Fourth-stage
In the fourth stage, people with dementia may completely shut out the outside world. They might sit in a chair or lie in bed staring straight into thin air, or they might have their eyes closed. They may not respond when someone walks into the room or speaks to them.
Staring With 'Reduced Gaze' and Trouble Reading
“We all move our eyes and track with them frequently,” says Rankin. But people showing early signs of dementia look like they're staring a lot.
Loss of peripheral vision, problems with depth perception, or blurry vision don't simply appear just before dementia – they also predict a rapidly-progressing one. A possible explanation? The confusion created by vision problems often matches the early signs of dementia, especially Alzheimer's Disease.
These include problems with memory, thinking, problem-solving or language, and often changes in emotions, perception or behaviour. As dementia progresses, a person will need more help and, at some point, will need a lot of support with daily living.
People with dementia often rely on their routines as a source of comfort. A daily routine helps a person know what to expect. This means that a sudden disruption in routine may cause dementia symptoms to get worse. This is especially true if a person experiences stress.
People with dementia think about the same things that any human thinks about — emotions, relationships, daily life, tasks to accomplish, and more. However, dementia can change how you interact with the world because of its physical, mental, and emotional effects.
Different types of dementia can damage the visual-perceptual system in diverse ways based on how the disease changes the structure of the brain. Common visual perceptual difficulties are: Less sensitivity to variations in the contrast between objects and background. Diminished ability to detect movement.
Alzheimer's disease causes the person to develop a mask-like facial expression. This minimizes typical facial expressions of pain, like a drawn mouth or furrowed brows. Also, patients may have lost the cognitive ability to tell caregivers about their pain with phrases such as "this hurts" or "I am in pain."
People with dementia may say or ask things repeatedly. They may also become very clinging and shadow the person caring for them, even following them to the toilet. These behaviours can be very upsetting and irritating for families and carers.
Introduction: The five-word test (5WT) is a serial verbal memory test with semantic cuing. It is proposed to rapidly evaluate memory of aging people and has previously shown its sensitivity and its specificity in identifying patients with AD.
Don't correct, contradict, blame or insist. Reminders are rarely kind. They tell a person how disabled they are – over and over again. People living with dementia say and do normal things for someone with memory impairment.
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. Vascular dementia – around five years.
The most common cause of death among Alzheimer's patients is aspiration pneumonia. This happens when, due to difficulty in swallowing caused by the disease, an individual inadvertently inhales food particles, liquid, or even gastric fluids.
They may be aware of their symptoms in the early stages of dementia. However, a person may lose this awareness by the late stages of dementia. The term dementia refers to a range of conditions that involve a deterioration in someone's ability to process thoughts.
The family member with dementia usually becomes the family's centre of attention. A Energy is focused on this person. This can lead to other family members, including spouses or other children, feeling neglected. They may become resentful because they feel they are not getting the attention they need.
Many dementia patients are not aware of their condition. Memory loss and a loss of cognitive abilities are fundamental symptoms of Alzheimer's disease and other types of dementia, which makes it extremely difficult for sufferers to realize that they are having problems, or to understand their condition.
Some people have physical symptoms, such as tremors, muscle spasms or weakness, rigidity, poor coordination and/or balance, or difficulty swallowing. Psychiatric symptoms, such as hallucinations or delusions, also may occur, although these are not as common as behavioral and language changes.
As dementia advances, the brain may find that the information coming in through two eyes is too overwhelming.
Dementia is likely to have a big physical impact on the person in the later stages of the condition. They may gradually lose their ability to walk, stand or get themselves up from the chair or bed. They may also be more likely to fall.
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. Through a process scientists don't yet understand, misfolded prion protein destroys brain cells.
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. Find activities you enjoy that challenge your brain, and do them regularly.