Treatment FAQ

what is the dementia treatment like at the u of u

by Noemi Schultz Sr. Published 3 years ago Updated 2 years ago
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Medication

Treatment of dementia depends on the underlying cause. Neurodegenerative dementias, like Alzheimer’s disease, have no cure, though there are medications that can help protect the brain or manage symptoms such as anxiety or behavior changes. Research to develop more treatment options is ongoing.

Therapy

Providing care for someone with dementia is physically and emotionally demanding. Feelings of anger and guilt, frustration and discouragement, worry, grief, and social isolation are common. If you're a caregiver or care partner for someone with dementia:

Self-care

In addition to affecting thinking abilities, dementia and related disorders often are associated with other symptoms. This means that multidisciplinary, collaborative care is essential not only for proper diagnosis, but also for developing a comprehensive treatment plan individually tailored for you.

Nutrition

Structure and routine also help reduce confusion in people with dementia. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Dementia symptoms and behavior problems will progress over time. Caregivers and care partners might try the following suggestions:

What are the treatment options for dementia?

What is it like to care for someone with dementia?

Why is multidisciplinary care important for dementia treatment?

How can I reduce confusion in people with dementia?

How to manage dementia?

How to prevent dementia?

What is the best medication for dementia?

Why are antidepressants used for dementia?

What is the effect of cholinesterase inhibitors on Alzheimer's?

What are the side effects of dementia medication?

How does behavioral therapy help dementia?

See more

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What does a memory clinic do for dementia?

Those working in memory clinics are specifically trained in understanding conditions such as dementia. They can carry out certain tests to determine your loved one's stage of the condition. This will allow them to prescribe certain drugs, recommend certain lifestyle changes or guide you on useful mental exercises.

What is the best treatment for dementia?

Cognitive stimulation therapy It is currently the only psychological dementia treatment directly recommended by the National Institute for Health and Care Excellence (NICE) to help people with mild or moderate dementia.

What treatment options are available for dementia?

The following are used to temporarily improve dementia symptoms.Cholinesterase inhibitors. These medications — including donepezil (Aricept), rivastigmine (Exelon) and galantamine (Razadyne) — work by boosting levels of a chemical messenger involved in memory and judgment. ... Memantine. ... Other medications.

What happens at a memory clinic appointment?

What happens at a memory clinic? The specialist you see at the memory clinic will talk to you about your experiences and listen to any concerns you have about your memory. They will ask you why you have come to see them and listen while you explain the problems you have been having.

Can you ever recover from dementia?

There is currently no "cure" for dementia. In fact, because dementia is caused by different diseases it is unlikely that there will be a single cure for dementia. Research is aimed at finding cures for dementia-causing diseases, such as Alzheimer's disease, frontotemporal dementia and dementia with Lewy bodies.

What are the 7 stages of dementia?

How to Identify the 7 Stages of DementiaStage 1: No Memory Deficit.Stage 2: Slight Cognitive Decline.Stage 3: Mild Cognitive Impairment.Stage 4: Moderate Cognitive Decline.Stage 5: Moderate Dementia.Stage 6: Severe Cognitive Decline.Stage 7: Severe Dementia.

How long do dementia patients live?

Studies suggest that, on average, someone will live around ten years following a dementia diagnosis. However, this can vary significantly between individuals, some people living for more than twenty years, so it's important to try not to focus on the figures and to make the very most of the time left.

How fast does dementia progress?

There is no way to be sure how quickly a person's dementia will progress. Some people with dementia will need support very soon after their diagnosis. In contrast, others will stay independent for several years.

How do you stop dementia from progressing?

This means you can help reduce your risk of dementia by:eating a healthy, balanced diet.maintaining a healthy weight.exercising regularly.keeping alcohol within recommended limits.stopping smoking.keeping your blood pressure at a healthy level.

What questions do they ask in a dementia test?

The MMSE includes questions that measure:Sense of date and time.Sense of location.Ability to remember a short list of common objects and later, repeat it back.Attention and ability to do basic math, like counting backward from 100 by increments of 7.Ability to name a couple of common objects.More items...

Is it worth getting a dementia diagnosis?

