Last time, the guest speaker was Denise Arnoldussen, geriatrician at ETZ Tilburg. The way in which the diagnosis of dementia can be made has been discussed.
In the case of cognitive complaints that affect daily actions and functioning, people come to the memory clinic in the hospital through a referral from their GP to the geriatrician. The diagnosis of dementia can be established through extensive testing, an interview and a physical examination. The four most common forms of dementia are:
– Alzheimer’s disease; start with memory problems, this form is most common. Then loss of other skills
– Vascular dementia; expresses itself in slowness in thinking, speaking and acting. Often due to strokes and tias
– Frontotemporal dementia; indicates change in behaviour, language or movement, later loss of memory.
– Lewy body dementia; manifests itself in concentration problems, including memory and movement problems. Often accompanied by hallucinations.
There is as yet no treatment to cure dementia. There are medications that may slow the progression. This can cause side effects and must be closely monitored.
A healthy lifestyle can certainly have a positive influence on the course of the disease. A lot of exercise, a healthy diet and mental activity can slow down the decline and ensure a better physical condition. It is difficult to determine whether someone has depression or dementia, because they show the same clinical picture. The medical specialist will determine what is wrong by means of an examination. Depression can be treated with medication after which memory often improves. There is no evidence that people who are depressed are more likely to develop dementia.
Questions about the future are diverse. It is mainly about what the future will look like. The course of the disease is very different in people with dementia, also in tempo. Important advice is to continue with the present life and be open to help that can be offered. The GP/practice nurse, the geriatrician and the dementia consultant/case manager play an important role in this regard. They can also provide support for carers. If you have questions about driving, a CBR test can be used to determine whether driving is still justified in the early stages of the disease. It is also important to record legal matters with the notary.
alzheimers cafe