DementiaThe best thing to do once identification is seen is to go to a specialist, but in general good nutrition and cerebral stimulation as far as learning new languages, continuing your education on different topics you have never studied. Also certain supplementation is taken to aid in blood flow to the brain. The role of chiropractic and physical therapy is to keep the mind body connection together and the person pain free and joints functioning to the best of their ability.
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Section 5. Delirium and Dementia
this section includes
Chapter 38. Mental Status Examination | Chapter 39. Delirium | Chapter 40. Dementia | Chapter 41. Behavior Disorders in Dementia
Chapter 40. Dementia
A deterioration of intellectual function and other cognitive skills, leading to a decline in the ability to perform activities of daily living.
Dementia is characterized by cognitive decline that occurs with a normal state of consciousness and in the absence of other acute or subacute disorders that may cause reversible cognitive decline (eg, delirium, depression). Dementia is one of the most serious disorders affecting the elderly. The prevalence of dementia increases rapidly with age; it doubles every 5 years after age 60. Dementia affects only 1% of those aged 60 to 64 but 30 to 50% of those > 85. In the USA, about 4 to 5 million persons are affected, and dementia is the leading cause of institutionalization among the elderly. The prevalence among elderly nursing home residents is estimated to be 60 to 80%.
The use of clinician must differentiate dementia from benign senescent forgetfulness (ie, age-related memory loss), which results from the slowing of neural processes with age. (see page 380 ) Persons with benign senescent forgetfulness learn new information and recall previously learned information more slowly. However, if they are given extra time and encouragement, their intellectual performance is essentially unchanged from their baseline. Daily functioning remains unaffected. Persons with this condition are often more concerned about it than are family members; reassurance and coping strategies are helpful.