Often when a person with dementia asks to go home it refers to the sense of 'home' rather than home itself. 'Home' may represent memories of a time or place that was comfortable and secure and where they felt relaxed and happier. It could also be an indefinable place that may not physically exist.
This is referred to as 'prosopagnosia' or 'face blindness'. If a person with dementia is failing to recognise you or others for the first time, or seems distressed in your company, there may be another underlying cause, such as an infection, constipation or a reaction to medication changes.
As a caregiver, my experiences with many types of dementia suggest to me that people likely do understand their surroundings on some level, even if it may only be picking up on their caregiver's body language or mood.
If a person with dementia is in unfamiliar surroundings, they might walk about because they feel lost. For example, when they move house, attend a new day centre or move into a care home. If the person's living environment has changed, try showing them familiar items such as photographs or furniture.
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.
Some possible causes include: Autoimmune diseases (conditions that over-activate the immune system) Unusual presentations of more common neurodegenerative diseases (such as Alzheimer's disease) Prion diseases (rare forms of neurodegenerative disease)
During the middle stages, people may experience depression, anxiety, irritability and repetitive behaviors. As the disease progresses, other changes may occur, including sleep changes, physical and verbal outbursts, and wandering.
In the middle stage of dementia, symptoms become more noticeable and the person will need more support in managing daily life. This stage of dementia is often the longest. On average it lasts about two to four years.
Administration: The examiner reads a list of 5 words at a rate of one per second, giving the following instructions: “This is a memory test. I am going to read a list of words that you will have to remember now and later on. Listen carefully. When I am through, tell me as many words as you can remember.
Visual hallucinations (seeing things that aren't there) are the most common type experienced by people with dementia. They can be simple (for example, seeing flashing lights) or complex (for example, seeing animals, people or strange situations).
The average life expectancy figures for the most common types of dementia are as follows: Alzheimer's disease – around eight to 10 years. Life expectancy is less if the person is diagnosed in their 80s or 90s. A few people with Alzheimer's live for longer, sometimes for 15 or even 20 years.
Recent studies show that in the progression of Alzheimer's disease, semantic memory is affected first. We have seen that even before forgetting their memories of past events, patients show a gradual decline in their general knowledge.
In the final stage of the disease, dementia symptoms are severe. Individuals lose the ability to respond to their environment, to carry on a conversation and, eventually, to control movement. They may still say words or phrases, but communicating pain becomes difficult.
The most common cause of death among Alzheimer's patients is aspiration pneumonia.
The Mini-Cog test.
A third test, known as the Mini-Cog, takes 2 to 4 minutes to administer and involves asking patients to recall three words after drawing a picture of a clock. If a patient shows no difficulties recalling the words, it is inferred that he or she does not have dementia.
Creutzfeldt-Jakob disease causes a type of dementia that gets worse unusually fast. More common causes of dementia, such as Alzheimer's, dementia with Lewy bodies and frontotemporal dementia, typically progress more slowly.
I'm going to discuss five of the most basic ones here: 1) Don't tell them they are wrong about something, 2) Don't argue with them, 3) Don't ask if they remember something, 4) Don't remind them that their spouse, parent or other loved one is dead, and 5) Don't bring up topics that may upset them.
For seniors diagnosed with Alzheimer's, living at home is often ideal because it provides them with benefits, like: Comfortability with their surroundings. Higher level of trust in caregivers.
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.
Sleeping more and more is a common feature of later-stage dementia.
Alzheimer's disease starts in the brain many years before symptoms start to show. Early symptoms are mild and so don't stop someone doing their normal everyday activities. It's only later that symptoms become severe enough to be called 'dementia'.
The biggest risk factor for dementia is ageing. This means as a person gets older, their risk of developing dementia increases a lot. For people aged between 65 and 69, around 2 in every 100 people have dementia. A person's risk then increases as they age, roughly doubling every five years.
Stay mentally and socially active. Engaging in mental or social activities may help to build up your brain's ability to cope with disease, relieve stress and improve your mood. This means doing these activities may help to delay, or even prevent, dementia from developing.