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There are numerous concerns
when it comes to the aging process. Two of the most common are
depression in the elderly and memory disorders including Alzheimer's.
Depression:
Depression in older adults can result from biological
and/or psychological changes, genetics, and environmental factors such as
medication side effects. Depression is a major risk factor for suicide in older
adults, who suicide rate is 5 1/2 times the national average. Depression can
also contribute to other illness such as type 2 diabetes, heart disease, and
osteoporosis.
Depression in older persons usually is manifested by
loss of pleasure, irritability, social withdrawal, hypochondriasis, insomnia,
loss of appetite, and lack of energy. It can often be difficult in diagnosing an
elderly patient with depression when other physical ailments exist, which are
being treated with a variety of medications.
In diagnosing depression in older persons, compiling
an accurate history is crucial. It is often necessary to obtain information from
family members and caregivers. Attention by family members and caregivers should
be made as to when symptoms began and how the aging person reacts to his usual
lifestyle.
The treatment of depression in older persons depend
on many factors. Psychotherapy is useful in patients with mild depression who
are not taking medications, and for those with severe depression taking
medication, psychotherapy can improve adherence and drop-out rates. Continual
support and contact with family members and caring caregivers is important in
the successful treatment of depression.
Alzheimer's disease:
Dementia is not an illness but a group of symptoms
that may accompany a variety of diseases or physical conditions. Over 50
diseases and conditions are thought to contribute to dementia. Some of the most
common are Alzheimer's disease, Parkinson's disease, strokes, Huntington's
disease, Creutzfeldt-Jakob disease, Picks disease, and
depression.
Alzheimer's disease produces more dementia than
any other disease throughout life. It is the most common of the dementing
diseases, affecting approximately 4 million people in the United States and
between 4% to 10% of the elderly population and the 19 million family members
who care for them. The diagnosis of Alzheimer's disease results from a variety
of symptoms, but only post-death examination of the brain can give a positive
diagnosis. It is a progressive disease, the course of which can range from 3 to
20 years.
Alzheimer's victims suffer from a gradual memory
loss, impaired judgment, changes in personality, loss of language and
communication skills, disorientation in time and place, cognitive impairment,
and difficulty performing routine tasks. Initial stages may be characterized by
depression and paranoia. Final stages may include weight loss, incontinence,
loss of communication skills, and difficulty swallowing.
An early diagnosis of dementia is important
because it may maximize the quality of life, resolve anxiety, give a greater
chance of benefiting from existing treatments, and give more time to plan for
the future.
Alzheimer's disease cause changes in a person's
cognitive and behavior abilities. There are several FDA-approved drugs as well
as alternative therapies that may help alleviate some of these changes. Vitamin
E supplements are frequently prescribed and have become a part of a standard
treatment regimen for most people with Alzheimer's. There are many Alternative
therapies that are offered for treatment of Alzheimer's. However, it is
recommended to counsel with a healthcare provider about the safety of
Alternative treatments.
10 Warning Signs of Alzheimer's
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Memory loss
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Difficulty performing familiar tasks
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Problems with language
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Disorientation to time and place
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Poor or decreased judgment
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Problems with abstract thinking
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Changes in mood or behavior
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Misplacing things
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Changes in personality
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Loss of initiative
It is common for most anyone to experience the above
symptoms from time to time, especially when under stress. However, someone with
Alzheimer's experiences these symptoms to an extreme, and they progressively get
worse. If you recognize these symptoms in yourself or a loved one, it is
recommended to consult with a
physician. |