Getting a diagnosis gives you and your family the best chance to prepare for the future. With treatment and support from healthcare professionals, family, and friends, many people are able to lead active, fulfilling lives with dementia.

What is the memory test for dementia?

Mini-Mental Status Examination (MMSE) The MMSE is the most common test for the screening of dementia. It assesses skills such as reading, writing, orientation and short-term memory.

Who is at risk for developing dementia?

Many factors can eventually contribute to dementia, some of which can be changed while others cannot. Some risk factors that can’t be changed: Age....

Is there a cure for dementia?

Not at this time. Although no cure has yet been identified for dementia, your doctor can offer treatments to slow its progression, ease your sympto...

Can dementia cause death?

Not directly. As the disease progresses, overall health declines. So, when someone with dementia dies, it’s usually the result of another condition...

Can dementia be prevented?

While there is no cure for dementia, research has shown there are some practical steps you can take to reduce your risk factors for getting dementi...

What are the different types of dementia?

Down Syndrome and Alzheimer’s disease. Frontotemporal dementia. Huntington’s disease. Korsakoff Syndrome. Lewy body dementia. Mixed dementia. Norma...

Can dementia be seen on an MRI?

An MRI can help identify markers associated with mild cognitive impairment (MCI) and predict who may eventually develop dementia.

What is dementia with lewy bodies?

Lewy body dementia (LBD) adversely affects brain cells over time, causing a type of progressive dementia that deteriorates the ability to think and...

What's the difference between dementia and Parkinson's disease?

Parkinson’s disease is known more as a physical disorder that impacts movement. As it progresses, however, Parkinson’s disease can cause cognitive...

Why do dementia patients have trouble sleeping?

People with dementia tend to have problems sleeping, with up to half of patients with severe dementia experiencing sleep disturbances. As the demen...

Dementia Treatments: Medication, Therapy, Diet, and Exercise

When a parent, partner, or someone else you love gets diagnosed with dementia, you want to do everything possible to help them, including their memory, thinking skills, mood, and behavior.. It’s ...

Dementia - Diagnosis and treatment - Mayo Clinic

Clinical trials. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.. Lifestyle and home remedies. Dementia symptoms and behavior problems will progress over time. Caregivers and care partners might try the following suggestions:

Treatment Options for Dementia | Stanford Health Care

Palliative care. Palliative care is a kind of care for people who have a serious illness. It's different from care to cure the illness. Its goal is to improve a person's quality of life—not just in body but also in mind and spirit.

Vascular dementia - Symptoms and causes - Mayo Clinic

Causes. Vascular dementia results from conditions that damage your brain's blood vessels, reducing their ability to supply your brain with the amounts of nutrition and oxygen it needs to perform thought processes effectively.

Seven Stages of Dementia | Symptoms, Progression & Durations

Which Stage? If you aren’t sure which stage of dementia you or your loved one are in right now, take an online Alzheimer’s test that pinpoints an individual’s symptoms and stage. Is It Dementia? If you want to know whether you or a loved one’s forgetfulness is simply part of aging or is actually dementia, try the Clock Test or SAGE Test.

How to help dementia patients with dementia?

Speak slowly in simple sentences, and don't rush the response. Present one idea or instruction at a time. Use gestures and cues, such as pointing to objects. Encourage exercise. The main benefits of exercise in people with dementia include improved strength, balance and cardiovascular health.

What is the best therapy for dementia?

Watching videos of family members. Pet therapy, which involves use of animals, such as visits from dogs, to promote improved moods and behaviors in people with dementia. Aromatherapy, which uses fragrant plant oils.

What are some medications that help with dementia?

Medications. The following are used to temporarily improve dementia symptoms. Cholinesterase inhibitors. These medications — including donepezil (Aricept), rivastigmine (Exelon) and galantamine (Razadyne) — work by boosting levels of a chemical messenger involved in memory and judgment.

How to slow the progression of Alzheimer's disease?

Some research also shows that physical activity might slow the progression of impaired thinking in people with Alzheimer's disease, and it can lessen symptoms of depression. Engage in activity. Plan activities the person with dementia enjoys and can do.

How to help someone with a disease?

You can help a person cope with the disease by listening , reassuring the person that he or she still can enjoy life, being supportive and positive, and doing your best to help the person retain dignity and self-respect.

