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It is hosted by Matt Johnson, a senior care advocate and our CEO here at HealthBridge. 

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How to Pick 8 Types of Dementia Out of a Crowd

Posted by Matt Johnson on Tue, Mar 23, 2010 @ 10:39 AM
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Memory Care in DallasLast week I was in a North Dallas suburb, where I visited with a woman with dementia.

This is not unusual, as many of our clients have memory issues. Since we're heavily involved with Alzheimer's causes, we often work with Alzheimer's Disease sufferers.

But, this woman didn't have Alzheimer's Disease.

She had no trouble remembering names or dates. She knew who the president was and had quite an opinion about his health care reform agenda.

But, she definitely had dementia.

Her personality had changed, according to her kids. And although she had complete thoughts, she had an awfully hard time expressing them.

Creating a care plan specific for her type of dementia - Frontotemporal Dementia - made all the difference in her happiness.

To provide the best care for your loved one, you need to understand which type of dementia is affecting her.

The 8 Most Common Types of Dementia and Their Characteristics

The Alzheimer's Association has an brief, easy to understand explanation of the eight most common types of dementia within their report 2010 Alzheimer's Disease Facts and Figures.  Below is their summary:

Alzheimer's Disease

  • Most common type of dementia; accounts for an estimated 60 - 80 percent of cases.
  • Difficulty remembering names and recent events is often an early clinical symptom; apathy and depression are also often early symptoms. Later symptoms include impaired judgment, disorientation, confusion, behavior changes and difficulty speaking, swallowing and walking.
  • Hallmark abnormalities are deposits of the protein fragment beta-amyloid (plaques) and twisted strands of the protein tau (tangles).

Vascular Dementia (also know as multi-infarct or post-stroke dementia or vascular cognitive impairment)

  • Considered the second most common type of dementia.
  • Impairment is caused by decreased blood flow to parts of the brain, often due to a series of small strokes that block arteries.
  • Symptoms often overlap with those of Alzheimer's, although memory may not be as seriously affected.

Mixed Dementia

  • Characterized by the hallmark abnormalities of Alzheimer's and another type of dementia - most commonly vascular dementia, but also other types, such as dementia with Lewy bodies.
  • Recent studies suggest that mixed dementia is more common than previously thought.

Dementia with Lewy Bodies

  • Pattern of decline may be similar to Alzheimer's, including problems with memory and judgment as well as behavior changes.
  • Alertness and severity of cognitive symptoms may fluctuate daily.
  • Visual hallucinations, muscle rigidity and tremors are common.
  • Hallmarks include Lewy bodies (abnormal deposits of the protein alpha-synuclein) that form inside nerve cells in the brain.

Parkinson's Disease

  • Many people who have Parkinson's disease (a disorder that usually involves movement problems) also develop dementia in the later stages of the disease.
  • The hallmark abnormality is Lewy bodies (abnormal deposits of the protein alphasynuclein) that form inside nerve cells in the brain.

Frontotemporal Dementia

  • Involves damage to brain cells, especially in the front and side regions of the brain.
  • Typical symptoms include changes in personality and behavior and difficulty with language.
  • No distinguishing microscopic abnormality is linked to all cases.
  • Pick's disease, characterized by Pick's bodies, is one type of frontotemporal dementia.

Creutzfeldt-Jakob Disease

  • Rapidly fatal disorder that impairs memory and coordination and causes behavior changes.
  • Variant Creutzfeldt-Jakob disease is believed to be caused by consumption of products from cattle affected by mad cow disease.
  • Caused by the misfolding of prion protein throughout the brain.

Normal Pressure Hydrocephalus

  • Caused by the buildup of fluid in the brain.
  • Symptoms include difficulty walking, memory loss and inability to control urination.
  • Can sometimes be corrected with surgical installation of a shunt in the brain to drain excess fluid.

Understanding the unique type of dementia your loved one has will help you put together a thoughtfully tailored care plan.  If you'd like guidance putting that plan together, we'd love to help.  We are experts at Alzheimer's Disease care in Dallas.  

