Top
30
Doctor insights on: Dementia Stages Timeline

Share
1

1
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

Dr. Maureen Nash
1,473 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


2

2
How much time does a person live with end stage dementia?

How much time does a person live with end stage dementia?

Depends: End stage dementia usually means the individual can no longer nourish them selves by mouth and are completely dependent on others for care. Most people with end stage dementia die lf illness related to infection or complications associated with immobility or swallowing difficulties. If one can no longer eat or drink and there is no artificial nutrition or hydration, death usually occurs within 2 wk. ...Read more

3

3
When a dementia pt is transferred to another facility, how much time should be given for the pt to settle in before resuming visits?

When a dementia pt is transferred to another facility, how much time should be given for the pt to settle in before resuming visits?

Depends: For some people visiting soon can be reassuring while other people may need weeks before a visit is a good idea. Past experiences are often the best predictor of future actions. Talk with the persons doctor and the staff at the facility. ...Read more

4

4
My grandma is 85 with dementia and for the last week every time she finishes eating she moans like if something hurts what can it be?

My grandma is 85 with dementia and for the last week every time she finishes eating she moans like if something hurts what can it be?

Needs evaluation: Unfortunately sometimes with dementia, there is a loss of ability to explain or communicate well. This is often due to loss of language functioning. Thus the groans and moans signal something wrong. Medical examination will be needed. Perhaps as simple as indigestion or possibly constipation or some other GI or bowel problems. ...Read more

5

5
Question or query repeatition very often in short time - what kind of dementia and remedy if any for.

Question or query repeatition very often in short time - what kind of dementia and remedy if any for.

Common: Repetitive questions are common in several types of dementia. Remember that the person asking the question has no memory of previous questions or answers so try to patiently answer as if it is the first time you heard the question. Joining a support group can be very helpful. ...Read more

6

6
88 year old with dementia started having body spasms, she is sitting in a chair with sides and starts yelling I'm falling. Lasts under 30 seconds time?

Dementia: You're describing part of dementia process whereby the body misinterprets sensations. Some people w/dementia are constantly eating b/c they can't remember that they just ate. Others refuse to eat b/c they feel full all the time. While you can't argue or use logic, you can try to reassure or distract. Ask pt's Family Doc or Geriatrician to evaluate for other/correctable causes of hallucinations. ...Read more

7

7
Can one regain short time memory after losing it to vascular dementia?

Fish Oil: The dementia that is reversible is vitamin B12 or Folic Acid defiency dementia, . Vascular dementia is irreversible. I know for sure that there are a lot of good tangible results about fish oil being very helpful to improve cognition, sleep, anxiety, depression. These are all associated common symptoms of dementia too. It also reduces clotting, which is common with vasuclar dementia. ...Read more

8

8
Can somebody with vascular dementia have drastic improvement in function for an extended time?

Can somebody with vascular dementia have drastic improvement in function for an extended time?

Depends: Patients with brain damage from any cause can have drops in their mental status. .. delirium, which can be from any number of reversible causes. If the cause of delirium is treated there can be a sudden improvement as well, relatively speaking. As an example, urinary tract infections can cause a sudden drop. With treatment of the underlying infection the mental status should improve over time. ...Read more

9

9
Why is the clock drawing test a test for dementia when most of my teenage friends can't even tell the time on an analog clock?

Why is the clock drawing test a test for dementia when most of my teenage friends can't even tell the time on an analog clock?

Generations.: I do believe it will need to be change for the upcoming generations, as many people to not use an analog clock anymore. People with dementia are usually over 60 years of age today, which means they grew up in times when only analog clocks were in use. ...Read more

10

10
Are there any other conditions that can cause fluctuating cognition besides dementia with LB? I've been to a few doctors and no conclusions were ever made but my symptoms just keep worsoning with time

How to address: Cognition normally fluctuates on a day to day basis, and can change secondary to sleep patterns, emotional stresses, contact with infections or allergies, side effects from medication, use of alcohol or recreational drugs, and even reactions to foods. I seriously doubt you have any issues with Lewy Body Dementia, and suggest some counseling to deal with this pre-occupation. ...Read more

11

11
I'm 3 mos s/p c6-7 acdfp. When can I return to work full-time as pt in nursing home? I do have to transfer and lift patients frail w/ and w/o dementia

I'm 3 mos s/p c6-7 acdfp. When can I return to work full-time as pt in nursing home? I do have to transfer and lift patients frail w/ and w/o dementia

Ask your doctors: The doctors who've been following your progress are much better equipped to answer your question than doctors who've never met you. Returning to work after such procedures depends on how you were before surgery, and how you're recovering. If you're working with a physical medicine ; rehab physician along with the surgeons who operated, those would be the ideal doctors to ask. ...Read more

12

12
Dementia pt. On DNR, only IV of morphin, no V/S, just palliative care, no nutrients. What is happening to body and is this a slow painful death? Time?

