Dementia is often called a 'life limiting' condition although people have been known to live with it for as long as 26 years after they first start showing symptoms.
There is currently no "cure" for dementia. In fact, because dementia is caused by different diseases it is unlikely that there will be a single cure for dementia.
Studies suggest that, on average, someone will live around ten years following a dementia diagnosis. However, this can vary significantly between individuals, some people living for more than twenty years, so it's important to try not to focus on the figures and to make the very most of the time left.
Stage 7, very severe cognitive decline lasts an average of 2.5 years. A person in this stage usually has no ability to speak or communicate and requires assistance with most activities, including walking. During this stage, caregivers will focus mostly on providing comfort and quality of life.
It can be helpful to think of dementia progressing in three stages – early, middle and late. These are sometimes called mild, moderate and severe, because this describes how much the symptoms affect a person.
Signs of the final stages of dementia include some of the following: Being unable to move around on one's own. Being unable to speak or make oneself understood. Eating problems such as difficulty swallowing.
One of the most common causes of death for people with dementia is pneumonia caused by an infection. A person in the later stages of dementia may have symptoms that suggest that they are close to death, but can sometimes live with these symptoms for many months.
Many people affected by dementia are concerned that they may inherit or pass on dementia. The majority of dementia is not inherited by children and grandchildren. In rarer types of dementia there may be a strong genetic link, but these are only a tiny proportion of overall cases of dementia.
In the end stages of dementia (in the last few months or weeks of life), the person's food and fluid intake tends to decrease slowly over time. The body adjusts to this slowing down process and the reduced intake.
Administration: The examiner reads a list of 5 words at a rate of one per second, giving the following instructions: “This is a memory test. I am going to read a list of words that you will have to remember now and later on. Listen carefully. When I am through, tell me as many words as you can remember.
The Mini-Cog test.
A third test, known as the Mini-Cog, takes 2 to 4 minutes to administer and involves asking patients to recall three words after drawing a picture of a clock. If a patient shows no difficulties recalling the words, it is inferred that he or she does not have dementia.
Detailed case reports of 124 dementia patients who experienced an episode of paradoxical lucidity were received. In more than 80% of these cases, complete remission with return of memory, orientation, and responsive verbal ability was reported by observers of the lucid episode.
There is currently no cure for most types of dementia – including the dementia caused by Alzheimer's disease. These types of dementia are what we call “neurodegenerative.” The progression of these dementias cannot be reversed right now; symptoms gradually get worse.
It's been estimated that one in three cases of dementia is preventable. You can't do anything right now to stop or reverse the underlying mechanisms of Alzheimer's disease, but you can do something about hypertension and vascular disease risk factors.
We all inherit a copy of some form of APOE from each parent. Those who inherit one copy of APOE-e4 from their mother or father have an increased risk of developing Alzheimer's. Those who inherit two copies from their mother and father have an even higher risk, but not a certainty.
Age. The biggest risk factor for dementia is ageing. This means as a person gets older, their risk of developing dementia increases a lot. For people aged between 65 and 69, around 2 in every 100 people have dementia.
What you can do: follow the recommended guidelines of doing at least 150 minutes of moderate-intensity aerobic activity each week, such as brisk walking, cycling or dancing. You should also do strengthening exercises at least twice a week, such as gardening or yoga.
I'm going to discuss five of the most basic ones here: 1) Don't tell them they are wrong about something, 2) Don't argue with them, 3) Don't ask if they remember something, 4) Don't remind them that their spouse, parent or other loved one is dead, and 5) Don't bring up topics that may upset them.
Providing the person doesn't appear to be uncomfortable or distressed, then sleeping more during the day isn't normally a reason to be worried. However, if a person is lying down in bed and asleep for most of the time they will need to be looked after to make sure they don't develop any physical health problems.
For example, a sudden deterioration or change may be a sign that an infection has led to delirium. Or it may suggest that someone has had a stroke. A stroke is particularly common in some kinds of vascular dementia and may cause the condition to get worse in a series of 'steps'.
Sleeping more and more is a common feature of later-stage dementia.