As people age, it is common for them to experience some degree of memory loss or forgetfulness.
However, for some elders, these experiences can be symptoms of dementia, a group of symptoms affecting memory, thinking, and social abilities severely enough to interfere with daily life. Dementia is a common problem in the elderly, but sometimes it goes unnoticed or unrecognized for years. Here are some ways to diagnose dementia in the elderly.
: 1. Assessing Cognitive Functioning
The assessment of cognitive functioning is the most critical part of diagnosing dementia. Cognitive functioning refers to the ability of a person to think, reason and remember things.
Dementia patients often have poor cognitive functioning and, as a result, struggle to perform everyday tasks like paying bills, driving a car or even remembering a friend’s name. Therefore, cognitive testing should be done to assess the various aspects of cognitive functioning, which includes:.
: 2. Screening tools
Screening tools are simple questionnaires used to identify dementia symptoms early. The most common screening tool used is the Mini-Mental State Examination (MMSE).
The MMSE is a simple 30-point questionnaire that requires the patient to answer some basic questions and perform a few simple tasks. The results of the test can help identify the onset and severity of cognitive impairment.
: 3. Neuropsychological testing
Neuropsychological testing is a more in-depth test of cognitive functioning. It involves a battery of tests that evaluates the patient’s memory, attention span, spatial reasoning, and language skills.
These tests are more comprehensive and can give a more detailed picture of cognitive functionality.
: 4. Brain imaging
Brain imaging techniques can help to diagnose dementia. MRI scans, CT scans, and PET scans can be used to identify structural abnormalities in the brain and detect changes in brain activity that are associated with dementia.
: 5. Blood tests
Some blood tests can also be done to help diagnose dementia. The tests can detect conditions that can cause dementia or that mimic its symptoms, such as vitamin deficiencies, anemia, and thyroid problems.
: 6. Identify patterns of decline
Diagnosing dementia is not straightforward, as it entails identifying a pattern of decline that is indicative of the disease. Look out for the following patterns:.
: a. Memory loss
The most common pattern is the progressive and persistent loss of memory. The patient may struggle to remember conversations, appointments, or even basic information such as their name or address.
: b. Language difficulties
The patient may struggle to communicate well and have difficulty remembering new words, names, or even common objects. They may use the wrong word or sentence, and their speech may become disjointed.
: c. Emotional changes
Dementia can impact a person’s mood, causing them to become more withdrawn, apathetic, or anxious. They may also experience sudden mood swings or erratic behavior.
: d. Behavioral changes
The disease can also impact a person’s behavior, causing them to become more irritable, agitated, or even aggressive. They may experience hallucinations or become paranoid.
: e. Difficulty with daily living activities
People with dementia may have difficulty with simple daily tasks such as dressing, bathing, toileting, and eating. This is because the disease can affect motor skills and impair cognitive processing.
: Conclusion
Diagnosing dementia in the elderly is not an easy task, and there are several steps involved.
However, by using screening tools, neuropsychological testing, brain imaging, blood tests, and identifying patterns of cognitive decline, we can diagnose dementia and begin treatment early. The early diagnosis and treatment of dementia can help patients and their families better manage the disease and improve their quality of life.