To download the entire 2010 Alzheimer's Disease Facts and Figures report, click here.

If you want our best advice about how to provide the outstanding care for your loved ones, subscribe to Tips for Senior Care Heros, the HeathBridge email newsletter. It's some of our best stuff, no junk, no fluff. You'll even get a free eBook.  And of course we will never, ever spam you or share your information with anyone.

 

 


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COMMENTS

My mother has dementia with lewy bodies, but for years we thought it was ALZ. Learned about a year ago it was lewy bodies.

posted @ Tuesday, March 23, 2010 11:12 AM by Jane


Jane, that's really interesting. How did you find out? How has your care of your mother changed?  
 
Thanks for reading and commenting...Matt

posted @ Tuesday, March 23, 2010 11:17 AM by Matt Johnson


Matt, very good article. However, when I clicked on the link to get the ALZ facts and figures, I wasn't taken to that report. Could just be me, but check it out. Jack

posted @ Tuesday, March 23, 2010 6:03 PM by Jack Case


Jack, Great catch. It should be fixed now. Thanks for the comment and thanks for reading!

posted @ Tuesday, March 23, 2010 6:15 PM by Matt Johnson


Can an average doc diagnose the right type of dementia? Do you have to see a specialist to know which it is?

posted @ Wednesday, March 24, 2010 9:32 PM by Frank


Frank, That's a great question. The answer is maybe. Many internal medicine physicians see a large number of older adults. You'll need to find a doctor with experience diagnosing dementia types. Here's a good article on the subject http://ow.ly/1qUGU 

posted @ Thursday, March 25, 2010 2:07 PM by Matt Johnson


I am commenting on the article in Ageless Design about the difference of dementia & alzheimers. I have always had the idea that you couldnt' tell whether a person had alzheimers until an autopsy was performed. Do they now know how to diagnose all the diffeerent types of dementia now?

posted @ Thursday, March 25, 2010 9:32 PM by Dean Parsons


Dean, that's a great question. An autopsy can confirm or disprove an Alzheimer's diagnosis. That said, physicians can make a confident diagnosis by ruling out other conditions. Here are two great resources on the topic:  
 
Mayo Clinic physician discusses diagnosing Alzheimer's  
 
 
 
The Alzheimer's Association's Steps to Diagnosis 
 
 
 

posted @ Thursday, March 25, 2010 10:11 PM by Matt Johnson


My husband has been diagnosed with posterior cortical atrophy or Benson's Syndrome. Do you have any information on this type of Alzheimers Disease?

posted @ Friday, March 26, 2010 8:05 AM by Mary Ann Haney


Mary Ann, I'm sorry to hear of your husband's diagnosis. The resource I keep bookmarked on PCA is by the Alzheimer's Society in the UK. Here is the link to it:  
 
Posterior Cortical Atrophy
 
Please let me know if you find that resource helpful. If you'd like to dig deeper, please let me know and we'll learn together.

posted @ Friday, March 26, 2010 9:01 AM by Matt Johnson


Different kinds of dementia may demand different attention. Understanding which kind of dementia your beloved elderly has may significantly make caring for your elderly parent easier for you and for them.

posted @ Tuesday, April 06, 2010 4:24 AM by ladolceliving


Thanks, ladolceliving! We totally agree. Thanks again for reading and commenting!

posted @ Tuesday, April 06, 2010 9:29 AM by Matt Johnson


Hi Matt, Yet another excellent resource for those of us in the Sandwich Generation dealing with the issues of caring for elderly parents including those with dementia symptoms. Thank you for sharing this info with us in the latest Boomers and Seniors: News You Can Use blog carnival at SandwichINK!

posted @ Tuesday, April 13, 2010 11:41 AM by Kaye Swain


Thanks, Kaye! We're glad to be a featured on your site. Thanks again for reading and commenting.

posted @ Tuesday, April 13, 2010 7:36 PM by Matt Johnson


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