Dementia pt. On DNR, only IV of morphin, no V/S, just palliative care, no nutrients. What is happening to body and is this a slow painful death? Time?

Palliative care.: Palliative care is employed for relief of symptoms and optimization of quality of life for patients who have terminal or incurable illnesses. Their timelines vary. We would assume that with adequate palliative care that patients are kept comfortable and relatively free of pain. ...Read more

13

13
Vascular dementia- does it get worse with time. Any treatment?

Usuaally: Vascular dementia worsens with each stroke that someone has. Currently the treatments are the same as those for alzheimers. Certain symptoms like depression, delusions and delirium are quite common. ...Read more

14

14
Dementia pt now sits and stares into space, response time very slow. What is happening in the brain to cause these behaviors?

Dementia pt now sits and stares into space, response time very slow. What is happening in the brain to cause these behaviors?

Dementia: Either cardiovascular (i.e., irregular blood flow to/from the brain) or plaque or tangles in the brain itself (i.e., a physical change in brain structure.) ...Read more

15

15
What would cause my dementia patient to have a bm in her sleep everynight at almost the same time and she is totally unaware. No accidents while awake?

What would cause my dementia patient to have a bm in her sleep everynight at almost the same time and she is totally unaware. No accidents while awake?

From demenia: Incontinence is not uncommon in certain dementias, but I would look into an EEG to make sure that they are not having seizures, which are more common nocturnally and dementia patients are at increased risk of. ...Read more

16

16
Dementia patient question should a 86 year old dementia patient be on both rispeadal and depakok at the same time? What are the side effects and how long for them to show up? -

Risperdal: Risperdal is indicated to treat a disease called schizophrenia. Depakote can be used for treatment of seizures or bipolar illness. Unless your patient has been diagnosed with any of these diseases, using Risperdal or Depakote to treat dementia or complications arising from dementia would be considered what is often called the "off-label" use. While doctors are essentially free to prescribe any medication they consider necessary to treat any particular patient, as long as the treatment benefits are greater than risks, there are caveats to this approach. Risperdal and other medications of this class (collectively known as "atypical antipsychotics" have been deemed by the us food and drug administration (fda) as dangerous and causing increased mortality when they are being used off-label - for treatment of dementia. The fda warning of this side effect is known as a "black-box warning" and is a boxed statement found prominently displayed on the Risperdal prescribing information brochure that typically accompanies the packaged drug or promotional materials. Depakote does not have this warning, however, absent symptoms of bipolar illness or seizure disorder, there are no clinical trial data convincingly showing that the drug helps to reduce symptoms of dementia or its complications (such as agitation). There are numerous other side effects of these medications, the most common of which, is muscle stiffness and falls. Ankle swelling was the earliest and most common side effect in some clinical trials of Risperdal in dementia. Since both medications can cause muscle stiffness, it is likely that taking both at the same time will enhance this effect. How rapidly the side effects appear depends on the type of dementia and other health issues that the person might be having. However, most side effects become apparent within 1 to 15 days of using the medication. The prescribing physician should be very explicit about the black-box warning when recommending Risperdal and should very clearly communicate to the person who is making treatment decisions, all relevant information about side effects and expected benefits, if any, of these medications. Please do not hesitate to contact my office at (877) 483-2071 if you have more questions. ...Read more

17

17
Would you say my mom is in stage 5 of renal failure? She is 84 with dementia and dr say dialysis is not an option. How much time does she have?

Would you say my mom is in stage 5 of renal failure? She is 84 with dementia and dr say dialysis is not an option. How much time does she have?

Depends: If she was told that she has end stage renal disease, then she is in kidney failure. How functional the individual is is a better reflection on whether the person should recieve dialysis. In older adults, if there are no dangerous urgent symproms, then dialysis is delayed until absolutely needed. If mom is having these symptoms and not to be dialyzed, she may have only a few weeks. ...Read more

18

18
My friend's mother has dementia, is it compulsory for patient to take it's medicine life time and is it inheriting disease, from parent to child?

My friend's mother has dementia, is it compulsory for patient to take it's medicine life time and is it inheriting disease, from parent to child?

Good questions: You may not mean "compulsory", but it might be advised that an elder with dementia take effective medication until they die. The selection of drugs may change over time, but they are intended to delay disease progress and relieve some behavioral symptoms. As there is no cure, this is the best that can be done. Causation is complex, but heredity appears to play a role in the risk. ...Read more

19

19
My mom has dementia, I'm her caregiver, I am feeling stressed when I spend time with her. Her actions are that of a 3 yr old. I feel angry with her.?

