early signs of dementia

Written by Zhang Hui
Neurology
Updated on September 08, 2024
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Dementia in the elderly, mainly referring to Alzheimer's disease, is primarily characterized by a significant decline in the patient's memory and learning abilities. Of course, there are some prodromal symptoms before the onset of dementia. For example, patients might show no clinical signs of cognitive impairment or only display very slight memory decline. Patients might exhibit mild impairment in memory, a decrease in the ability to learn and retain new information, and mild impairments in other cognitive areas such as attention, executive function, language skills, and visuospatial abilities. However, these impairments are very slight and can go unnoticed by family members. Moreover, these mild impairments do not affect the patient's basic daily life abilities and do not reach the level of dementia. Patients can live independently and manage their routine daily tasks, which are mainly some of the early signs of dementia.

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Written by Zhang Hui
Neurology
51sec home-news-image

What to do about senile dementia?

For patients with dementia, if the diagnosis is confirmed, the recommended treatment is as follows: First, it is very important to pay attention to nursing care. Patients with dementia often get lost, which can lead to a series of dangers, so it is necessary to take good care of them to prevent getting lost. Secondly, for the improvement of cognitive functions, it is recommended to use some cholinesterase inhibitors, which can increase the level of acetylcholine in the brain and improve the patient's cognitive functions to a certain extent. Third, symptomatic treatment should also be provided. Since patients with dementia often exhibit psychiatric symptoms, such as visual and auditory hallucinations, appropriate antipsychotic medications can be used for treatment. (Please use medication under the guidance of a professional physician.)

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Written by Zhang Hui
Neurology
1min 13sec home-news-image

Care measures for dementia in the elderly

Dementia in the elderly is the most common neurodegenerative disease in neurology, mainly referring to the irreversible death of neuronal cells caused by various reasons, which poses a significant clinical hazard and lacks effective treatment methods. Therefore, nursing measures become very important. The main nursing measures include, First, ensuring the patient's nutrition. In the later stages, elderly patients may have no regular diet and cannot take care of themselves. Therefore, ensuring sufficient energy intake and enough protein intake is very important. Malnutrition can easily lead to various complications, leading to the patient's death. Second, it's important to equip elderly people with commonly used contact numbers and addresses in their pockets to prevent them from getting lost and creating dangerous situations. Third, when elderly people are at home, it is crucial to keep the kitchen door closed to prevent them from turning on the gas and forgetting to turn it off. Fourth, patients with dementia are prone to lung infections after becoming bedridden. If bedridden, it is important to frequently turn them over and pat their back to prevent the onset of lung infections.

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home-news-image
Written by Zhang Hui
Neurology
59sec home-news-image

early signs of dementia

Dementia in the elderly, mainly referring to Alzheimer's disease, is primarily characterized by a significant decline in the patient's memory and learning abilities. Of course, there are some prodromal symptoms before the onset of dementia. For example, patients might show no clinical signs of cognitive impairment or only display very slight memory decline. Patients might exhibit mild impairment in memory, a decrease in the ability to learn and retain new information, and mild impairments in other cognitive areas such as attention, executive function, language skills, and visuospatial abilities. However, these impairments are very slight and can go unnoticed by family members. Moreover, these mild impairments do not affect the patient's basic daily life abilities and do not reach the level of dementia. Patients can live independently and manage their routine daily tasks, which are mainly some of the early signs of dementia.

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Written by Zhang Hui
Neurology
57sec home-news-image

How is dementia diagnosed in the elderly?

Alzheimer's disease is a degenerative disease of the nervous system. The diagnosis of this disease mainly relies on the clinical manifestations of the patient, as well as some corresponding scales and some corresponding imaging examinations. In terms of examinations, it is necessary to check some neurofunctional scales, mainly cognitive function scales, common scales include some MMSE scales, and some MoCA scales. These scales are very important for diagnosing this disease. In addition, some imaging examinations need to be improved, mainly including cranial magnetic resonance imaging examinations. Cranial MRI can reveal atrophy in the patient's temporal lobe, hippocampus, and other areas, which also have an important reference value for the diagnosis of the disease. Moreover, an electroencephalogram can be performed to see some mild abnormalities, and lumbar puncture tests can also reveal some abnormally increased protein deposits.

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Written by Zhang Hui
Neurology
1min 2sec home-news-image

symptoms of dementia in the elderly

The symptoms of dementia mainly include: First, impaired memory function, where the patient’s memory loss is very noticeable. Initially, they may not remember recent events, and as the disease progresses, they may not remember past events, such as forgetting how many children they have or their children’s names. Second, it mainly involves symptoms of impairment in other cognitive areas, such as visual spatial dysfunction, manifesting as not being able to find the bathroom at home, getting lost after going out, and not being able to find the way back home. Additionally, the patient's ability to understand, calculate, and judge will also be significantly impaired, and they cannot master previously learned knowledge and skills. Third, in the late stages, some psychiatric symptoms appear, including visual and auditory hallucinations, and agitated behaviors such as hitting and cursing. Additionally, the patient may also experience some physical weakness, muscle atrophy, and incontinence.