About Dementia | Aging (2024)

How is dementia diagnosed?

A healthcare provider can perform tests on attention, memory, problem solving and other cognitive abilities to see if there is cause for concern. A physical exam, blood tests, and brain scans like a CT or MRI can help determine an underlying cause or rule out other health issues.

How is dementia treated?

Treatment of dementiadepends on the underlying cause and the progression of the disease. There are prescription drugs approved by the U.S. Food and Drug Administration (FDA) that temporarily ease some symptoms and others that can slow the progression of the disease. Medications don’t work for everyone, and they may lose effectiveness over time. Most FDA-approved drugs work best for people in the early or middle stages of dementia.

What are the most common types of dementia?

Alzheimer’s Disease

This is the most common cause of dementia, accounting for 60 to 80 percent of cases. It is caused by specific changes in the brain. The trademark symptom is trouble remembering recent events, such as a conversation that occurred minutes or hours ago, while difficulty remembering more distant memories occurs later in the disease. Other concerns like difficulty with walking or talking or personality changes also come later. Family history is the most important risk factor. Having a first-degree relative with Alzheimer’s disease increases the risk of developing it by 10 to 30 percent.

Vascular Dementia

About 10 percent of dementia cases are linked to strokes or other issues with blood flow to the brain. Diabetes, high blood pressure and high cholesterol are also risk factors. Symptoms vary depending on the area and size of the brain impacted. The disease progresses in a step-wise fashion, meaning symptoms will suddenly get worse as the individual gets more strokes or mini-strokes.

Lewy Body Dementia

In addition to more typical symptoms like memory loss, people with this form of dementia may have movement or balance problems like stiffness or trembling. Many people also experience changes in alertness including daytime sleepiness, confusion or staring spells. They may also have trouble sleeping at night or may experience visual hallucinations (seeing people, objects or shapes that are not actually there).

Fronto-temporal Dementia

This type of dementia most often leads to changes in personality and behavior because of the part of the brain it affects. People with this condition may embarrass themselves or behave inappropriately. For instance, a previously cautious person may make offensive comments and neglect responsibilities at home or work. There may also be problems with language skills like speaking or understanding.

About Dementia | Aging (2024)

FAQs

What is the easiest way to explain dementia? ›

Dementia is the loss of cognitive functioning — thinking, remembering, and reasoning — to such an extent that it interferes with a person's daily life and activities. Some people with dementia cannot control their emotions, and their personalities may change.

What are the four R's of dementia care? ›

At that time, we suggest the 4Rs: reassure, reconsider, redirect, and relax. We want to reassure our loved one that everything is all right. We want to reconsider the situation from their point of view. We want to redirect them to activities that they enjoy and are calming.

At what stage of dementia should you not live alone? ›

The short answer is that it will depend on the stage of dementia that the person is in. For example, a stage one or mild dementia with a little bit of forgetfulness can be lived with. However, more severe stage four dementia means that support from outsiders and family members will be required.

What are the three golden rules of dementia? ›

SPECAL sense begins with three Golden Rules: Don't ask direct questions. Listen to the expert – the person with dementia – and learn from them. Don't contradict.

What makes a dementia patient happy? ›

Consider this: Music has been shown to help people with dementia feel calmer, improve their mood, create social connections, and slow the decline of cognitive function. Keep a journal tracking daily activities and exercising memory recall. Create a box filled with photos and memory-filled objects.

Does a person with dementia know they are confused? ›

In the earlier stages, memory loss and confusion may be mild. The person with dementia may be aware of — and frustrated by — the changes taking place, such as difficulty recalling recent events, making decisions or processing what was said by others. In the later stages, memory loss becomes far more severe.

What is the number one trigger for dementia behavior? ›

Pain or Discomfort: General pain, side effects from medications, lack of sleep, and inability to describe their discomfort are all common symptoms that can trigger aggressive behavior or lashing out. Environment: This is the most common trigger for aggressive behavior in dementia patients.

What can make dementia worse quickly? ›

other long-term health problems – dementia tends to progress more quickly if the person is living with other conditions, such as heart disease, diabetes or high blood pressure, particularly if these are not well-managed.

What are the six habits reduce dementia? ›

Finally, they were surveyed on their adherence to six lifestyle factors which had previously been identified to support brain health: physical exercise, social interaction, leisure activities, sleep quality, smoking status and alcohol consumption.

How does someone with dementia behave? ›

The person with dementia may become more demanding, restless, upset, suspicious, disoriented and even see, hear or believe things that aren't real, especially at night. Attention span and concentration can become even more limited.

What is the second most common behavior associated with dementia? ›

2. Wandering. Six out of 10 people living with dementia wander at least once, according to the Alzheimer's Association. For some, the urge to wander often occurs later in the day because of sundowning.

What are three things to never do with your loved one with dementia? ›

Here are some Don'ts:
  • Don't reason.
  • Don't argue.
  • Don't confront.
  • Don't remind them they forget.
  • Don't question recent memory.
  • Don't take it personally.

Are dementia patients happier at home? ›

People with dementia are better off in familiar surroundings with loved ones, and where memories and pets are. Absence from these places, people and things can make the patient feel down, restless, depressed, anxious and this can result in their exhibiting difficult behaviours.

Do people with dementia know they have it? ›

When a person is diagnosed with dementia they may not understand or accept their diagnosis. They may also have limited or no awareness of their symptoms and the difficulties they are having, even when these are obvious to those around them.

What scares people with dementia? ›

It's possible that someone with dementia can slip into another time from their past, and become worried about events that are no longer happening. Or, they may become suspicious and fearful of people they don't recognise.

What is the one thing to avoid dementia? ›

Treating high blood pressure with medication and healthy lifestyle changes, such as exercising and quitting smoking, may help reduce the risk of dementia.

What comforts a dementia patient? ›

Respect the person's personal space. Build quiet times into the day, along with activities. Keep well-loved objects and photographs around the house to help the person feel more secure. Remind the person who you are if he or she doesn't remember, but try not to say, “Don't you remember?”

Top Articles
Latest Posts
Article information

Author: Horacio Brakus JD

Last Updated:

Views: 5446

Rating: 4 / 5 (71 voted)

Reviews: 86% of readers found this page helpful

Author information

Name: Horacio Brakus JD

Birthday: 1999-08-21

Address: Apt. 524 43384 Minnie Prairie, South Edda, MA 62804

Phone: +5931039998219

Job: Sales Strategist

Hobby: Sculling, Kitesurfing, Orienteering, Painting, Computer programming, Creative writing, Scuba diving

Introduction: My name is Horacio Brakus JD, I am a lively, splendid, jolly, vivacious, vast, cheerful, agreeable person who loves writing and wants to share my knowledge and understanding with you.