An Alzheimer’s Diagnosis

According to the Alzheimer’s Association, nearly 6 million people are living in the US with Alzheimer’s disease. 1 in 3 seniors will die with the disease. These are scary facts, but not everything that looks like Alzheimer’s is actually Alzheimer’s. This is why it is important to talk to your doctor if you are showing signs of memory loss or cognitive impairment.

Minor changes in memory are a normal part of aging. We may forget some things but are usually able to recall them later. Normal aging involves adapting to changes in our memory and recall by using lists or notes as gentle reminders. Most of us will retain the ability to care for ourselves and maintain our household with minor help as we age. This is not the case with Alzheimer’s disease.

Sometimes people confuse the symptoms of dementia with Alzheimer’s disease. The term dementia is not well understood. Dementia refers to progress decline in cognition and executive functioning. Dementia is not a diagnosis but a symptom, like a fever can indicate a cold or a virus. There are many health-related problems that can cause memory loss and changes in intellectual abilities including stroke, vitamin deficiencies, depression, thyroid problems, drug interactions and depression, as well as illnesses such as Huntington’s and Parkinson’s disease. Sometimes these health issues are treatable and reversible with a physician’s care. Become familiar with the signs of Alzheimer’s and dementia. If you are concerned that a family member, or perhaps even yourself, is experiencing significant changes in memory, it is time to visit the doctor as soon as possible to undergo diagnostic testing. If the diagnosis is Alzheimer’s, you can involve your loved one in decision-making and long-range planning while he or she is in the early stages of the disease.

An Alzheimer’s Diagnosis

An Alzheimer’s diagnosis will have a profound impact on the individual and on the family system as a whole. The earlier the diagnosis, the earlier that treatment and planning options can begin to manage the symptoms of the disease. Lifestyle changes, diet and medications can slow the progression of Alzheimer’s and its impact on both the mind and body.

Currently there is no cure for Alzheimer’s, but drug and non-drug treatments may help with both cognitive and behavioral symptoms.

Promising New Drugs: Researchers, including our affiliate – the Boston University School of Medicine Alzheimer’s Disease Center (BUADC) – are looking for new treatments to alter the course of the disease and improve the quality of life for people with dementia. The BUADC has ongoing clinical trials of several promising new drugs and they are also testing new diagnostic tools. Learn more about their research studies and how you can get involved.

Current Drugs that Help with Memory Loss: The U.S. Food and Drug Administration (FDA) has approved two types of medications cholinesterase inhibitors (Aricept, Exelon, Razadyne, Cognex) and memantine (Namenda) — to treat the cognitive symptoms (memory loss, confusion, and problems with thinking and reasoning) of Alzheimer’s disease. The Alzheimer’s Association says that the FDA-approved drugs temporarily slow worsening of symptoms for about 6 to 12 months, on average, for about half of the individuals who take them.

Non-Drug Treatments that Help Manage Behavioral Symptoms: Researchers have overwhelming concluded that diet, exercise, cognitive stimulation and maintaining social relationships have beneficial effects on those who already have Alzheimer’s and have amazing brain protective properties that can actually prevent the onset of the disease for some people. The Alzheimer’s Association has an excellent overview of this topic. The Mayo Clinic also reports that new multi-component programs targeting high risk populations seem to be effective. These encourage physical activity, cognitive stimulation, social engagement and a brain healthy diet. They also teach memory compensation strategies that help optimize daily function even if brain changes progress.

Get Educated on Alzheimer’s and Dementia

Information leads to lessened anxieties, a better chance of benefiting from treatment modalities, and time to make important choices that will maximize your family member’s quality of life. It also helps to reduce the stigma that can sometimes surround an Alzheimer’s diagnosis. Predictable routines are the key to successfully managing the symptoms of Alzheimer’s and other dementias. A structured environment found in an adult day health programs or a memory care community offers seniors the support to retain abilities for as long as possible.

There are many resources available today to help your family navigate the difficult journey of memory loss. The Alzheimers Association offers a wealth of information as does Senior Living Residence’s Guide to Alzheimer’s Disease and Dementia. You should also look into your local resources. check in with your city or town’s council on aging or senior center, and be sure to seek out area Alzheimer’s support groups.

About the Author:

Mary Baum is an expert in Alzheimer’s care with 20 years experience in assisted living and long-term care settings in Massachusetts. She has a BA in Psychology from University of Massachusetts and is a Certified Dementia Practitioner. Mary was instrumental in the development of several innovative programs that Senior Living Residences, of MA, implemented in all of their Memory Support Neighborhoods. The Reconnections Program, a curriculum-based adult learning program is based on research that cognitive stimulation may slow the progression of Alzheimer’s and recognizing that individuals with memory loss still have the desire and ability to enjoy learning. The Lifetime Achievement Award, by conferring personal recognition and dignity to individuals with memory loss, offers an antidote to the isolation and anonymity they experience.

On a personal level, Mary came face to face with the disease she is expert in treating when her father was diagnosed with Alzheimer’s. She knows firsthand that professional knowledge does not make you immune to the emotional impact of that diagnosis, and her own personal experience has intensified her commitment to helping individuals and families cope with dementia.