Inside Dementia Diagnosis!
HTML-код
- Опубликовано: 8 июн 2024
- Hey Careblazers! Ever wondered what goes into diagnosing dementia? 🤔 Today, we're diving deep into the criteria doctors use and demystifying the process!
🧠 Hit play now and become a dementia diagnosis pro!
🎥 Don't forget to drop your questions or suggestions for future videos in the comments below. 🤗
👍 If this information helps you, please like, follow, and share to spread awareness.
🐾 Psst! For every new subscriber, Niko gets a well-deserved belly rub! Hit that subscribe button and join us in making a difference in dementia care! 🐾
✨ #DementiaDiagnosis #Careblazers #UnlockingDementiaSecrets 🧠🗝️
--
It’s our mission to make dementia caregiving easier for families caring for a loved one with Alzheimer's disease, frontotemporal dementia, lewy body dementia, vascular dementia, or any other type of dementia. We believe that in order to create a more dementia friendly world, we must first create a caregiver friendly world. That's why we create free educational training videos like this one so that anyone with an internet connection can get access to dementia care information.
--
We have lot's of free resources and trainings.
Our Dementia Careblazer Survival Guide has been downloaded over 100,000 times by caregivers around the world.
🗞️If you found this information helpful, consider subscribing to my free email newsletter for even more valuable insights on dementia by clicking here: www.careblazers.com/dose
🎁 Get your FREE guide here: go.careblazers.com/survivalguide
✅ Stay up to date on all of our new dementia resources at www.careblazers.com
RUclips Playlists To Learn More:
Managing Stress and Burnout: • DEMENTIA SELF-CARE AND...
Dealing with Challenging Behaviors:
• DIFFICULT DEMENTIA BEH...
__
DISCLAIMER: The content of this video - or any content by Dementia Careblazers - does not replace the need for healthcare professionals. Our content is not healthcare advice and is not a substitute for your own healthcare. It is for general education and demonstration only. Do not use this content to self-diagnose or self-treat any health, medical, or physical condition. By consuming content from Dementia Careblazers, you agree to hold harmless and indemnify Dementia Careblazers LLC for any and all losses, injuries, or damages resulting from any and all claims that arise from your use or misuse of this content. All content or recommendations on the company’s website, social media, blog, or email series. All comments from Dementia Careblazers’ are expressions of opinion only.
In case you haven’t met me, my name is Natali Edmonds and I am a board certified geropsychologist. That means that I am a clinical psychologist who specializes in working with older adults. One day, while hiking a trail, I came up with the idea for Careblazers and I decided to see if posting videos online could provide help to the many other Careblazers in the world who don’t get to have help come directly to them in their homes. I hope that this work helps you in some way on your caregiving journey.
#careblazer #dementia #dementiacare
--
🔍 Key Moments:
00:00 Introduction
01:39 Classification Resources: DSM and ICD
02:38 Dynamic Nature of DSM
03:00 First Major Criterion: Significant Cognitive Decline
04:27 Second Major Criterion: Interference with Daily Activities
05:59 Third and Fourth Criteria: Rule Out Delirium and Other Conditions
07:00 Specific Type of Dementia Diagnosis
08:16 Brain Scans Not Mandatory for Dementia Diagnosis
Join our empowering Change Maker Community! Dive into discussions on navigating tough situations with a supportive network. Let's tackle challenges together at www.dementiacareclass.com/change
My husband was diagnosed with advanced white matter disease, vascular dementia, and possibly alzheimer's in May 2023. He has had some quickly progressing deficits. I would also like to have a video explaining moderate to severe deficits. I have watched about 2 hours total so far of your video's and have learned more about dementia in those two hours than with questions and answers from the drs. Thank you so much for what you're doing. I think I have found a lifeline.
So glad you found us! Will be sure to put together that future video on modest versus significant decline. If you haven't already, be sure to download our free Careblazer Survival guide:
go.careblazers.com/survivalguide
Yes, Dr. Natalie, please do a video telling more about the differences between mild vs modest cognitive impairment and how a doctor can determine that. PCP has tested hubby (91) with a very basic type test and determined that he has mild C.I. … no other additional testing has been done. Thank you!
Really helpful video. Thank you.
A further video on degree of stages of dementia ie cognitive impairment mild, moderate and significant would be helpful.
I also just read a report about the dangers of surgery, typically major operations eg hip replacement or heart operations in older patients affects on mental health and resultant delirium and swift decline in mental state post op leading to death in quite a short time. People who were previously mentally sharp with high levels of cognition rapidly deteriorating mentally post surgery, confused, low cognitive performance, poor memory, behavioural changes who die soon after within months or years inspite of the actual surgical procedure being a success eg hip fracture from a fall.
