How Does A Doctor Test For Dementia
There is no single diagnostic test for Alzheimers disease and other causes of dementia. Dementias are diagnosed by evaluating and understanding a persons memory and thinking patterns. Doctors will consider a persons memory, grasp of language, mood states, problem-solving skills, ability to maintain focus and perform complex tasks. Evaluation may include in-office cognitive screening , physical examination, and review of labs. Labwork helps to determine whether there are vitamin deficiencies or hormonal changes at play. In some cases, evaluation may require neuropsychological testing, brain imaging , and genetic testing.
Am I At Risk For Alzheimer’s
Whether we have seen early signs in ourselves or not, many of us want to know what our chances of getting this disease may be. Research has shown a number of possible factors that can impact your chances of getting Alzheimer’s disease, although none of these are a cause in and of themselves.
Some ages are more at risk
Old age is one of the most obvious risk factors. The vast majority of people develop the disease after the age of 65, and once you reach 65, your risk of getting Alzheimer’s doubles every five years. But Alzheimer’s doesn’t only affect people over 65 it has been known to affect people half that age, although this is much rarer.
Alzheimer’s is hereditary
A family history will also increase your risk of getting the disease. The risk increases even more if you have multiple family members who have suffered from the disease.
Whilst this may be due to the hereditary genetic factors we will look at in more depth later, there may be other factors at play. These could include environmental factors that impact both yourself and your family.
Gender predisposition
Gender is another significant risk factor. The first discovery of the disease back in 1906 was in a woman, and about twice as many women as men over 65 have Alzheimer’s. This may be in part to the fact that women have a longer lifespan or may even possibly be linked to menopause.
Genetic factors of Alzheimer’s
Other risk factors
Support Their Cultural And Spiritual Needs
Its good to be aware of the persons cultural and spiritual needs and make sure these are respected and supported. You can make use of any advance care plans or documents, friends and family input and your knowledge of the person. Its important to try and meet these needs as much as possible, they are just as important as medical care.
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What To Do When A Loved One Is Exhibiting Symptoms Of Alzheimers
If these symptoms persist and are interfering with a loved ones ability to lead a normal life, its time to intervene or at least start carefully monitoring their well-being. Don’t let yourself or a family member remain in denial about what may be Alzheimers. With early diagnosis, treatment and proper support, the progression of Alzheimers can sometimes be mitigated. Its never too soon to learn what can be done to ensure a loved ones health, happiness, and safety.
Resources
How Is Alzheimers Diagnosed And Treated
Doctors may ask questions about health, conduct cognitive tests, and carry out standard medical tests to determine whether to diagnose a person with Alzheimers disease. If a doctor thinks a person may have Alzheimers, they may refer the person to a specialist, such as a neurologist, for further assessment. Specialists may conduct additional tests, such as brain scans or lab tests of spinal fluid, to help make a diagnosis. These tests measure signs of the disease, such as changes in brain size or levels of certain proteins.
There is currently no cure for Alzheimers, though there are several medicines approved by the U.S. Food and Drug Administration that can help manage some symptoms of the disease along with coping strategies to manage behavioral symptoms. In 2021, FDA provided accelerated approval for a new medication, aducanumab, that targets the protein beta-amyloid, which accumulates abnormally in the brains of people with Alzheimers. The new medication helps to reduce amyloid deposits, but has not yet been shown to affect clinical symptoms or outcomes, such as progression of cognitive decline or dementia.
Most medicines work best for people in the early or middle stages of Alzheimers. Researchers are exploring other drug therapies and nondrug interventions to delay or prevent the disease as well as treat its symptoms.
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When Someone You Love Has Alzheimer Disease
You might feel sad or angry or both if someone you love has Alzheimer disease. You might feel nervous around the person, especially if he or she is having trouble remembering important things or can no longer take care of himself or herself.
You might not want to go visit the person, even though your mom or dad wants you to. You are definitely not alone in these feelings. Try talking with a parent or another trusted adult. Just saying what’s on your mind might help you feel better. You also may learn that the adults in your life are having struggles of their own with the situation.
