PowerPoint Presentation DementiaPowerPoint演示文稿痴呆.pptVIP

Dementia Dementia is a disease marked by a gradual loss of cognitive functioning which can also incorporate losses of motor, emotional, and social functioning as well.. It is a permanent and progressive disease that eventually renders people unable to care for themselves. Dementia - Early Stage Begins with forgetfulness - isolated incidents of memory loss do not constitute dementia. Forgetfulness progresses to confusion and eventually disorientation. Problem solving Judgment Decision making Orienting to space and time Personality changes - irritable, agitated, sadness (depression), manic episodes Dementia - Causes 50 different causes Neurological disorders such as Alzheimer’s (est. 50-70% of people with dementia have Alzheimer’s) Vascular disorders such as multi-infarct disease (multiple strokes) Inherited disorders such as Huntington’s Infections such as HIV Dementia - Incidence Suspected that as many as 50% of people over the age of 80 develop Alzheimer’s. 5%-8% of all people over 65 have some form of dementia; number doubles every 5 years beyond that age. Alzheimer’s causes 50%-70% of all dementia. About 20%-30% of all dementia is believed to be caused by a vascular dysfunction (most common is multi-infarct disease). Dementia - Diagnosis Important to establish the cause of the dementia - Alzheimer’s and dementia are not the same thing. A differential diagnosis compares the symptoms of two or more diseases. DD is important because some forms of dementia are “treatable”. Examples of treatable dementias include: chronic drug abuse, Normal Pressure Hydrocephalus, Chronic subdural Hematoma, Benign Brain Tumors, Vitamin Deficiency, and Hypothyroidism. Dementia - Diagnosis Medical History - Physician wants to determine the onset of symptoms and how they’ve changed over time. Determine risk factors for infection, family history of dementia or other neurological disease, alcohol and drug use, and a patient’s history of strokes. Dementia - Diagnosis Neuropsychological Ex