Free
Alzheimer's Assessment |
Alzheimer’s
Assessment Review
(Behavioral assessments with reviews by the Medical Director, Clinical Nurse,
Clinical Psychologist, and RDA are performed, then the clinical observations
are forward to the patient’s attending medical professional.) Not
to mention the patient will also have a private room during the four day
stay.
ALZHEIMER'S ASSESSMENT REVIEW
Anywhere from 50 to 60 percent of memory loss cases can be due to specific, reversible
causes. Therefore, if you have a patient suffering from memory loss, it is essential
that you review the potential reversible causes. There is a distinct possibility
that identifying
and treating one or more of these factors will completely reverse memory deficits.
This review takes considerable
time from a practitioner’s daily schedule and is not cost effective. If
the Health Care Professional is not current1y seeing memory loss in his/her practice,
you should be aware of the negative impact of factors like stress, alcohol abuse,
drugs, depression, social isolation, insomnia, medication toxicity, environmental
chemicals, infections, head trauma, diabetes, thyroid deficiency, TIAs, aneurysm,
embolism, nutritional deficiencies, and hormonal changes and their affect on
memory loss, so that you can rule out or eliminate these possible causes of memory
loss and the diagnosis of Alzheimer’s.
The Clinical Assessment Is More Important Than The Lab Tests.
Once the initial hype settles down, the same issues tend to limit clinical applicability
for lab tests and radiological procedures: lack of specificity for Alzheimer's
disease (which means that the same symptoms, abnorma1ities are also seen in other
diseases), uncertainty about whether they can be used at the stage of mild cognitive
impairment to predict future Alzheimer's disease, and absence of replication
in large scale studies. If the attending health professional requests one of
the many tests, keep in mind that an abnormality on one of these tests does not
necessarily mean that one has Alzheimer's; the whole clinical picture needs to
be taken into account before any diagnosis can be made. It is often difficult
to determine the exact cause of memory loss, but persistence sometimes pays off.
A few guide1ines can help pigeonhole the symptom of mild memory loss into one
of the following broad categories:
1. Memory loss due to the aging process itself.
2. Potentially reversible memory loss caused by 15 to 18 negative factors heretofore
mentioned.
3. Dementia, where Alzheimer's disease is the most common type.
IF: You've Developed Mild Memory Loss.
1. If you are in your forties thru sixties, you are likely to have identifiable,
reversible causes of memory loss.
2. If you are in your sixties to eighties; memory loss due to either the aging
process or dementia is much
more common. If there is a relatively rapid onset (weeks to a month) of symptoms,
a potentially
reversible cause of memory loss is more likely. A fluctuating course of symptoms,
with periods of clear
memory and cognition intervening between episodes of confusion or memory loss,
is more likely to be due
to an identifiable, reversible cause. .
3. A gradual dwindling in memory over many years, even decades, is characteristic
of memory loss due to
the aging process. A steady decline with mild symptoms progressing to severe
symptoms of memory loss
within a few years suggests Alzheimer's disease.
Identifying Reversible Causes of Memory Loss Is Critical
The importance of making sure that there is no potentially reversible cause of
memory loss cannot be overemphasized. Just imagine taking a memory enhancer like
Aricept or Namenda when the root cause is medication toxicity, alcohol abuse,
depression or hormonal abnormalities. Not only will the memory-enhancing medication
have no positive effect, but the fact that things do not improve will also mislead
you into thinking that the memory loss must be the first sign of Alzheimer's
disease. This can be disastrous, both emotionally and practically.
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