Tuesday, September 1, 2009

Senile Dementia Treatment

Here is a great dementia resource for caregivers and healthcare professinals,

Here is information on being the best caregiver you can be

Here are more interesting dementia articles and activities,

eHow

Dementia is a condition with many symptoms having to do with memory, thinking, learning, and perceiving. Many things cause dementia. Some conditions are reversible and are alleviated by treating the underlying cause. Some types of dementia are irreversible. The most common type of this dementia is Alzheimer's disease. The second most common type is vascular or multi-infarct dementia. Lewy body dementia and frontotemporal lobe dementia are also fairly common irreversible dementias. At the present time, treating the symptoms is the only option. Often, people with dementia exhibit problem behavior. Managing this is necessary because these people can be a danger to themselves or others. Without treating these symptoms, geriatric psychiatric facilities would be overloaded.
Many scientists, from all over the world, research new treatments for dementia. Treating dementia has come a long way, but there is still a long way to go before finding a cure.

Underlying Conditions
There are some conditions causing dementia that are treatable. These ailments include head injuries, chronic drug abuse, removable tumors, normal-pressure hydrocephalus, vitamin B12 and other vitamin deficiencies, malnutrition, hypothyroidism, and hypoglycemia. Treating these conditions will totally or at least partially cure the underlying dementia. The treatments vary depending on the root cause. Some treatments are as simple as eating a healthy diet. Having a complete physical exam by a knowledgeable doctor is the first step in treating senile dementia.
Some persons with dementia will never be the same because the dementia affecting them causes permanent changes in their brain.

Standard Treatment
Managing the symptoms of irreversible dementia is the standard treatment because there is no way of curing these dementias.
At this time, only three drugs are approved for treating the symptoms. They are donepezil (Aricept®), galantamine (Reminyl®), and rivastigmine (Exelon®). Recently there has been some success with patients using the Exelon patch.
Abnormal proteins and stiff arteries in the brain of those with dementia cause cell death. These drugs work in a similar fashion. They all prevent an enzyme known as acetylcholinesterase from breaking down acetylcholine in the brain. Increased levels of acetylcholine allow for more communication between the remaining nerve cells. Acetylcholine is a chemical messenger. The use of these drugs may temporarily improve or stabilize the symptoms of Alzheimer's disease and other dementias.
Some sufferers cannot tolerate the side effects of these drugs.

Sleep Changes
Those with dementia sleep differently. As we age, changes in sleep patterns occur. These, coupled with a decrease in the circadian cycle length and lack of awareness of the appropriate time to sleep, in those with dementia can affect nighttime sleep.
Managing the behavior of persons with dementia may help. Here are things that may work: restrict caffeine, stimulant medications, and daytime naps; exercise early in the day; keep their room cool and quiet during the night; and limit evening fluid intake.
If none of these suggestions work, certain sleep medications such as chloral hydrate, trazodone, or thioridazine may help.

Behavioral Symptoms
People with dementia may exhibit problem behavior for a number of reasons. Often these behaviors have psychotic features, including hallucinations and delusions. Treat these symptoms with behavior management, if possible.
Try to identify the trigger to the problem behavior. Sensing the start of a problem behavior is key because you are much more likely to stop it in the early phases. Avoid arguing, as the person with dementia will not likely believe what you are saying. Instead, refocus and redirect their attention.
If this does not work, then medication is the next option. Using drugs for convulsions, depression, and mood stabilization may be a good option.

Cognitive Retraining
A relatively new treatment for dementia is......read all of Senile Dementia Treatment

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