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Alzheimer's Disease & Dementia Message Board
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Old 02-25-2007, 01:27 AM   #1
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How is Dementia Diagnosed?

I am new to this message board - -
My mother and I were discussing my father's behavior as of late. We both suspect dementia. My mother's friend (who is a psychic 'reader'...and 100% accurat in all that she 'sees') told my mother that my father has early onset of dementia. My father is not aware of this yet, and I am wondering how dementia is diagnosed. My family has noticed my dad's "odd behavior" and have begun to wonder. Should we be getting an official diagnosis from his PCP? Are there tests to check for dementia?
My thanks to anyone who can shed some light on this for me.
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Old 02-25-2007, 12:28 PM   #2
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Re: How is Dementia Diagnosed?

First and foremost, he needs to see a doctor to rule out anything else, such a thyroid deficiency, Vitamin deficiencies and other things. You can't just start making such assumptions without crossing off the 'fixable' things. If the doctor suspects one of the dementia's, he will perform a MINI MENTAL, I have written this out before, but here it is again:

Quote:
.... each person is unique and gives different answers ... this is pretty much the basics:

The 'Mini Mental" exam is a non-threating (or theoretically non-threating) test that can be done by just sitting and chatting ... no poking, no prodding and done right, it can be a pleasant experience. They get 2 points for a correct answer, 1 point for a close answer and 0 points for a wrong answer.

Orientation:

1) What year is it?

2) What month is it?

3) What season is it?

4) Where are we: Country, City, part of city

REGISTRATION

1) Name three objects (usually pencil, paper and table because they are the immediate objects they can see).

2) Repeat the names of the objects

ATTENTION & CALCULATION

1) Count backwards from 100 by 7's. Allow 5 answers.

OR

2) Spell WORLD backwards

RECALL

1) Ask them to name the 3 objects from before.

LANGUAGE

Name a pencil and watch.
Repeat the following: 'No ifs, ands or buts'
Follow a three-stage command: 'Take a paper in your right hand, fold it in half and put it on the floor'
Read and obey the following:
a) Close your eyes
b) Write a sentence.
c) Copy a design (usually a 5 sided figure interlocked with another 5 sided figure)

From there you add up the score, although Language gives different scoring but you can get the idea.

You must also take into consideration their hearing and eyesight and any other disabilities (such as moving to a new town etc), but you must be tough in other ways by not prompting !!
You can try this at home to give yourself an idea ... but don't diagnose !! Take him to a doctor PRONTO !!!

Cheers

Last edited by angel_bear; 02-25-2007 at 12:29 PM.

 
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Old 02-25-2007, 01:52 PM   #3
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Re: How is Dementia Diagnosed?

I agree - there are many other conditions that may cause forgetfulness, odd behavior, etc. We should never assume it is Dementia. Many of the others are curable. So please do do what Sally suggested and get him to a doctor. Once you have a real diagnosis you can begin to make plans for his future care.

I hope it is NOT dementia!

Martha

 
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Old 02-25-2007, 03:02 PM   #4
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Re: How is Dementia Diagnosed?

My father goes to the doctor regularly and does have periodic blood work done. Nothing is ever mentioned about dementia, as I don't believe my mother goes into the appointments with him. He does truly strange things as of late. Additionally, I was recently diagnosed with bipolar. Thankfully, I am now on the correct meds and am doing great. This all came on since having my hysterectomy 18 months ago. When it rains, it surely does pour!
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Last edited by roz5; 02-25-2007 at 03:03 PM.

 
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Old 02-25-2007, 03:38 PM   #5
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Re: How is Dementia Diagnosed?

Roz-
Dementia is a symptom. It is NOT a disease. Angel Bear's post includes a version of the most commonly used test for the, again, symptom. If he has dementia the next step, is to find out what the dementia is a sympton of.
It could be Alzheimers, it could be several other conditions, some of which are reversible IF they are caught in time!! Alzheimers is not one of them.
It is really essential to get your father to a doctor, preferably a neurologist, to diagnose him correctly.
Keep us posted.
Beatrice

 
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