Dementia in the Elderly

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Zipper730

Chief Master Sergeant
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Nov 9, 2015
It's sad that so many elderly people have dementia: It's one thing to grow old gracefully, retaining a good memory, and the ability to walk around, and eventually either dying in your sleep, or in bed, shot by a jealous spouse. It took out 2 of my grandparents (Maternal Grandfather: Parkinsons, dementia appeared in the last few years; maternal grandmother: Suffered in the 2000's -- 2004-2005 -- and died in early June), my paternal grandfather died from causes unrelated to dementia (and possibly died before it ever surfaced, he was 80 years old), and my paternal grandmother has some signs of it (b. 1928).

Our memories make us who we are, and, as they say: If you break your arm, your still you; you break your brain: You're not you. Scary stuff.

About a year or two ago, I saw an elderly man with a hat that had U.S.A.A.F. written on it, exiting the pool. Almost immediately I said "you served prior to 1947...", he seemed surprised that I knew that, and I told him I was an aviation buff. Since he had a pin of sorts on his hat that had a marking that indicated he served in the 15th Air Force. It turned out he worked on B-24's and, at least some of his work involved ECM. Either way, he was pretty alert for an elderly individual, and said that after he served, he went to college on the G.I. bill, and stuff.

Being that I was heavily raised by my maternal grandparents, I've always had a good respect for the elderly (a lot of people my age don't, unfortunately), and everybody's life is a story unto itself (sometimes a whole bunch of them).

Well, a day or two ago (June 27?), I was at the pool and looking at the bulletin board. They have all sorts of stuff like when the pool hours change from 06:45 to 07:45 (already done), to when they shift back to 06:45 (in August), other stuff about when concerts are in town, an automotive display somewhere, and I was talking to a guy about some stuff, and somehow it segued into aviation, and he was surprised that I was knowledgeable about aviation history particularly WWII, and wanted to introduce me to his grandfather.

When he did, it was the same guy I met a year or two earlier. As I talked to him, he had some strange mannerisms, and a tendency to repeat himself. He seems to have dementia, which his son confirmed, and apparently has had it to some degree for several years (it just wasn't noteworthy when I met him): When I was talking to the son, I mentioned that my grandmother (the one that died earlier this month), when she first had dementia, it seemed as if she was just suffering some temporary loopiness, but when she started misplacing things (she put a burger in the pantry, and forgot that she placed it there; she would then wonder how the hell a burger ended up there).

He's the same age as Bill Runnels was (b. 1925), but is still alive.
 
Global Deterioration Scale (CGS) / Reisberg Scale
Diagnosis Stage Signs and Symptoms Expected Duration of Stage

No Dementia Stage 1:
No Cognitive Decline In this stage, the person functions normally, has no memory loss, and is mentally healthy. People with NO dementia would be considered to be in Stage 1.

No Dementia Stage 2:
Very Mild Cognitive Decline This stage is used to describe normal forgetfulness associated with aging. For example, forgetting names and where familiar objects were left. Symptoms of dementia are not evident to the individual's loved ones or their physician.

No Dementia Stage 3:
Mild Cognitive Decline This stage includes increased forgetfulness, slight difficulty concentrating, and decreased work performance. People may get lost more frequently or have difficulty finding the right words. At this stage, a person's loved ones will begin to notice a cognitive decline.
Average duration of this stage is between 2 years and 7 years.

Early-stage Stage 4:
Moderate Cognitive Decline This stage includes difficulty concentrating, decreased memory of recent events, and difficulties managing finances or traveling alone to new locations. People have trouble completing complex tasks efficiently or accurately and may be in denial about their symptoms. They may also start withdrawing from family or friends because socialization becomes difficult. At this stage, a physician can detect clear cognitive problems during a patient interview and exam.
Average duration of this stage is 2 years.

Mid-Stage Stage 5:
Moderately Severe Cognitive Decline People in this stage have major memory deficiencies and need some assistance to complete their daily living activities (dressing, bathing, preparing meals, etc.). Memory loss is more prominent and may include major relevant aspects of current lives. For example, people may not remember their address or phone number and may not know the time or day or where they are. Average duration of this stage is 1.5 years.

Mid-Stage Stage 6:
Severe Cognitive Decline (Middle Dementia) People in Stage 6 require extensive assistance to carry out their Activities of Daily Living (ADLs). They start to forget names of close family members and have little memory of recent events. Many people can remember only some details of earlier life. Individuals also have difficulty counting down from 10 and finishing tasks. Incontinence (loss of bladder or bowel control) is a problem in this stage. Ability to speak declines. Personality / emotional changes, such as delusions (believing something to be true that is not), compulsions (repeating a simple behavior, such as cleaning), or anxiety and agitation may occur.
Average duration of this stage is 2.5 years

Late-Stage Stage 7:
Very Severe Cognitive Decline (Late Dementia) People in this stage have essentially no ability to speak or communicate. They require assistance with most activities (e.g., using the toilet, eating). They often lose psychomotor skills. For example, the ability to walk.
Average duration of this stage is 1.5 to 2.5 years.
 
I'd say he'd be at Early Stage 5-6. I wrote stage 4 early, but I remembered that they asked if I could take care of him. I'm not really qualified for that sort of stuff, but I said that I could put the son into contact with my mother (she was handling the nurses aid's who were taking care of my grandfather, then grandmother).

Somehow I forgot to get around to that, to be honest, I kind of feel like a bit of an idiot.
 
