987 and 1996 found that women with Alzheimers live, on average, 20% longer than men. Age. Someone diagnosed at 65 lives an average of about eight years, while someone over 90 who gets a diagnosis typically lives about three-and-a-half more years. Strength of Symptoms at Diagnosis. If someone is showing especially severe dementia-related problems at the time of diagnosis, this usually leads to an earlier death. Someone who wanders, is prone to falling, and experiences urinary incontinence , will typically not live as long. A lower mini-mental state examination score at the time of diagnosis will also not live as long. Other Health Problems. A person with a history of heart problems or asthma or diabetes, for example, will not live as long as someone without those underlying issues.

What Happens In Alzheimer Disease

Early On-Set Alzheimer’s: One Year Later

You probably know that your brain works by sending signals. Chemical messengers, called neurotransmitters , allow brain cells to talk to each other. But a person with Alzheimer disease has lower amounts of neurotransmitters.

People with Alzheimer disease also develop deposits of stuff that prevent the cells from working properly. When this happens, the cells can’t send the right signals to other parts of the brain. Over time, brain cells affected by Alzheimer disease also begin to shrink and die.

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Memory Loss That Impedes Daily Activities

The most noticeable symptom of Alzheimers disease is often memory loss . A person may start forgetting messages or recent events in a way that is unusual for them. They may repeat questions, having forgotten either the answer or the fact that they already asked.

It is not uncommon for people to forget things as they get older, but with early onset Alzheimers disease, this happens earlier in life, occurs more often, and seems out of character.

Getting The Right Diagnosis

Getting an early-onset Alzheimers diagnosis can be difficult because doctors dont typically look for the disease in younger people.

Instead, healthcare professionals may blame symptoms on stress, menopause, depression, or other conditions.

As a result, patients grappling with confusing symptoms may not get the treatment they need.

Younger people with atypical Alzheimers face an even bigger challenge in getting an accurate diagnosis.

To understand whats causing symptoms, a doctor should conduct a thorough investigation that includes a detailed family history, physical and neurological tests, a cognitive assessment, and possibly a brain-imaging scan to rule out conditions like a stroke or brain tumor.

Physicians may also use genetic testing to help diagnose early-onset Alzheimers disease.

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What Are The Benefits Of An Early Alzheimer’s Diagnosis

Alzheimers disease slowly worsens over time. People living with this disease progress at different rates, from mild Alzheimers, when they first notice symptoms, to severe, when they are completely dependent on others for care.

Early, accurate diagnosis is beneficial for several reasons. While there is no cure, there are several medicines available to treat Alzheimers, along with coping strategies to manage behavioral symptoms. Beginning treatment early in the disease process may help preserve daily functioning for some time. Most medicines work best for people in the early or middle stages of the disease. Learn more about Alzheimers medications.

In addition, having an early diagnosis helps people with Alzheimers and their families:

Stage : Mild Dementia

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At this stage, individuals may start to become socially withdrawn and show changes in personality and mood. Denial of symptoms as a defense mechanism is commonly seen in stage 4. Behaviors to look for include:

  • Difficulty remembering things about one’s personal history
  • Disorientation
  • Difficulty recognizing faces and people

In stage 4 dementia, individuals have no trouble recognizing familiar faces or traveling to familiar locations. However, patients in this stage will often avoid challenging situations in order to hide symptoms or prevent stress or anxiety.

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Symptoms Appear Before Age 60

Perhaps the biggest defining sign of early onset Alzheimers is the timing of the symptoms first appearing. The most common form of Alzheimers, late onset Alzheimers, typically begins showing signs when a person is in their 60s.

Early onset Alzheimers, meanwhile, can start taking effect as early as your 30s and 40s. Typically, patients are diagnosed with early onset Alzheimers in their 40s or 50s.

Dr. James Ellison of the Swank Memory Care Center at Christiana Care Health System in Delaware writes that the majority of early onset Alzheimers disease does not run in families. Some families, however, do have a genetic mutation that almost guarantees development of early onset Alzheimers.

