In general, if a person is aware that they are going for a diagnosis, they will be able to make that choice. It is recommended that a person with dementia be told of their diagnosis. However, a person has a right not to know their diagnosis if that is their clear and informed preference. Professionals who care for people with dementia should discuss your wishes in this matter.
People with dementia often struggle to understand what is happening to them cognitively. They may believe that they are still working at their job or going to school, when in fact they are being cared for by family members or residential staff. If someone with dementia misses their appointment with a doctor or therapist, it is unlikely that they did so of their own free will. Instead, they may have been persuaded to skip their session or may even have felt compelled to stay away.
People with dementia also tend to forget things easily, which can lead to problems remembering appointments or other important events. If you cancel or delay an appointment without calling to explain why, it can cause stress and anxiety for the person with dementia and their family member or caregiver. It is best to call or email patients directly to remind them of appointments.
People with dementia often have trouble expressing themselves verbally. They may say one thing but mean something else, or may not be able to communicate their needs effectively. Caregivers must therefore rely on cues from the person with dementia to understand how they are feeling.
Do Dementia Patients Understand There Is Something Wrong With Them? Alzheimer's disease gradually damages brain cells, so many people notice something is wrong during the early stages of dementia, but not everyone is aware. They may be aware that they are meant to identify you, but they are unable to do it. They may also be able to tell you that they cannot remember something that just happened or will happen later that day, but they may not understand what is happening to them yet.
As dementia progresses, someone with Alzheimer's may not recognize family members or friends. They may still respond to voices, but not understand what others are saying to them. Eventually, they will stop responding altogether.
People with dementia can still feel emotions such as joy, sadness, anger, and fear. However, due to cognitive impairments, they may not be able to express these feelings verbally. Instead, they may act out physically (for example, by hitting someone who hurts their feelings) or engage in self-injuring behaviors (for example, by trying to cut themselves off from people).
Dementia patients may not appear to suffer from pain either. They may not show any signs of distress if they get a bruise on an exposed bone or open wound. However, they may be in pain, so it's important to check for signs of injury or stress whenever possible.
People with dementia may seem happy or sad depending on the day.
If you observe dementia signs in someone you know or are concerned about their memory, you should encourage them to consult their doctor. The GP might refer them for evaluation to determine the root cause of the difficulties. This information will assist you in discussing your worries with someone about whom you are concerned.
The earlier dementia is diagnosed, the better its outcome. There are different types of dementia and they can be detected by conducting a complete medical history including questions about cognitive problems, as well as performing a physical examination and various tests, such as brain imaging studies.
Family members need to understand that although there is no cure for dementia, there are many treatments that can help individuals manage their symptoms. It is important to have these conversations with loved ones so they are aware of the changes going on and what to expect next.
Dementia is guaranteed to make the individual more self-centered since they are afraid of what is happening to them. Most people attempt to conceal their symptoms for as long as possible. When this fails, they become resigned to their fate and start looking after themselves first.
People with dementia are not selfish; they are just like other people but due to illness they cannot think about others. They want to be taken care of and loved even if they do not say so. Sometimes they may even forget that you have done things for them. But it is important to remember these behaviors are not intentional and should not be regarded as a sign of rejection or indifference.
If someone is showing signs of dementia, it is best to discuss any changes in their behavior with their doctors. There are many different types of dementia and each one has its own diagnosis and treatment plan. It is important to follow up with patients after any medical appointments to ensure that they are still having symptoms treated and that no adverse effects have arisen from any medications they may be taking.
If the person is in the early stages of dementia, it is typically best to inform them about the death and observe their reaction. If they are in the latter phases, they are less likely to comprehend, thus telling them may not be suitable.
What should you do if you suspect someone is suffering from dementia?
However, most instances of dementia can be identified following these evaluations. Recommendation to a dementia expert
Dementia can impair a person's decision-making abilities because it affects the regions of the brain involved in remembering, comprehending, and processing information. This does not always imply that a person with dementia lacks decision-making capacity; capacity is temporal and decision-specific. If you ask me to make a decision about whether to go hiking this weekend or not, then I have the cognitive ability to do so. However, if you asked me to make a life-changing decision such as marrying you, moving to Florida, and starting a business, then I would need time to process what you just said before I could make an informed decision.
Vascular dementia is caused by damage to the blood vessels supplying the brain. These lesions may cause acute symptoms or they may be asymptomatic. Over time, these lesions may affect the patient's memory, cognition, reasoning, judgment, and ability to function independently.
People with vascular dementia may still be able to make some decisions but probably not all decisions that they would like to make. For example, they might be able to decide where to live but not how to pay for it. They might be able to decide what movies to watch but not whether or not to take medication. However, due to the progressive nature of vascular dementia, most patients are unable to care for themselves anymore by the time they are diagnosed.