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I agree. It's scary stuff. My mother recently came down with Parkinson's and since I have one other relative that had it, depending on which source your reading my chances of getting it are somewhere between 1 in 7 and 50/50.
I've done quite a bit of study on it and though there not sure it seems that excess nitric oxide in the brain which can be caused by such things as repeated blows to the head( which explains why boxers are at such a greater risk), toxins( especially some insecticides), and foods high in nitrites( processed meats, pomagranite, spinach and many others).
All the things that reduce risk statisticaly not coincidentally reduce excessive nitric oxide most notably nicotine. Smokers actually have a markedly lower incidence of Parkinson's than non smokers but the other health risks so far out wiegh the benefit of course it's not worth it. However, one need not use tobacco to get nicotine, tomatoes and potatoes have a fair amount and don't carry any of the health risks of tobacco use.
Nicotine itself is pretty harmless, a mild stimulant with a molecular structure almost identical to caffine. It's a whole host of other chemicals in the tobacco that cause the adverse health affects.
I don't know if the same apparent dynamic with the nitric oxide exists with other forms of dementia but with Parkinson's from what I've been able to gather the relationship i
seems pretty strong.
Nitric oxide I should mention is a two edged sword. It's not that it's bad, it's that to much is bad. If you're circulatory system creates to little( which is caused by a diet high in refined carbs and animal fats consumed at the same time and salt largely) then you have high blood pressure and ultimately heat disease.
Like so many things in the body it's a matter of balance.
Ultimately it's probably a good idea to limit the processed meats, salt, and carbs( especially refined carbs)( and especially dont consume large amounts of carbs and animal fats in the same meal, that's the real death sentence) and add some tomatoes and potatoes. Statistically these things make a huge difference in the likelihood of getting dementia of anykind.
At least that's what all the studies ive read say, and believe me, with the heightened statistical risk I have, ive read a bunch.
 
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I should have included eggplant and cocoa have a pretty fair amount on nicotine and caffine consumption also reduces the risk of Parkinson's and dementia in general.
 
my 95 year old father is getting there, he tells me he knows what he wants to say but just can't seem to get it out. STill fully functional,mows the lawn,drives a short distance to Walmart and Home Depot. He gets extremely frustrated with himself. Confuses French with Polish,German and English sometimes and just the other day called me by a friend of the family first name instead of mine...Sad
 
Saddens me to read your father is having such troubles. Seems so unjust, people work hard all there lives and try to do the right thing( at least most of us) and then they are all to often beset by such difficulties. I wish things were different. I'm sure we all do.
Hope things go well for your father.
 
Well beyond "extremely so"! Mom didn't have dementia but several mild strokes had taken their toll on her mental facilities. After about her third or fourth I went to the hospital to visit her. Walking into her room I said, "Hi Mon how are you feeling today?" She looked quizzically at me and said, "Who are you?" Totally taken aback I stammered, "Mom it's me, Mike, I'm your son." She looked down and said, (and the words are forever etched in my brain) "I'm sorry but I don't know who you are, but then, I don't know who I am either"
 
Dementia doesn't run in our familiy but my Aunt (Mom's older sister) has it. It appears that a poor diet and a series of mini-strokes (which resulted in falls) took their toll and started her decline.

She still has a few moments when she has recall and recognition, but those moments are coming fewer these days.

She was also the family's historian, keeping track of who was who, who did what and even though she was urged to put a great many of the family's history to paper, she never did. So all we have is what my Great Grandmother and others had written down and so it seems we have a considerable gap in the 20th century portion of our family's history
 
According to a news item on Aus TV about a week ago there is some evidence that Parkinsons starts in the stomach. I did not pay attention because our family is fortunately free of that problem.
A close friend has Parkinsons and has greatly improved his mobility and greatly reduced his shaking over the last 12 months since he took up Tai Chi. He is now doing lots of woodwork in his workshop and winning awards for his intarsia and lathe work.
Coincidence? He does not think so. It would be interesting to know of any other Parkinsons sufferers who do Tai Chi and what their results were. One of the big problems with medicine is one size does NOT fit all so his results may not be found in others.
 
Today I had to babysit my mother's husband. Calling him my stepfather just seems weird because they married long after us kids were grown. Mid eighties and doesn't recognize anyone any more. Can still tell stories of his childhood, but after that its a blank. This guy is a Korean War vet and worked for years as an engineer. Built RC aircraft and boats as a hobby. Doesn't recognize any of it any more. Sad.
 
I work in mental heath and unfortunately see alot of this. Remember one that came in could not speak, didn't know enough to use bathroom, or eat. His son showed me pictures of when he was a pilot flying CF 86's he was with the first ones ferried over to Europe.
 
While I didn't post on this for awhile: The most likely culprit was a head-injury. I asked at some point, because it didn't really fit any dementia profile I know of, and one of my relatives (great uncle) suffered various personality changes following collapsing and banging his head on the ground (we're not sure why he fell -- it's possible that it could have been some blood pressure issue).
 
So I struggle with recalling names of actors, but remember the movies they have been in when I see them.
Wife says "you forget a loy of stuff"
No, I never tried to remember their names, I have too many other things I Choose to remember in their place.
I forget to turn off the fan, lock the doors, take the garbage out........... am I pre-dimentia?
Hell no, fu** the fan, the lights, well the doors yes, the garbage Pfffft.
I can still do calligraphy, design shit, sign paint and cook a great omelette and Build models!!!!!!!!!!
I'm in a new country, everyone's name is Mate, how lucky am I.........?
and I'm going to be 76 in June. And my last car is a biggass 6.2L V8!
 
I realize as I get older I'm not going to be in the shape I used to be and I'm ok with that.
Just hope I can avoid the three Ds; diapers damentia, and dentures.
 

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