In an interview, Dr. Ellison said that people in their 40s and 50s should not be experiencing the so-called 10 warning symptoms of Alzheimers. If they are, they may have the early onset version of the disease.

In your 40s and 50s you should not be experiencing these symptoms, Ellison said. If you know something is wrong, keep looking for doctors or others who have the knowledge to treat you.

Conditions With Symptoms Similar To Dementia

Remember that many conditions have symptoms similar to dementia, so it is important not to assume that someone has dementia just because some of the above symptoms are present. Strokes, depression, excessive long-term alcohol consumption, infections, hormonal disorders, nutritional deficiencies and brain tumours can all cause dementia-like symptoms. Many of these conditions can be treated.

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What Are The Signs Of Alzheimer’s Disease

Scientists continue to unravel the complex brain changes involved in the onset and progression of Alzheimers disease. It seems likely that damage to the brain starts a decade or more before memory and other cognitive problems appear. During this preclinical stage of Alzheimers disease, people seem to be symptom-free, but toxic changes are taking place in the brain.

Damage occurring in the brain of someone with Alzheimers disease begins to show itself in very early clinical signs and symptoms. For most people with Alzheimersthose who have the late-onset varietysymptoms first appear in their mid-60s. Signs of early-onset Alzheimers begin between a persons 30s and mid-60s.

The first symptoms of Alzheimers vary from person to person. Memory problems are typically one of the first signs of cognitive impairment related to Alzheimers disease. Decline in non-memory aspects of cognition, such as word-finding, vision/spatial issues, and impaired reasoning or judgment, may also signal the very early stages of Alzheimers disease. And some people may be diagnosed with mild cognitive impairment. As the disease progresses, people experience greater memory loss and other cognitive difficulties.

Alzheimers disease progresses in several stages: preclinical, mild , moderate, and severe .

What Are The Symptoms Of Early

Caregiver Training: Refusal to Bathe | UCLA Alzheimer’s and Dementia Care

For most people with early-onset Alzheimer disease, the symptoms closely mirror those of other forms of Alzheimer disease.

Early symptoms:

  • Withdrawal from work and social situations

  • Changes in mood and personality

Later symptoms:

  • Severe mood swings and behavior changes

  • Deepening confusion about time, place, and life events

  • Suspicions about friends, family, or caregivers

  • Trouble speaking, swallowing, or walking

  • Severe memory loss

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Where To Get Help

  • Your local community health centre
  • National Dementia Helpline Dementia Australia Tel. 1800 100 500
  • Aged Care Assessment Services Tel. 1300 135 090
  • My Aged Care 1800 200 422
  • Cognitive Dementia and Memory Service clinics Tel. 1300 135 090
  • Carers Victoria Tel. 1800 242 636
  • Commonwealth Carelink and Respite Centres Australian Government Tel. 1800 052 222
  • Dementia Behaviour Management Advisory Service Tel. 1800 699 799 for 24-hour telephone advice for carers and care workers

Difficulty Determining Time Or Place

Losing track of dates and misunderstanding the passage of time as it occurs are also two common symptoms. Planning for future events can become difficult because they arent immediately occurring.

As symptoms progress, people with AD can become increasingly forgetful about where they are, how they got there, or why theyre there.

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How Do I Treat Early

An important part of managing your condition is to stay as positive as you can. Keep up with the activities you still enjoy. Try different ways to relax, like yoga or deep breathing.

Keep your body in good shape, too. Make sure you eat healthy food and get regular exercise.

Medications can help with some symptoms of early-onset Alzheimer’s. Your doctor may prescribe drugs to help with memory loss, such as:

These medicines can delay or improve your symptoms for a few months to a few years. They may give you more time to live independently.

The doctor also may also suggest sleeping pills, antidepressants, or tranquilizers to manage other problems related to Alzheimer’s, like insomnia, night terrors, and anxiety.

Mood And Personality Changes

What is it like to suffer from dementia?