How to help someone with memory loss?

Talk to a member of your spiritual community or another person who can help you with your spiritual needs. Stay active and involved, volunteer, exercise, and participate in activities for people with memory loss. Spend time with friends and family.

How to help a loved one remember upcoming events?

Keep a calendar . A calendar might help your loved one remember upcoming events, daily activities and medication schedules. Consider sharing a calendar with your loved one. Plan for the future. Develop a plan with your loved one while he or she is able to participate that identifies goals for future care.

What is multidisciplinary care for dementia?

This means that multidisciplinary, collaborative care is essential not only for proper diagnosis, but also for developing a comprehensive treatment plan individually tailored for you. We partner with specialists from Neuropsychology, the Movement Disorders Program, Nuclear Medicine, Neuroradiology and the Sleep Disorders Center, plus Geriatrics and Geriatric Psychiatry. We are housed in the Turner Geriatrics Center, which is the first facility in the U.S. specifically designed for geriatrics research and clinical programs. In fact, U.S. News and World Report ranked the Center as one of the top geriatric programs in the country.

What is the Michigan Alzheimer's Center?

For over two decades, the <a "http:="" alzheimers.med.umich.edu="" "="">Michigan Alzheimer's Disease Center (MADC) has contributed to the expand ing knowledge on Alzheimer’s disease and related dementias. Established in 1989, the Center is committed to enhancing participation in memory and aging research, furthering the understanding ...

How to contact the Alzheimer's program?

For more information about dementia, Alzheimer's disease or other cognitive disorders, or to make an appointment with the Cognitive Disorders Program, call 734-764-6831.

When was the Alzheimer's Center established?

Established in 1989 , the Center is committed to enhancing participation in memory and aging research, furthering the understanding of diseases that result in cognitive impairment, promoting high quality clinical care, and providing current information on Alzheimer's disease and related disorders.

What is the procedure used to detect Alzheimer's disease?

If needed, we can also conduct Positron Emission Tomography (PET) scanning, a procedure that is not widely available and is helpful in distinguishing Alzheimer’s disease from other forms of dementia.

What are the symptoms of dementia?

Because dementia is a general term, its symptoms can vary widely from person to person. People with dementia have problems with: Memory. Attention. Communication. Reasoning, judgment, and problem solving. Visual perception beyond typical age-related changes in vision. Signs that may point to dementia include:

What tests can help determine underlying cause of dementia?

A healthcare provider can perform tests on attention, memory, problem solving and other cognitive abilities to see if there is cause for concern. A physical exam, blood tests, and brain scans like a CT or MRI can help determine an underlying cause.

How do you know if you have dementia?

Because dementia is a general term, its symptoms can vary widely from person to person. People with dementia have problems with: Visual perception beyond typical age-related changes in vision. Signs that may point to dementia include: Forgetting the name of a close family member or friend.

What type of dementia is most often associated with changes in personality and behavior?

They may also have trouble sleeping at night or may experience visual hallucinations (seeing people, objects or shapes that are not actually there). Fronto-temporal dementia. This type of dementia most often leads to changes in personality and behavior because of the part of the brain it affects.

What is the strongest risk factor for dementia?

The strongest known risk factor for dementia is increasing age , with most cases affecting those of 65 years and older. Family history. Those who have parents or siblings with dementia are more likely to develop dementia themselves. Race/ethnicity. Older African Americans are twice more likely to have dementia than whites.

Can dementia affect language?

There may also be problems with language skills like speaking or understanding. Mix ed dementia . Sometimes more than one type of dementia is present in the brain at the same time, especially in people aged 80 and older. For example, a person may have Alzheimer’s disease and vascular dementia.

Can you live a normal life without dementia?

No, many older adults live their entire lives without developing dementia. Normal aging may include weakening muscles and bones, stiffening of arteries and vessels, and some age-related memory changes that may show as:

Dementia

Dementia is a loss of thinking, remembering, and reasoning skills. Dementia isn’t a single disease or condition. Instead, it’s an umbrella term used to describe memory loss and a decline in cognitive function.

Is dementia the same thing as Alzheimer's disease?

Alzheimer’s disease is the most common type of dementia. Alzheimer’s disease progresses over time and continues to cause a decline in memory, language, and thought.