If you visit a loved one who has Alzheimer disease, try to be patient. He or she may have good days and bad days. It can be sad if you can’t have fun in the same ways together. Maybe you and your grandmother liked to go to concerts. If that’s no longer possible, maybe bring her some wonderful music and listen together. It’s a way to show her that you care and showing that love is important, even if her memory is failing.
Recognizing Changes In Personality
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Summary Of Differences Between Forgetfulness Of Normal Aging And Alzheimer’s
Normal Aging
- Memory improves with cueing and context
- Vocabulary and relationship understanding remains intact
- Able to remember the order of things and who said what
- Frequently demonstrating poor judgment and decision-making
- Not being able to handle paying bills regularly
- Often being disoriented to time and place
- Difficulty with familiar tasks, such as making coffee every day
- Getting lost on your way home from your daily job
Problems Writing Or Speaking
The person may also have difficulty with words and communication. They may find it hard to follow or contribute to a conversation, or they may repeat themselves. They may also have difficulty writing down their thoughts.
The person may stop in the middle of a conversation, unable to figure out what to say next. They may also struggle to find the right word or label things incorrectly.
It is not uncommon for people to occasionally struggle to find the right word. Typically, they eventually remember it and do not experience the problem frequently.
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Monday 17 September 2018
Dementia is the term given to a group of diseases that affect a persons thinking, behaviour and ability to perform everyday tasks. While its commonly thought of as an older persons disease, dementia can affect people of all ages.
Early symptoms of dementia can be vague and vary between people. While some people pick up on changes in their own thinking or behaviour that might be caused by dementia, sometimes these signs are first noticed by those around them.
If youve noticed a change in someone close to you, the steps below can help you assist them in seeking diagnosis and treatment.
What Are The Symptoms Of Early
For most people with early-onset Alzheimer disease, the symptoms closely mirror those of other forms of Alzheimer disease.
Early symptoms:
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Withdrawal from work and social situations
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Changes in mood and personality
Later symptoms:
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Severe mood swings and behavior changes
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Deepening confusion about time, place, and life events
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Suspicions about friends, family, or caregivers
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Trouble speaking, swallowing, or walking
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Severe memory loss
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How To Know If Its Alzheimers Disease
Most people are unaware of how Alzheimers and dementia actually attack the human body.
Research has shown that there are plaques that first attack the brain and these plaques not only physically deteriorate it, but also inhibit normal nervous system functioning to the rest of the body. These physical changes are what determine whether someone actually suffers from the disease or not.
But how do we know whether we are having a senior moment or whether theres actually cause for concern? Here are some tell-tale signs:
Frequently Misplacing Items And Not Being Able To Retrace Steps
Most people will lose items at some time, but they are usually able to locate them again by searching in logical locations and retracing their steps.
However, someone with Alzheimers disease may forget where they placed an item, especially if they put it in an unusual place. They may also be unable to retrace their steps to find the missing item. This can be distressing and may cause the person to believe that someone is stealing from them.
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Insurability If You Have Alzheimers Disease Or Dementia
Getting insurance when you have memory loss can be very difficult, not only for the individual, but also for the insurance agent.
Most insurance agents and agencies will request that a family member or power of attorney be present when selling insurance to someone with memory loss. This can be a tricky situation, especially if the individual agrees to purchase insurance and either doesnât tell a family member or forgets.
There are many stories of agents who received major backlash from family once they discovered that the agent sold their parent insurance without telling anyone else.
If you or a loved one suffers from memory loss, know that you still have options when it comes to insurance, even if theyâre limited.
If you need any help at all, please contact us here at Medicare Allies.
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 .
How To Know If You Have Alzheimer’s
12 August 2009
This Week’s Question:I’ve been forgetting names of people lately and I have this dread that this is an early symptom of Alzheimer’s. How can I tell?
I don’t know a geezer who hasn’t asked this question. Once you hit 60, you begin to wonder if your lost keys have greater significance than they did when you were younger.
