Dementia
Several
Diseases besides Alzheimer's can cause dementia:
-
Huntington's disease
-
Multi - infarct dementia
-
Aids related dementia
These diseases of the brain
may affect residents in different ways; however,
loss of short term memory, confusion,
and lack of reasoning and poor
judgment are the most common
indicators.
The deterioration of the
brain seen in the AD resident is not part of the normal
aging process. AD is more common
in people over the age of 65, but also
occurs in middle-aged and younger
persons. It is a terminal illness that affects
more women than men and is more
common in countries where life expectancy
is longer.
Current research supports
the theory that a genetic mechanism is evident in
the development of Alzheimer's
disease. There are also cases of Alzheimer's
where their is no previous history
in the family. The only way to absolutely
diagnose AD is to examine brain
tissue after death. Diagnosis before is
done by excluding all other
causes of curable and incurable memory loss.
STAGES
First Stage -
2-4 years; this stage leads up to and includes diagnosis.
-
short term memory loss that affects
daily activities
-
difficulty concentrating
-
unable to remember what they were
just told to do
-
confusion about place
-
mood changes
-
poor judgment
-
requires more time to complete routine
tasks
Second Stage - 2-10
years; all symptoms of first stage plus:
-
increased memory loss and confusion
-
loss of some perceptive responses,
seeing, hearing and touch
-
repetitive statements/movements
-
restless- especially late afternoon
and at night
-
muscle twitching or jerking motions,
unsteady gait
-
difficulty with perceptual-motor
, unable to get into chair, set table
-
trouble expressing self with right
words
-
finds reading, writing, and working
with numbers very difficult
-
loses some basic impulse/control
behaviors - undressing in public
-
weight fluctuation
-
hallucinate - see things that aren't
there
-
requires full time supervision
-
difficulty speaking, unable to understand
and carry on a conversation
Third Stage (terminal)
1-3 years - includes previous symptoms plus:
-
cannot recognize family or self
in a mirror
-
weight loss - even with regular
diet
-
very little ability to provide any
self - care
-
behaviors such as putting everything
in mouth or touching everything
-
cannot communicate with words, may
groan or scream
-
loses control of bowel and
bladder
-
may experience seizures, difficulty
swallowing, skin breakdown, and infection
-
totally dependent and will sleep
more; gradually, body functions decline until death occurs.
REFERENCE
Care of Alzheimer's Patients:
A Manual for Nursing Home Staff by American Health Care Association
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