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Elder CareTips:
Mastering The Eldercare Maze

March 15, 2006

 

What's The Difference Between
Alzheimer's and Dementia?

"What's the difference between dementia and Alzheimer's?" It's a common question, and doctors are some of the best at confusing us. Physicians seem to prefer the word "dementia" - maybe because Alzheimer's has become such a loaded word. "Dementia" somehow sounds less frightening to many people, and now even the experts have started using the words interchangeably.

They aren't interchangeable. Alzheimer's and dementia are two very different things.

Dementia is a symptom. Pain is a symptom, and many different injuries and illnesses can cause pain. When you go to the doctor because you hurt, you won't be satisfied if the doctor diagnoses "pain" and sends you home. You want to know what is causing the pain, and how to treat it.

"Dementia" simply means the symptom of a deterioration of intellectual abilities resulting from an unspecified disease or disorder of the brain.

Alzheimer's Disease is one disease/disorder that causes dementia. Many other illnesses or "syndromes" can also cause dementia. Parkinson's Disease can cause dementia. A stroke can cause dementia. Even dehydration can cause dementia.

Many of the things that can cause dementia are treatable, even potentially curable.

If you have taken your elder to the doctor and received a diagnosis of "dementia" you haven't received a diagnosis at all. Unless you know what is causing the dementia you can't begin to treat it's root cause.

If your physician has diagnosed "dementia" it's time for a second opinion. You are probably dealing with a physician who is either not comfortable with the truth, or who doesn't know how (or doesn't want to bother) to differentiate between all the possible causes of dementia. Either way, a skilled geriatrician or a neurologist who is comfortable with seniors would be a good bet.
 

 One has a greater sense of intellectual degradation after an interview
with a doctor than from any human experience.

~ Alice James
 


Elder CareTip:
A Watched Pot Never Boils...Dry

It's so easy to do, and it can have such devastating consequences...leaving a pan of water on the stove to boil dry. If your elder is in the habit of boiling water in a pan for instant coffee, tea, or soup, your next gift for the house should be a safer tea pot.

The best pots have sensors that turn the unit off if it goes dry...they are so much safer than a pot on the stove. Best of all are the electric ones that can be immersed in water. The pot on the right is an example of one that isn't too "cute" for a man to be comfortable using.

Then, of course, your next job will be to convince your elder to use it. I'm still working on that one.

 


Elder CareGiver Tip:

On the whole, caregivers spend far too much time on the phone. When our time is precious and our patience is worn thin, there's nothing more frustrating than that endless loop of "push one," "push two." Someone sent me this link to Get Human. Use their directions to bypass that endless loop and get right to a human being at over 400 U.S. companies. Try it - you'll like it!

 

Really Interesting Stuff Department

(Source: Philadelphia Daily News) Most everyone who cares for a person with dementia would like to be able to peer into the brain of their person - to get a glimpse of what's happening in there. Maybe if we could better understand we could better help, better empathize, better care.

We can't actually get in there yet, but maybe we can "see" through the eyes of someone with Alzheimer's disease in another way. In a series of six powerful self-portraits artist William Utermohlen documented the progressive ravaging of his brain by Alzheimer's disease.

His works, completed shortly after his diagnosis, convey feelings of terror and isolation, later giving way to defiance and anger; then shame, confusion and anguish. In his final portraits, there are little more than afterimages of a creative and talented spirit whose identity appears to have vanished.

His paintings are about half way down the page.


 

   
 


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