Periodically I will add posts here if the sources provide additioanl informaiton on how to think about and deal with Dementia/ Alzheimer's Disease.
SCROLL DOWN FOR TEXT and BIBLIOGRAPHY from DAI WEBINAR 2/22-23/2017. You can also find this information on my website: www.horvich.com
Even though this blog is now dormant (see info below) there are many useful, insightful posts. Scroll back from the end or forward from the beginning. My guess is that you could spend a lot of time here and maybe learn or experience a thing or two about living with and loving someone with Dementia/Alzheimer's or maybe come away with the feeling that "you are not alone" in YOUR work with the same!
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THIS WAS THE FINAL POST TO THIS SITE BEFORE IT WENT DORMANT.
Happy New Year 2016. With a new year comes new beginnings and sometimes endings. If I am personally progressing and if I am doing a good job in my grieving Gregory's death; if I have been able to learn my lessons in living and loving someone diagnosed with Dementia/ Alzheimer's; if I am to get on with my life ... I need to bring this Alzheimer's blog to an end since my writing has been dealing less with Dementia/ Alzheimer's and more with life after Dementia/ Alzheimer's.
Of course, I will always continue to work for and support fair treatment on behalf of people with Dementia/ Alzheimer's and may post here from time to time. Also, there are many wonderful posts here through which you may browse.
With this change, I will continue and reinvigorate my "michael a. horvich writes" blog which deals with grieving Gregory's death, life lessons, personal experiences, observations, memoirs, dreams, and humor in essay and poetry, as well as an attempt now and then at sharing a piece of fiction.
Please follow me there by clicking http://mhorvich.blogspot.com or click the link located on the right side of this page.
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Saturday, March 31, 2012
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Thursday, March 8, 2012
Taken from depression-guide.com this information about Frontal Lobe Dementia seems to describe what I have seen Gregory experiencing rather than the typical Alzheimer's symptoms. I have mentioned this previously but wanted to do so again.
Pick's Disease (Frontotemporal lobar degeneration)
A progressive dementia occurring in middle life characterised by slowly developing changes in character and social behaviour, or impairment of language, due to degeneration of the frontal and temporal lobes of the brain.
Some dementias, however, do not follow this pattern. Vascular dementias have recently been characterized by specific diagnostic criteria. They can be summarized by sudden onset of dementia and step-wise progression with focal neurological findings and positive brain imaging. Lewy body dementia is characterized by early appearance of symptoms in the course of dementia, accompanied by progression and hallucinations. Primary progressive aphasia includes early dissolution of speech in an otherwise cognitively intact individual. They can become globally aphasic in spite of being able to continue to run a household or even work. Eventually 20% per year progress to dementia, which appears similar in the advanced states to Alzheimer's disease.
Frontal lobe dementias are characterized by early psychiatric symptoms followed later by cognitive impairments. Frontal lobe syndrome is therefore the presenting symptomatology: apathy, poor social judgment, and bizarre behavior. Histologically, the frontal lobe dementias are proven to be characterized by Pick's cells (Pick's disease). At the present time, these diverse histological types are clinically indistinguishable.
Symptoms of Frontal Lobe (aka Frontotemporal) Dementia:
- Impairments in social skills
- inappropriate or bizarre social behavior (e.g., eating with one's fingers in public, doing sit-ups in a public restroom, being overly familiar with strangers)
- "loosening" of normal social restraints (e.g., using obscene language or making inappropriate sexual remarks)
- Change in activity level
- apathy, withdrawal, loss of interest, lack of motivation, and initiative which may appear to be depression but the patient does not experience sad feelings.
- in some instances there is an increase in purposeless activity (e.g., pacing, constant cleaning) or agitation.
- Decreased Judgment
- impairments in financial decision- making (e.g., impulsive spending)
- difficulty recognizing consequences of behavior
- lack of appreciation for threats to safety (e.g., inviting strangers into home)
- Changes in personal habits
- lack of concern over personal appearance
- compulsiveness (need to carry out repeated actions that are inappropriate or not relevant to the situation at hand.
- Alterations in personality and mood
- increased irritability, decreased ability to tolerate frustration
- Changes is one's customary emotional responsiveness
- a lack of sympathy or compassion in someone who was typically responsive to others' distress
- heightened emotionality in someone who was typically less emotionally responsive
What are the differences between Pick's disease and Alzheimer's disease?
The main difference between Pick's disease and Alzheimer's disease is that the damage occurs in different areas of the brain, at least in the early stages. In most cases of Pick's disease, the frontal and temporal lobes of the brain are the areas affected and with Alzheimer's disease, the temporal and parietal lobes are affected.
Who gets frontal lobe dementia?Frontal lobe dementia, including Pick's disease, can affect both men and women. Although it can affect people at any age, it usually begins between 40 to 65 years of age.
Duration and Treatment of Frontal Lobe Dementia - FLDThe length of FTD varies, with some patients declining rapidly over two to three years and others showing only minimal changes over a decade. Studies have shown persons with FTD to live with the disease an average of eight years, with a range from three years to 17 years.
No medications are known currently to treat or prevent FTD. Serotonin-boosting medications may alleviate some behaviors.
Facts and Tips about Frontal Lobe dementia
- Frontal lobe dementia is the form of dementia. It is degenerative disease which mainly affects frontal lobe of the brain.
- Change in personality, loss of language skills, ability to carry out difficult tasks are other features of frontal lobe dementia.
- Clinically, Pick disease may be identical or very similar to frontal lobe degeneration.
- Persons having age between 40 to 65 years are mostly affected by frontal lobe dementia.
- Frontal lobe dementia causes slow decline in behavior and judgment.
- Symptoms of frontal lobe dementia are very similar to vascular dementia and only brain image can make a distinction between them.