“A neurological condition in which the patient is unaware of their neurological deficit or psychiatric condition”.
As we and our loved ones age, every family will be confronting some form of dementia: memory loss, neuro-dysfunction and even Alzheimer’s, Lewy body or most common vascular dementias. It can be exhausting for all. You gradually watch your lives change. It is a humbling time, just as you are busy getting on with everything else in your life.
In my practice, it creeps like smoke under the door. Often discussions, even during the hectic time of cancer care, are derailed as mental decline takes center stage. UGH Doc. If you are facing this issue, there are basic recommendations. Check anatomy with MRI or CT scans of brain to rule out disease, hydrocephalus, stroke, atrophy from age or injury. Cognitive testing is critical. Medicare covers this for those over 65. “Chemo brain” should not be written off. Physical exam must include not just baseline blood, but vitamin levels, thyroid, calcium, magnesium,B12, D3, check for diabetes and rule out a metabolic issue.
With dementia in the news, it is a perfect time to discuss. I have two recommendations for you:
Even if you don’t watch cable news, record Sanjay Gupta’s upcoming 8 PM Sunday show on CNN : “The last patient with Alzheimer’s”. The research for this devastating disease will evolve for other causes of brain dysfunction.
Check out https://dailycaring.com, “6 ways to help someone who doesn’t know they’re ill”. Caring for someone with dementia really takes a toll, especially with aonosognosia (“to not know a disease”) The denial is frustrating. We cannot treat what we do not know, or acknowledge. It’s like treating cancer without a biopsy or scan. Have faith that your loved ones can get help, but it takes someone stepping up, discussing with family to gain support and continuing to have devotion for and protecting your loved one. Be patient. The good news is that we are learning more about this magnificent organ. Exercise, eat nutritiously, limit alcohol, learn daily, talk with family and friends, stay active, even a walk everyday, review meds with your physician, especially over the counter, that can effect memory and stay up to date on treatments and check ups. Modify environment to avoid falls and consider occupational therapy to improve strength and movement. You may be under duress, but trust that you are smart enough to manage .