OLDER ADULTS Flashcards
dementia symptoms
- impaired understanding/judegment
- memory loss
- personality changes
- delusions
- elation/euphoria
- depression/anxiety
- hallucinations
- problems with thinking speed
diagnosing dementia
- GP: discuss symptoms/blood tests/mental agility test
- brain scans: rule out other causes (CT/MMRI/PET/EEG)
experimental diagnoses for dementia
wang et al. (2016)
amyloid imaging detects key feature of alzheimers
risk factors for dementia
- prior mental health (stewart, 2019)
- anxiety (acosta, 2018)
rarer causes of dementia
- HIV
- Huntington’s
- MS
- Parkinson’s
prevention of dementia
- reduce risk by having healthy diet, exercise, not drinking much alchohol, not smoking, healthy weight
- vitamin/thyroid hormone deficiencies (treated with supplements)
Livingston et al. (2017) - prevention
- individualise care (medical/social/supportive)
- be ambitious about prevention/intervention (e.g. maintain social engagement, obesity, depression and diabetes)
dementia cures
gene therapy
dementia vaccine
stem cells
gene therapy
introduce new gene that infects host cell and removes faulty gene
dementia vaccine
vaccination of antigen to remove excess plaques which contribute to dementia
treatment - surgery
dementia caused by brain tumours/excess fluid on brain/head injuries
treatment - medication
- antidepressants
- drugs to block chemicals in brain
- antipsychotics
symptomatic relief (Sadaghiani, 2014) benefits often modest
treatment - cognitive stimulation therapy (CST)
- mild/moderate dementia
- weekly one hour sessions that stimulate cognition
- group
- cognitive stimulation based on psychological factors that can be manipulated (yates et al., 2015)
- individual CST being run to determine effectiveness
treatment - validation therapy
- emotional impact of memory loss
- validating person’s experience as real
- results about effectiveness are inconclusive (Neal + Barton-Wright, 2003)
treatment - behavioural therapy
- alleviate symptoms (e.g. depression)
- effective in long-term (Livingston et al., 2005)
- debate about whether people with dementia can change their behaviour)