Tuesday, January 8, 2013

How long does dementia take to stop all signals and end a life?

Q. I know there's no set timetable, but at least some averages would help. I'd like to think of dementia's onset as similar to a plane beginning its descent, but we don't know if it's coming down from 20,000 feet or 60,000 feet. We're just beginning to cope with my father having this condition.

A. I guess it depends on the person. My grandfather lived with it for 2-3 years before he passed away. He had no idea who i was in the end, he had no idea who my grandmother was either. .

It was heartbreaking to see my grandfather in his final weeks. But i look at it from the point of view that know he is at peace. You need to cherish each moment you have and try too remember what he was like when he wasnt sick.

My condolences go out to you and your family. Good luck and god bless

What chemical causes dementia in patients with end stage liver disease?
Q. My friends mom has it and we are trying to figure out what the chemical was that causes it. The doctors said it but we don't remember. Real medical answers from people who actually know would be greatly appreciated.

A. High ammonia levels can cause confusion, forgetfulness, hallucinations, and can cause a person to even become belligerant and violent. They are just not themselves. This is a condition called encephalopathy.

The common drug used to treat this condition is Lactulose.

How many forms of Dementia are there and what might the causes be?
Q. We have an 87 grandmother that seems senile. She can be sweet to outsiders but acts like a 2 year old brat around us. She won't accept outside help and she has almost caused a house fire.

A. Early dementia

Often this phase is only apparent in hindsight. At the time it may be missed, or put down to old age or overwork. The onset of dementia is very gradual, and it is often impossible to identify the exact time it began. During the early phase of dementia, the person may:

Appear more apathetic, with less sparkle.
Lose interest in hobbies or activities.
Be unwilling to try new things.
Be unable to adapt to change.
Show poor judgement and make poor decisions.
Be slower to grasp complex ideas and take longer with routine jobs.
Blame others for âstealingâ lost items.
Become more self-centred and less concerned with others and their feelings.
Become more forgetful of details of recent events.
Be more likely to repeat themselves or lose the thread of their conversation.
Be more irritable or upset if they fail at something.
Have difficulty handling money.

Moderate dementia
During the âmoderateâ phase, the personâs problems are more apparent and disabling. They may:
Be very forgetful of recent events. Memory for the distant past seems better, but some details may be forgotten or confused.
Be confused regarding time and place.
Become lost if away from familiar surroundings.
Forget names of family or friends, or confuse one family member with another.
Forget saucepans and kettles on the stove. May leave gas unlit.
Wander around streets, perhaps at night, sometimes becoming lost.
Behave inappropriately - for example, going outdoors in their nightwear.
See or hear things that are not there.
Become very repetitive.
Be neglectful of hygiene or eating.
Become angry, upset or distressed through frustration.

Severe dementia
During this later stage of dementia, the person is severely disabled and needs total care. At this stage, the person may:
Be unable to remember - for even a few minutes - that they have had, for example, a meal.
Lose their ability to understand or use speech.
Be incontinent.
Show no recognition of friends and family.
Need help with eating, washing, bathing, using the toilet or dressing.
Fail to recognise everyday objects.
Be disturbed at night.
Be restless, perhaps looking for a long dead relative.
Be aggressive, especially when feeling threatened or closed in.
Have difficulty walking, eventually perhaps becoming confined to a wheelchair.
Have uncontrolled movements.
Immobility will become permanent and, in the final weeks or months, the person will be bedridden.

Remember
Some abilities remain, although many are lost, as the disease progresses. The person still keeps their sense of touch and hearing, and their ability to respond to emotion.

How do symptoms of "vascular dementia" differ substantially from Lewy Body Disease or Alzheimers?
Q. My mother has been diagnosed with the first two by different doctors. She has also been diagnosed with Cortical Basal Degeneration and Posterior Cortical Atrophy. Overall her disorder is mostly in movement, although she has slight memory issue and "alien hand syndrome."

How can I tell if it's "vascular dementia" or the other dementias I am seeing?

A. I have to get you my compliments.
If you carefully analyze your question, you'll see that you have just a ready answer.
Best wishes for a happy year

What can I do to with a dementia senior become more active instead of sitting around all day?
Q. She enjoys doing puzzles and on occassion we will do a puzzle. They family would like her to become more active instead of sitting on the couch watching TV all day. I am not good at coming up with clever ideas that would fit her needs. Any brainstroms on some activites would be most helpful.

A. Activities for Seniors with Memory Loss

Memory loss is a common problem that senior citizens suffer from. This is a very serious condition, and also painful for loved ones around the patient, as they tend to forget their family and friends. Alzheimer's disease and dementia are the extreme conditions of memory loss. Usually, doctors and caretakers focus on the basic necessities of senior citizens suffering from memory loss. However, many do not know that there are certain activities for seniors with Alzheimer's disease and dementia which may help them.

Scrapbook: Family members or caretakers of senior citizens suffering from memory loss should make a scrapbook by including several photographs of the person's life. One will have to go through the album regularly, talking about the story behind every picture, like where and when it was taken, etc. This may help the person in remembering past events, thus improving his/her memory.

Roll the Ball: One of the activities for seniors with dementia is to play ball roll. This can be played at a hospital which houses many dementia senior patients. Make all the senior people sit around a large table and ask them to roll the ball to each other. A caretaker can volunteer in this where when he says a name. That person gets the chance to roll the ball to someone else. This game helps in improving coordination in people who have dementia.




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1 comment:

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