Symptoms of dementia

Dementia symptoms involve two areas of change: cognitive and psychological. Common signs and symptoms include:

Diagnosing dementia

Diagnosing dementia requires your doctor to do two things: first, determine the loss of cognitive function and two, assess what a person is still able to do. This requires a number of tests.

Treatments for dementia

Since there is no cure for most types of dementia, treatments mostly focus on ways to manage symptoms with the right blend of medications and therapies to give the best quality of life.

What are the causes of dementia?

Age and family history have been identified as potential risk factors. Researchers are exploring the role of genetics in the development of Alzheimer’s but most agree the disease is likely caused by a variety of factors.

What happens to memory in Alzheimer's?

MEMORY LOSS. In Alzheimer’s disease, recent memories are lost first, while distant ones are often retained. The affected individual may not remember his or her name, phone number, address, or caregiver. However, he or she may easily recall things that were learned decades ago. WANDERING.

How to confirm Alzheimer's disease?

The only way to confirm a diagnosis of Alzheimer’s disease is through autopsy. Since dementia can be caused by many things, it is important to see if it is due to a cause that is curable. Alzheimer’s disease is not currently curable but it is treatable with medications and strategies that can enhance quality-of-life.

How does Alzheimer's affect mood?

CHANGES IN MOOD & BEHAVIOR. A person with Alzheimer’s disease may react with agitation to events taking place. During a catastrophic reaction, moods and behavior often change quickly. Individuals may become angry and combative, cry, or lash out verbally or physically at those who try to help them.

Why is it so hard to identify someone with Alzheimer's?

Because the disease progresses at different rates in individuals, symptoms and behaviors vary. Prognosis ranges greatly.

What are the symptoms of memory loss?

Are you or someone you know experiencing any of the following? 1 Memory loss that affects job or lifestyle 2 Difficulty performing familiar tasks, such as cooking, driving, paying bills on time 3 Problems with language, such as forgetting common words 4 Disorientation to time or place, including getting lost 5 Poor or decreased judgment 6 Constantly misplacing things 7 A change in mood or behavior 8 A change in personality 9 Loss of initiative

Does the University of Chicago do autopsies?

The University of Chicago Memory Center strongly encourages autopsies, which are done at the Medical Center. Once the autopsy is completed after death, the patient’s family can be absolutely sure that prion disease was the actual diagnosis. Autopsy is the only method to confirm a diagnosis with 100% accuracy.

What are the symptoms of dementia?

Common indicators of dementia include: Changes in behavior and personality. Difficulty completing familiar tasks. Difficulty with planning, organizing or concentrating. Language problems, such as struggling to get words out or understand spoken words. Memory loss.

What is dementia caused by?

It refers to symptoms that affect memory, thinking and social abilities severely enough to interfere with daily functioning. Once thought to be a normal effect of aging, dementia is now known to be caused by brain cell damage. The University of Kansas Health System provides dementia ...

Is dementia a specific disease?

Dementia is not a specific disease. Instead, it refers to a combination of conditions that impair normal brain functions like memory and judgment. One of the most common forms of dementia is Alzheimer's disease, but there are many additional forms of dementia.

How to contact UChicago Medicine for memory loss?

If you or someone you know needs the services of UChicago Medicine's Memory Center, please contact 773-834-4340 (if 65 years or older) or 773-702-6222 (if under age 65).

What are the symptoms of dementia?

Loss of initiative. Memory loss that affects job or lifestyle. Problems with language, such as forgetting common words. Poor or decreased judgment. These symptoms may indicate a memory disorder or dementia such as Alzheimer's disease, the most common type of dementia.

What are the names of the three drugs that are used to make memories?

Aricept (donepezil) Razadyne (galantamine) Namenda (memantine) The first three drugs work by preventing a normal brain enzyme from breaking down a neurochemical used in making memories, called acetylcholine. Namenda works by protecting the brain from damaging effects of another neurochemical called glutamate.

Why is it so hard to identify someone with Alzheimer's?

Because the disease progresses at different rates in individuals, symptoms and behaviors vary. Understanding Memory Loss and Changes in Behavior. People with Alzheimer's disease share certain cognitive and behavioral characteristics. Memory Loss.