Sudden changes in personality and mood swings are possible signs of dementia. Your family member could become fearful, paranoid, suspicious, depressed, or anxious.

Increased anger could also be a warning sign of dementia. If someone with dementia gets frustrated or overwhelmed, they could react with aggression. A normally calm, peaceful person who has dementia might:

  • Yell or scream

Read:How to Handle Alzheimers Aggression

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What Should I Do If I Think My Parent Has Dementia

If you think your parent or another relative has dementia, follow these steps to help improve their health and well-being.

  • Trust your instincts. If youre seeing unusual behaviors in your family member, jot down the symptoms, when they present, and how often they occur. Think about changes youve noticed over the past few years.
  • Learn the signs of dementia. Educating yourself about various symptoms will help you know what to look for. It can also help rule out reversible conditions sometimes mistaken for dementia, such as delirium.
  • Talk to your parent. Its important to share concerns with them before more symptoms occur. Decide how youll begin the conversation. Recognize that it might not go as planned. Above all, be respectful and offer your support.
  • Talk to a doctor. Reaching an earlier diagnosis will set your loved one on a path to better care and treatment options. Be honest and upfront with the doctor about the symptoms youve noticed.

Read:How to Talk to the Doctor About Your Elderly Parent or Spouse

Can Alzheimer’s Disease Be Prevented

As the exact cause of Alzheimer’s disease is not clear, there’s no known way to prevent the condition.

But there are things you can do that may reduce your risk or delay the onset of dementia, such as:

These measures have other health benefits, such as lowering your risk of cardiovascular disease and improving your overall mental health.

Read more about preventing Alzheimer’s disease.

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Difficulty Completing Everyday Tasks

The person could have an otherwise familiar task. For example, they may find it hard to:

  • get to a grocery store, restaurant, or place of employment
  • follow the rules of a familiar game
  • prepare a simple meal

Sometimes, people need help with new or unfamiliar things as they get older, such as the settings on a new phone. However, this does not necessarily indicate a problem.

Will I Get Alzheimer’s

Getting diagnosed with dementia – Christine and Jennifer-Rose – early onset

After hearing all this information, the question we’ve probably all asked ourselves remains: will I get Alzheimer’s?

The simple answer is that, unfortunately, there’s no real way to tell. There are a number of risk factors that can increase your chances of developing the condition, but it is very rare that these factors will guarantee that you will get Alzheimer’s at some point.

Much more research is needed into the causes and risk factors associated with Alzheimer’s disease, but the good news is that this research is going on right now. The Jackson Laboratory is one such institution leading the charge with cutting edge discoveries, a strong focus on personalized medicine, and our renowned JAX Center for Dementia and Alzheimer’s Research.

Another institution internationally known for its research and charity is the Alzheimer’s Association. If you are concerned about signs or symptoms of dementia in yourself or a loved one, we recommend turning first to the Alzheimers Association Help & Support page. This page includes a many helpful articles, ways to connect with local support groups, and a 24/7 hotline for any Alzheimers and dementia related questions.

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Why Knowing Life Expectancy Is Useful

Knowing what to expect, including life expectancy helps with planning. Someone predicted to survive for five or six years, as opposed to two years, will want to make more extensive plans, including getting an estate in order, activity planning, and budget. Knowing how quickly the disease is expected to progress symptomatically can impact care decisions. If the disease is predicted to come on very quickly, for example, then skipping traditional assisted living and looking into memory care or a nursing home might be the best option.

Knowing when full-time care becomes a requirement, either at-home or in a memory care residence, is especially useful given the high cost of care. It is estimated that 50% of nursing home residents have some level of dementia and over 60% of nursing home residents care is paid for by Medicaid. Medicaid eligibility is complicated, and families can spend up to 5 years waiting for a loved one with dementia to become Medicaid-eligible. Therefore, knowing how soon care is required can make a huge financial difference.

Contribute anonymously to our dementia life expectancy database. Start here.

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