What Causes Certain Types of Dementia


Diagnosis of dementia: what is dementia and what forms are there?

Dementia is a disease in which mental performance declines to such an extent that there are problems in everyday life. The most common form of dementia is Alzheimer's disease. Forgetfulness is in the foreground.

There are other forms - or actually with all other forms of dementia, forgetfulness is not so in the foreground. There is, for example, frontotemporal dementia, which focuses on behavioral disorders or changes in behavior. In other words, it is primarily a result of neglect. Patients no longer dress as accurately, no longer wash or wash as they used to, are no longer as tidy, become a little flippant, a little uninhibited. This means that the relatives first notice that the being is changing, not the memory.

There are also other forms of dementia: vascular dementia, where there are circulatory disorders or where dementia develops due to circulatory disorders in the brain. Most of the time, the focus is on slowing down. This means that the patients are significantly slower, the concentration is significantly worse, but the memory is not as bad as in Alzheimer's patients.

What signs can point to the onset of dementia?

Forgetting appointments would indicate if it happens more often or more frequently that forgetfulness increases, objects are misplaced and more often, even things that are important, not just out of dishonor, but when the main thing is that you no longer feel new patients usually say: 'I know everything about the past, but I cannot remember what was yesterday.'
The second symptom, where things are going steeply in the direction of dementia, is that orientation is getting worse. This means that the time orientation is getting worse, you can no longer remember the day or the year.

How do you differentiate between dementia and old age forgetfulness?

As you get older, you tend to slow down. Thinking becomes slower, comprehension becomes a little slower, working memory, that is, things that I can work on at the same time, becomes a little smaller, mental flexibility decreases somewhat.
In Alzheimer's dementia, it is primarily the memory that deteriorates. And whoever realizes that primarily the absorption of new information no longer works, that is, I know everything, I can discuss everything, I am just as intelligent and smart as before, only the next day I no longer know what I had the day before talked or discussed that would be a warning sign.

The transitions are fluid, so that if it starts very early, you cannot say for sure - through an interview, for example - that it is dementia and not normal old-age forgetfulness. And that's why you have to examine it.

A cooperation between the Center for Quality in Nursing and the Health Knowledge Foundation.