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Doctor insights on: Dementia Stages

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Dr. Maureen Nash
1,472 doctors shared insights

Dementia (Definition)

A brain disorder that seriously affects a person’s ability to carry out daily activities. The most common form of dementia among older people is Alzheimer’s disease(AD), which initially involves the parts of the brain that control ...Read more


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Is Aricept (donepezil) as affective in advanced stages alzhimers?

Is Aricept (donepezil) as affective in advanced stages alzhimers?

Possibly less: I would first ask if Alzheimer's (DAT) is the correct diagnosis. DAT is not always the correct diagnosis in cases of neurocognitive disorders (dementia). Other conditions also cause trouble with memory and thinking in advanced age and are often missed. If DAT is the correct diagnosis, Aricept (donepezil) helps slow the functional decline but not the actual disease process. New medicines are in development. ...Read more

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Rapidly progressive dementia, prognosis in elderly, 83?

Rapidly progressive dementia, prognosis in elderly, 83?

Undetermined: Dementia is a progressive disease. At this point in time medication can only slow it down, not stop it. If you are asking if the dementia will continue, it probably will at the same rate. ...Read more

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Is vascular dementia worse than alzheimer’s at the end stage?

Is vascular dementia worse than alzheimer’s at the end stage?

Depends: Vascular dementia can totally wipe out all conscious activity and render someone into a permanent vegetative state--not unlike what one might see with a case of severely advanced alzheimer's. However, while vascular dementia can be significantly less severe, alzheimer's, when left to follow its own natural progression, generally proceeds to a severely advanced and debilitated state. ...Read more

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Is sundowning a symptom of alzheimer's dementia?

Is sundowning a symptom of alzheimer's dementia?

Sundowning: Can be a symptom of dementia of any kind when combined with physical problems such as hearing and vision loss. ...Read more

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Early signs of altzheimer?

Early signs of altzheimer?

Mostly memory loss: Alzheimer's dementia starts earlier than previously thought with declining intellectual capacity and memory. Mild at first it's excused as "absent minded, you're just tired, it's my adhd". The one affected is often in denial of the loss. Eventually newer memory fades & new memory isn't formed. Cognition declines, paranoia & delusions may occur & motor skills(even swallowing) & self care deteriorate. ...Read more

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What are alzheimer's stages?

Contact the: Alzheimer's foundation, or the judy fund in california. They have all the latest information. ...Read more

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Differences between senile dementia and altzheimers disease?

Differences between senile dementia and altzheimers disease?

They are the same: It used to be thought that alzheimers only happened to young people-what we now call early onset alzheimers dementia. It was also thought that getting senile happened to all older adults. We now know senility and dementia are not normal aging. ...Read more

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Is Alzheimer's or dementia hereditary?

Is Alzheimer's or dementia hereditary?

Yes to some degree: 60% of all pts with Alzheimer's Disease have first degree relative (often a parent) that had AD. There are genetic tests one called ApoE4 which can indicate you are low, medium or high risk in your life to develop this illness. I do not recommend such testing as there are no proven treatments that can slow or prevent Alzheimer's Disease from developing. Stay active mentally and physically! ...Read more

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Is cognitive dysfunction an early stage of alzheimer’s?

Is cognitive dysfunction an early stage of alzheimer’s?

Many reasons: Mild cognitive impairment is often the initial manifestation of Alzheimer's but cognitive problems can be seen with vitamin deficiencies, thyroid problems, HIV and syphilis infections, and medication adverse effects. Alcohol and recreational drugs can also do this. ...Read more

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Is Lewy bodies dementia terminal?

Is Lewy bodies dementia  terminal?

BUT, Rx available: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx watching for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for lewy body patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or even clozaril. For excess sleepiness: nuvigil. ...Read more

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Are there stages in alzheimer?

Are there stages in alzheimer?

Absolutely: Alzheimer disease can only be definitively diagnosed by a neuropathologist at the time of autopsy. Pathologically, there are six stages of alzheimer disease. Most older adults have early pathologic changes of alzheimer disease (stages i or ii), but they remain intellectually intact. ...Read more

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How is alzheimer's and dementia diagnosed?

How is alzheimer's and dementia diagnosed?

Alzheimer, Dementia: Mental status examination including memory impairment, disorientation to time , place, and person, decline in intellectual functioning and impairment of attention and concentration helps in diagnosis of alzheimer, and dementia. At times blood tests and ct scan of brain help in the diagnosis. ...Read more

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How are alzheimer's disease and dementia different?

Square vs. Rectangle: Dementia is a term for a group of disorders that are characterized by degeneration of certain parts of the brain and cause problems with thinking, comprehension, language and various other cognitive abilities. Alzheimer's dementia is one kind of dementia. Just as all squares are rectangles, but the not all rectangles are squares, alzheimer's is a kind of dementia, but the reverse is not true. ...Read more

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Is contracting and living with Lewy bodies dementia (alzheimers) terminal?

Is contracting and living with Lewy bodies dementia (alzheimers) terminal?

Eventually, yes: Lbd is not the same as alzheimers. However, there also is no cure, and it is progressive - either slow or rapid. So, it is terminal but an average life expectancy after DX is 5-7 yrs. The worst of it is that the symptoms are quite difficult to manage and few families can avoid residential care. Here's a link: http://www.Lbda.Org/content/role-palliative-and-hospice-care-in-lbd. Hope you find help! ...Read more

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How many years is alzheimer's disease progression?

It varies: It can be anywhere from 2-20 years with the average of 8-10 years from the onset of the earliest symptoms, not the year where a physician diagnosed as alzheimer's disease. ...Read more

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Does alzheimer's have distinct stages?

Sort of: There are a number of different staging systems. If you don't have a specific purpose (like fitting into a medication trial or looking for hospice) i find it useful to look at 3 stages. Mild dementia requires no outside assistance. People with moderate disease benefit from having others regularly check on them and assist with complex tasks. Those with severe disease require 24 hour supervision. ...Read more

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Stages of progression in gonorrhea?

Stages of progression in gonorrhea?

Depends: You didn't say whether you're a man or woman, which makes a big difference. The body location also matters (male urethra, female genital tract, throat, or rectum.) we don't typically think of gonorrhea as having 'stages, ' the way syphilis does, but if left untreated there can be complications especially in women (e.g. Pid, disseminated infection with joint involvement). ...Read more

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My Grandmother has been diagnosed with the early stages of Dementia. Is this disease hereditary and if not, what can I do to prevent it?

My Grandmother has been diagnosed with the early stages of Dementia. Is this disease hereditary and if not, what can I do to prevent it?

Incomplete data: Research seems to suggest a genetic contribution but it is of uncertain strength and not to a single or even simple set of genes. Living longer has increased the numbers of people who decline cognitively but causes differ. Some are gradual and easier to deal w/. Some rapid and frightening. Healthy living in all respects is the best prevention-like strategy, but no one knows. If we did, Wow! ...Read more