The scary truth is that Alzheimer’s begins with difficulty remembering the familiar people, things, events. Or, you start having trouble doing simple arithmetic in your head. These annoyances are common to seniors with healthy brains, so most of us don’t get too worked up over them.
But, as Alzheimer’s progresses, it can make people forget how to brush their teeth or change channels on a TV. And it gets worse until patients require complete care.
So, when should you go to your doctor to discuss your memory lapses?
That’s a personal judgment call. I’ve found that I can’t remember the names of movie stars and ballplayers the way I used to. I attribute this to what I call the “overloaded filing cabinet.” As we get older, we accumulate so many memories that it’s impossible to find the one we want.
I’m not sufficiently worried about my memory difficulties to mention them to my doctor. But if you are worried, get tested.
And then there are those pesky emotions. Feeling sad, lonely, worried, or bored can affect people facing retirement or coping with the death of a loved one. Adapting to change can make you forgetful.
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How Do I Know If It’s Alzheimer’s
May 24, 2019
Every 65 seconds, someone in the United States develops Alzheimers disease. With more than 5.8 million people in the U.S. living with the disease in 2019, theres no better time to learn about the early warning signs of Alzheimers and other forms of dementia.
Forewarned is forearmed when it comes to the disease and knowing how to spot the signs of potential illness and how to know if its Alzheimers is a critical line of defense in the fight against age-related cognitive diseases.
How Can I Support Someone With Dementia Towards The End Of Life
Knowing the person will make it easier to provide person-centred care that is focused on what they need and want. It can help to know about their likes, dislikes and their wishes for how they want to be cared for. If the person isnt able to tell you about themselves, speak to their family, friends or other people who know them well.
Its a good idea to find out if the person has a copy of This is me , a document that records information about themselves. If you cant speak to the person, ask those close to them if they have a copy. They may have these details recorded in their care plan.
There are many ways to support someone with dementia at the end of life.
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How Long Do Dementia Patients Live After Diagnosis
Dementia symptoms typically progress slowly. People with dementia will progress from mild to severe dementia at varying speeds and may be diagnosed earlier or later in life. Some people with dementia may live for up to 20 years after their diagnosis, though according to the Alzheimer’s Association research shows that the average person lives for four to eight years after a diagnosis of dementia. It’s important to point out that the diagnosis of dementia is often missed, delayed, or diagnosed when the illness is moderate or advanced. The impact of that variable may not be accurately reflected in the research regarding the years of life post-diagnosis.
Difficulty Completing Familiar Tasks
Some people may experience a greater problem with concentration. Routine day-to-day tasks requiring critical thought may take longer as the disease progresses.
The ability to drive safely may also be called into question. If you or a loved one gets lost while driving a commonly traveled route, this may be a symptom of AD.
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Talking With A Doctor
After considering the persons symptoms and ordering screening tests, the doctor may offer a preliminary diagnosis or refer the person to a Cognitive Dementia and Memory Service clinic, neurologist, geriatrician or psychiatrist.Some people may be resistant to the idea of visiting a doctor. In some cases, people do not realise, or else they deny, that there is anything wrong with them. This can be due to the brain changes of dementia that interfere with the ability to recognise or appreciate the changes occurring. Others have an insight of the changes, but may be afraid of having their fears confirmed.One of the most effective ways to overcome this problem is to find another reason for a visit to the doctor. Perhaps suggest a check-up for a symptom that the person is willing to acknowledge, such as blood pressure, or suggest a review of a long-term condition or medication.Another way is to suggest that it is time for both of you to have a physical check-up. Any expressed anxiety by the person is an excellent opportunity to suggest a visit to the doctor. Be sure to provide a lot of reassurance. A calm, caring attitude at this time can help overcome the person’s very real worries and fears.Sometimes, your friend or family member may refuse to visit the doctor to ask about their symptoms. You can take a number of actions to get support including:
- talking with other carers who may have had to deal with similar situations
- contacting your local Aged Care Assessment Team