How accurate is the diagnosis of Alzheimer's?

However, new diagnostic tools and criteria make it possible for physicians to make a positive, clinical diagnosis of Alzheimer's disease with an accuracy of approximately 90 percent.

How to confirm Alzheimer's diagnosis?

It can also include several laboratory tests. The only way to confirm a diagnosis of Alzheimer's disease is through autopsy after death.

What is the memory center?

The University of Chicago Medicine Center for Comprehensive Care and Research on Memory Disorders , also known as the Memory Center, provides specialized, compassionate care for the most challenging memory problems.#N#Our highly trained team of neurologists, geriatricians, psychiatrists, neuropsychologists, social workers and nurses evaluates each patient to develop an accurate diagnosis and comprehensive treatment plan. We provide primary care services and second opinions for patients with memory problems.#N#Our dedicated team members work closely with families and referring physicians to help guide the patient’s treatment over the long term. We can also assess and manage behavioral and psychiatric problems that often accompany memory disorders.

How to manage dementia?

Dementia hugely affects everyday functioning both for sufferers and for their loved ones, and coping with dementia can require major lifestyle and environmental changes. A comprehensive management system includes therapy and counseling to manage possible stress, anxiety, and depression.

How to prevent dementia?

Quit smoking and minimize drug use. Eat a healthy diet. Research has found that a mediterranean diet high in fish, nuts, whole grains, and plant-based foods may be the most beneficial for dementia prevention.

What is the best medication for dementia?

There are several classes of medications proven to work at treating symptoms and reducing the effects of dementia, which include: Cholinesterase inhibitors: Aricept (donepezil), Razadyne (galantamine) and Exelon (rivastigmine).

Why are antidepressants used for dementia?

A high percentage of dementia sufferers are afflicted by depression, so antidepressants are used to increase wellbeing and quality of life.

What is the effect of cholinesterase inhibitors on Alzheimer's?

Cholinesterase inhibitors alleviate symptoms of Lewy-body dementia and Alzheimer's disease by slowing the breakdown of Acetylcholinesterase, which plays a role in learning, memory, and cognitive skills.

What are the side effects of dementia medication?

Side effects of medications used to alleviate dementia symptoms include nausea, dizziness, vomiting, slowed heart rate and diarrhea. A doctor or healthcare professional can prescribe the medication that best fits an individual's condition and situation.

How does behavioral therapy help dementia?

Behavioral therapy involves tackling the triggers or causes of unwanted behaviors like aggression or wandering in order to alleviate and provide outlets for these behaviors without medication. For example, a trained caregiver may find that feelings of restlessness or stress cause their patient to wander away from home, and can implement an exercise regimen to manage this restlessness.

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Alternative Medicine

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Most types of dementia cannot be cured. Treatments aim at reducing symptoms and progression of the condition.
Medication

Cholinesterase inhibitors: Helps to improve memory and cognitive functioning.

Donepezil . Galantamine


NMDA receptor antagonists: To improve learning and memory.

Memantine


Antipsychotics: To treat symptoms of anxiety, depression, and agitation.

Risperidone

Therapy

Occupational therapy:Occupational therapy to make the home environment safe and help you cope with your condition.

Self-care

Always talk to your provider before starting anything.

  • The environment by reducing noise and distraction to help dementia patients focus and work.
  • Modifying tasks by breaking them into simpler tasks to help patients retain focus.

Nutrition

Foods to eat:

  • Include fresh fruits, vegetables, and whole grains in your diet
  • Include Vitamin E supplements
  • Include fish in the diet to obtain adequate amounts of omega-3-fatty acids
  • Include low-fat or fat-free foods to manage high blood cholesterol
  • Use salt and sodium moderately

Foods to avoid:

  • Avoid carbohydrate-rich foods to manage diabetes

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Psychiatrist
Specializes in the branch of medicine concerned with the diagnosis and treatment of mental illness.

Coping and Support

  • Diagnosing dementia and its type can be challenging. To diagnose the cause of the dementia, the doctor must recognize the pattern of the loss of skills and function and determine what a person is still able to do. More recently, biomarkers have become available to make a more accurate diagnosis of Alzheimer's disease. Your doctor will review your medical history and symptoms an…
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

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