Join support group: Consider getting more support for yourself. You can join a local or online support group. Both the alzheimer's association and the alzheimer's foundation of america have hotlines also. Caregiving can be very stressful. ...Read more

20

20
My mom just prescribed Namenda (memantine) for the 1st time for her dementia, the confusion and forgetfulness began about 3-4 months ago. Will this help?

Yes: Namenda (memantine) is one of several drugs used for dementia, and is reasonable to use. I assume her doctor did a thorough work up to assess thyroid function, B vitamin deficiencies, depression, other brain dysfunction, or a chemical reaction to other meds she was taking first.
Should this fail, other meds should be tried. You mentioned her age, but it should not be assumed this is just old age. ...Read more

22

22
Multi infarct stroke dementia patient, will stopping ssri antidepressant have a negative impact after some time and patient has shown improvement? Is it addictive or have a downer. Any ALT antidep's?

Multi infarct stroke dementia patient, will stopping ssri antidepressant have a negative impact after some time and patient has shown improvement? Is it addictive or have a downer. Any ALT antidep's?

Vascular dementia: These days multi infarct dementia is referred to as vascular dementia. After a stroke there is evidence that ssri antidepressants help prevent post stroke depression. There is a little but not a lot of evidence that ssris help those with vascular dementia. Ssris are not addictive. For specific advice about using any antidepressant it would be best to see a mental health expert. ...Read more

23

23
My mom has dementia. She is on celexa, aricept, namenda (memantine) and risperdal. She takes low to normal doses. She has gained 70 lbs in 18 months and feels tired all the time. Is it expected? Suggestions?

MEDICATION EFFECTS: Do not recommend use of Risperdal in this situation, as there is a substantial risk of stroke or death, in those elderly folks who have dementia. Of course, I fully agree that the weight gain and fatigue is also due to this drug. Is there are major issue with stopping it in view of all the potential problems? Is her diagnosis confirmed, such as alzheimer's? Should you get a second opinion? ...Read more

24

24
When do you know its time for a dementia patient to go to a nursing home? Mother is 85 years old. Lives alone in apartment. Forgetful, but otherwise good health. Apartment is extremely clean and tidy, makes her own meals, walks independently. Siblings w

The: The basic reason for a person to live permanently at a nursing home is if they can not function without assistance. Can the person handle every day tasks of living such as brushing their teeth, washing themself, dressing themself? Does the person engage in unsafe behaviors such as forgetting to turn off the oven? Does the person have a medical condition that would make it unsafe to live alone such as falling often or seizures? Is the person depressed and isolating themself? I think that it is excellent that your mother continues to interact with others and that she maintains her own home and makes her own meals. Many elderly people who have difficulty with some of those activities of daily living, may still elect to live independently in their own home but might have some meals delivered or might have maid service.
Sometimes relatives want their elders to be placed in nursing homes so that they will not worry about them. I think it is very important to ask the person what their desire is. ...Read more

25

25
What causes dementia?

Many factors: Such as inherited predisposition as in Alzheimer's Dementia, Vascular Dementia is caused by hardening of the arteries with decreased blood flow to the brain causing microvascular changes as in strokes, repeated blows to the brain as in those incurred in sports, boxing, football. Accidents causing concussions or traumatic brain injuries like explosions in war. Diseases like Parkinson's Disease ...Read more

26

26
Can dementia be cured?

Unfortunately, no.: Dementia is a progressive disease. Even available treatments only slow progression or tame symptoms. They do not provide a cure. ...Read more

27

27
Is dementia hereditary?

Yes and no: If there is an illness that runs in your family you should speak to your doctor about it. There are many many types of dementia. Some of them are genetically passed on while others aren't. The most common type of dementia is alzheimers disease and there are 2 forms. The early onset form is highly heritable. Alcoholic dementia is not inherited though a propensity for alcohol dependence can be. ...Read more

28

28
How common is dementia?

Common: Dementia is fairly common and the biggest risk factor is age. More than 1 out of 100 people aged 65 or less have dementia. Roughly 5 out of 100 of those aged 70, 10 of 100 aged 75, 25 of 100 aged 80 and roughly 45-50 out of 100 of those 85 years old and older have dementia. ...Read more

29

29
Can you inherit dementia?

Can you inherit dementia?

Some kinds.: Some types of dementia like alzheimer's disease with early onset at ages 40 to 60 have a large genetic component while other types of dementia like alcohol induced do not. ...Read more

30

30
How is dementia diagnosed?

Clinically: Usually a clinical diagnosis, no blood work and no imaging test. ...Read more