Dementia especially Alzheimers disease is increasing in incidence among people age 65 and
older. It currently represents a major health problem for the United States because of its
impact on individuals, families, healthcare, and our society as a whole. Experts estimate that 4
million people currently suffer with the disease. In Columbia County over 1000 people have
In light of these facts if you or someone you love or provide medical care for has dementia;
the following information may be helpful.
It is a gradual loss of mental abilities. Dementia is marked by changes in memory,
personality, behavior, and thinking abilities. Dementia is not a disease itself but rather a
group of symptoms that are caused by other conditions or diseases.
Dementia develops when parts of the brain that are involved with learning, memory,
decision-making, and language are affected by infection or disease. The most common
cause of dementia is Alzheimers disease but there may be as many as 100 other potential
Dementia touches the lives of millions of Americans. People with dementia often struggle
just to get through each day. They may lose the ability to do simple things like dressing,
cooking or living independently. Family, friends, and caregivers often must provide
emotional and physical support. Learning and understanding what dementia is can help
you cope with a family member who has it or to help you provide the best possible
There are several causes behind the development of dementia. Some of them include:
Central Nervous System diseases such as Alzheimers and Parkinsons
Multi-infarct Dementia caused by multiple strokes in the brain
Nutritional conditions such as vitamin deficiencies
Infections in the central nervous system like AIDS
Accumulation of fluid in the brain from tumors or injuries
Alzheimers disease accounts for 50-70% of all dementias. In addition to this Lewy Body
disease and Picks disease are becoming much more common as causes of dementia.
Dementia is considered a disease of late life. This means dementia is less common in
young adults and middle-aged people. About 8% of all people over the age of 65 have
some type of dementia and that number doubles every five years above that age. It is
important to remember that dementia is not a normal sign of aging.
Fortunately, many conditions that cause dementia can be treated and reversed. Listed
below are some examples of conditions that cause dementias that can be treated:
Brain tumors either malignant or non-malignant
Metabolic disorders like vitamin B12 deficiency
Hypothyroidism or a non-functioning thyroid gland
Some non-curable conditions that cause dementia include:
What are the Signs & Symptoms of Dementia?
Most symptoms progress slowly over several years.Often symptoms go unnoticed by
family and friends especially in the early stages. Many people after the diagnosis has been
made look back and realize that symptoms were happening for years before the healthcare
It is important to visit a healthcare provider if you or someone you love has any of these
symptoms so you can be properly evaluated and treated. Many conditions that are not
dementia can cause similar problems.
It is important to get a complete evaluation by your healthcare provider. Certain tests and
procedures can be performed to help determine if you or a loved one has dementia. Even
though dementia is common it often goes unrecognized or misdiagnosed. Also healthcare
providers and caregivers can sometimes mistakenly view the early symptoms of dementia
An early and accurate diagnosis of dementia and its cause is very important for the
To identify treatable conditions and begin treatment right away
To identify Alzheimers at the earliest stage so the patient and family has time
to plan for future needs and start medication to slow progression
The following is usually included in an evaluation for dementia:
Information about what brought them in to be seen
Mini Mental Status Exam and other tests for memory and thinking skills
All of these tests and exams will help the healthcare provider determine what could be
causing the symptoms of dementia and if these symptoms come from treatable and
There are several different treatment options depending on the type and cause of the
dementia. Medications, surgery or even counseling may be needed to help deal with the
problem. Your healthcare provider will determine the best treatment for you or your loved
Your age, overall health, and medical condition
Your tolerance for medications and therapies
Common medications used to treat dementia:
This drug works by slowing down the loss of specific helpful chemicals in the brain. It
does not cure dementia but may help keep it from getting worse.
This is the most widely used medication for dementia. It acts the same as Tacrine but
This is a new generation of drugs that also help keep certain needed chemicals from
being lost in the brain. Again this is not a cure but a way to help slow down the
This is a new generation of drugs that also help keep certain needed chemicals from
being lost in the brain. Again this is not a cure but a way to help slow down the
Other medications are used to treat the symptoms of dementia such as depression and
These medications may be helpful in treating paranoia, agitation, and confusion. These
do have side effects and patients need to be monitored for any problems.
These medications may be helpful with resistive or combative behaviors.
Often depression accompanies dementia. These medications can improve mood and help
There is research being done on a few promising new drugs that may help reduce the
symptoms and slow progression of the dementia. You should talk with your healthcare
provider about what is new in treatment therapies.
IL GLAUCOMA I GLAUCOMI PRIMARI . 3 GLAUCOMA SECONDARIO AD ANGOLO APERTO . 3 GLAUCOMI SECONDARI DA CHIUSURA D'ANGOLO . 4 Anatomia e fisiologia della produzione e deflusso dell'umore acqueo . 6 Anatomia e vascolarizzazione della testa del nervo ottico. . 7 Teorie patogenetiche del danno glauacomatoso . 8 In generale . 9 -Tonometria . 9 Oftalmoscopia . 10 Esame dello strato delle fibre nervose
RIASSUNTO DELLE CARATTERISTICHE DEL PRODOTTO DENOMINAZIONE DEL MEDICINALE ENALAPRIL E IDROCLOROTIAZIDE ZENTIVA 20 mg + 12,5 mg compresse 2 COMPOSIZIONE QUALI-QUANTITATIVA Ogni compressa contiene: enalapril maleato mg 20 e idroclorotiazide mg 12,5. Per l’elenco completo degli eccipienti, vedere paragrafo 6.1. 3 FORMA FARMACEUTICA Compresse divisibili. 4 INFORMAZIONI