Care measures for dementia in the elderly

Written by Zhang Hui
Neurology
Updated on November 15, 2024
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Dementia in the elderly is the most common neurodegenerative disease in neurology, mainly referring to the irreversible death of neuronal cells caused by various reasons, which poses a significant clinical hazard and lacks effective treatment methods. Therefore, nursing measures become very important. The main nursing measures include,

First, ensuring the patient's nutrition. In the later stages, elderly patients may have no regular diet and cannot take care of themselves. Therefore, ensuring sufficient energy intake and enough protein intake is very important. Malnutrition can easily lead to various complications, leading to the patient's death.

Second, it's important to equip elderly people with commonly used contact numbers and addresses in their pockets to prevent them from getting lost and creating dangerous situations.

Third, when elderly people are at home, it is crucial to keep the kitchen door closed to prevent them from turning on the gas and forgetting to turn it off.

Fourth, patients with dementia are prone to lung infections after becoming bedridden. If bedridden, it is important to frequently turn them over and pat their back to prevent the onset of lung infections.

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Written by Zhang Hui
Neurology
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Determination of Senile Dementia

The assessment of dementia primarily encompasses three aspects: The first aspect mainly involves relevant neurological scales, which can scientifically and effectively measure the cognitive functions of elderly patients. These scales include the MSE (Mini-Mental State Examination) and the MoCA (Montreal Cognitive Assessment). The second aspect of the assessment involves some imaging tests, mainly cranial MRI scans. Cranial MRI can determine if there is brain atrophy in the elderly and examine for any related lesions in the temporal lobes and hippocampi. The third major aspect involves the analysis of cerebrospinal fluid, assessing the levels of amyloid proteins, which also play an important role in the assessment of dementia. In summary, the assessment of dementia primarily involves evaluations using neurological scales, cranial MRI, and cerebrospinal fluid analysis.

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Written by Zhang Hui
Neurology
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symptoms of dementia in the elderly

The symptoms of dementia mainly include: First, impaired memory function, where the patient’s memory loss is very noticeable. Initially, they may not remember recent events, and as the disease progresses, they may not remember past events, such as forgetting how many children they have or their children’s names. Second, it mainly involves symptoms of impairment in other cognitive areas, such as visual spatial dysfunction, manifesting as not being able to find the bathroom at home, getting lost after going out, and not being able to find the way back home. Additionally, the patient's ability to understand, calculate, and judge will also be significantly impaired, and they cannot master previously learned knowledge and skills. Third, in the late stages, some psychiatric symptoms appear, including visual and auditory hallucinations, and agitated behaviors such as hitting and cursing. Additionally, the patient may also experience some physical weakness, muscle atrophy, and incontinence.

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Written by Zhang Hui
Neurology
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Is senile dementia hereditary?

Dementia primarily refers to Alzheimer's disease, which mainly has two types: The first type is sporadic Alzheimer's disease, which does not have a clear familial history. It is caused by the degeneration and death of neurons due to various reasons, leading to certain clinical symptoms. This type of sporadic dementia does not have a genetic predisposition. The other type of dementia has a clear family history, where patients typically exhibit mutations in the APP gene, leading to increased secretion, which in turn causes the death of neurons and results in the symptoms of dementia. This familial type of dementia has a genetic predisposition. Dementia is a common condition in neurology and is the most common neurodegenerative disease. Currently, there are no effective treatments available. Family members must pay attention to caregiving, and patients can take cholinesterase inhibitors, which can improve symptoms to a certain extent.

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Written by Zhang Hui
Neurology
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Symptoms of dementia in the elderly

Dementia in the elderly is medically known as Alzheimer's disease, which is categorized into mild, moderate, and severe stages. The clinical manifestations vary with the severity of the disease. Mild dementia primarily presents as memory impairment, starting with a decline in short-term memory, where patients often forget daily activities. For instance, they might forget the way home when they go out, forget to add salt when cooking, or forget to turn off the stove. Patients may also exhibit personality disorders, such as neglecting personal hygiene or not wanting to bathe. As the disease progresses to moderate dementia, besides worsening memory impairment, the patient's ability to work, learn new knowledge, and communicate with others significantly diminishes. There is a notable decline in previously acquired knowledge and skills, such as judgment and calculation abilities. They may also experience aphasia, apraxia, agnosia, and some patients may exhibit significant behavioral and psychological abnormalities. With further progression to severe dementia, patients may become emotionally detached, exhibit unpredictable crying or laughing, fail to recognize family members, lose verbal abilities, and even become unable to perform simple tasks such as dressing or eating. They may spend their days in bed, not speaking, and gradually lose contact with the outside world, ultimately leading to death.

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Written by Zhang Hui
Neurology
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Late-stage symptoms of senile dementia

Elderly dementia generally refers to Alzheimer's disease. This disease begins slowly and progressively worsens, with symptoms becoming increasingly severe. In the later stages of dementia, symptoms are numerous, mainly reflected in the following aspects: First, patients may exhibit significant personality changes. For example, a person who was originally gentle may become irritable and prone to aggressive behaviors such as hitting or yelling at others, and may even experience incontinence. Second, a patient's overall cognitive functions completely collapse, with a comprehensive decline in memory, as well as significant impairments in computational abilities, judgment, and comprehension. There are also problems with time orientation, with patients unable to distinguish between day and night. Additionally, patients may experience severe malnutrition, develop bedsores, and suffer from serious complications such as pulmonary infections and urinary tract infections.