Wednesday, November 11, 2015

Alzheimer’s is a Women’s Health Issue - Part 2



Symptoms

       The disease of most notably known for its advanced symptoms.  These symptoms include the lack of remembering family members as well as a tendency to become disoriented or lost.  This is a condition that is progressive meaning that it begins with less severe signs.  The symptoms generally are so subtle that they are initially blamed on a passing illness, fatigue or stress.  Unfortunately, they begin to progress towards stages that are far more severe.  What does need to be fully noted is the fact that this is a disease that tends to differ patient to patient. 
       As brain tangles and plaques begin to increasingly interfere with cell connections the symptoms of the disease tend to become more pronounced.  The progression goes from virtually no impairment to a mild decline to moderate to severe to a highly severe decline.  “Memory problems” have been described via the National Institute on Aging as one of the very first symptoms of Alzheimer’s disease.  Those close to a person suffering from the disease may initially notice them having difficulties finding the proper words or having issue with the accomplishment of complex tasks.  Additionally, the sufferer may exhibit changes in their mood or poor judgment as well as they may begin to withdraw from activities. 
    However, the early changes are not radically significant.  Everyday tasks are still able to be accomplished with only a minor amount of assistance from friends and family.  As the disease progresses within a person, it will become noticeable that they are having difficulties in regards to becoming lost, with finances and money, there will be changes in mood and personality as well as the repetition of questions and the failure to complete tasks.  Additionally, caregivers will begin to notice that an Alzheimer’s patient will begin to experience paranoia, delusions as well as hallucinations. 
     Once a person has reached the middle stages of the disease, they tend to begin to develop
problems with depth perception, language, and math, the telling of time and reading.  Also, those that suffer from the disease will start to become agitated and anxious when those around them are unable to see the world as they currently do.  Sufferers will also become disoriented within places that should be quite familiar to them.
    The late stages of the disease will see patients requiring assistance in regards to the following tasks: walking, bathing, dressing, eating and more.  The ability to remember people that have traditionally been familiar to them becomes more and more difficult as physical health issues begin to arise, such as: bladder control difficulty, lack of bowel, difficulty swallowing, infections of the skin, seizures, and weight loss. 

Diagnosis

     As early Alzheimer’s disease diagnosis offers the best chance in regards to effective management of the disease.  It does need to be noted that at this time, there is no way to reverse the effect of the disease nor is there a cure.  What is available are methods, etc. to assist sufferers and their loved ones with coping with the disease.  With an early diagnosis, the stricken individual and their family are able to begin learning about Alzheimer’s while preparing for the days ahead of them.  This will include preparations pertaining to legal matters, financial matters as well as the planning of extended care.
    
Generally, the diagnosis involves a series of steps.  There is not a singular test for determining if a person has developed the disease.  With that being said, the process will be inclusive of the following:
·        A mental evaluation in order to asses a person’s sense of place and time, their ability to remember, communicate and comprehend as well as their ability to complete simple math problems.
·        A series of evaluations that test:
o   Language skills
o   Visual-motor coordination
o   Reasoning
o   Memory
·        A physical exam that includes:
o   Pulse
o   Blood pressure
o   Nutritional status
·        A brain scan for the detection of additional causes of dementia (such as a stroke)
·        Lab testing for the screening of physical issues outside of Alzheimer’s
·        A psychiatric evaluation that will afford an assessment of mood as well as other emotional factors that can lead to dementia like symptoms or have the ability to accompany Alzheimer’s


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