Clinicians now believe it is subsequent delirium that manifests in people from surgery and resultant pain and inflammation in the body either around the injury or wound or elsewhere. It is thought that the blood brain barrier might become compromised owing to inflammation and immune response to pain leading to deterioration of sensitive areas of the brain that deal with cognition and memory. Being in strange surroundings eg hospital, lots of artificial light, sleep patterns disrupted, poor quality of what sleep is achieved, electronic devices constantly sounding audible alarms which are not dealt with nor silenced, poor care, neglect, can all be extremely detrimental to patients who prior to admission showed a high level of cognitive performance and also good physical health despite the instant medical condition for which they are being treated.
People in their 70s, 80s and even 90s who still retained sharp cognitive performance and physical capability went in for routine surgery which as a success but their mental decline and consequent physical decline post op was alarming. Patients were totally different to when they were admitted for the surgical procedure displaying symptoms of delirium and dementia, poor cognition, quickly deteriorating and then dying within weeks or months.
Basically the message is try at all costs to avoid ending up in a hospital. The place could quite literally kill you.
Thank you for that!!!
My husband doesn’t meet the criteria for dimensia but has severe cognitive impairment which is very disabiling and very difficult to manage. When you are told it doesn’t meet the criteria that doesn’t mean it’s not devistating. In my situation it is complicated by my husband adamantly refusing testing and having zero insight into what’s happening. Please don’t forget that we also struggle with most of the same issues
Modest and significant needs more explaining please thank you Dr Natali. Moms been diagnosed with Mixed Alzhimers / vascular dementia had a MRI and showed up dementia.
Will put together that video soon. Sending you and your mom love!
Yes, please, do a video for the differences between mild and significant impairment... thank you so much - your videos are so clear and the best I've found so far on this topic!!! Really helpful!!!
The neuropsychological testing IS required to move from an MCI diagnosis to moderate?
Yes please! More info to distinguish between moderate and significant! TYVM for this 😃👍
please do a video telling more about the differences between modest vs significant cognitive decline and how a doctor knows the difference.
Dr. Natali, Thank you for these videos on Dementia Diagnosis. The timing is perfect! I had a discussion with a caregiver a few days ago and she asked me how someone is determined to have dementia and then more specifically, Alzheimer's. I tried to explain, but did not do a very good job of communicating. This video is just what she needed. I will send this to her. Please do a follow-up video on how health care providers know the difference between modest and significant decline. Thank you!
Glad it helped! I'll be sure to do a follow-up video on the different between modest and significant.
Having been through this terrible disease as a caregiver for my wife from diagnosis to death by sudden cardiac arrest I can honestly say this method of diagnosing dementia is ridiculous. Nothing more than delaying the obvious diagnosis with the corresponding delay in receiving appropriate medical treatments with completely unnecessary doctor appointments. In my part of the country you would be lucky to be able to get an appointment more than once a year. The sooner what limited medical treatment can be started, the better the long term outlook will be. It is a terminal and progressive disease no matter what but standard of living and duration of quality life will be significantly improved without all this unnecessary red tape and delay. A person's family members are by far the best people to assess decline in abilities, not a 2 hour phsycological test from a stranger when and if you could ever get one. This disease is stressing enough for the person and family without all this time wasting red tape. Give the patient a chance at a longer quality life instead of putting them through all this. The battle is aready stressful enough on everyone. I know what delayed exams and treatments meant for my wife.
I suspect in the future, a diagnosis will be able to be made (or very close to it) through blood testing.
Amen to that!!!
Thank you! ❤
You're welcome!
I think delirium needs a bit of explanation in what are symptoms, how is it differentiated from dementia etc
I also wonder if very long term sleep deprivation under extreme stress could result in a condition that closely matches aspects of dementia ?
Great idea for a future video! Thanks for your suggestion.
The answer is 100% - Yes.
I love your videos Dr. Natali! Yes, please do a future video regarding mild-moderate cognitive impairment.
Many of the behaviors you discussed described my mom in 2022, but a diagnosis did not come about until she experienced 5 ER visits in a 4 month span. The ER doctor in conjunction with a neurologist on call, did an MRI and diagnosed my mom with mild-moderate vascular dementia.
My mom's neurologist ordered a brain MRI to help determine her Alzheimer's. She put her on donepezel, memantine, extra vitamin B & D. It seems to have helped some.
Thank You Dr. Natali for presenting this important information in such a concise manner.
Glad it was helpful!
Very interesting and helpful!!!!
Glad it was helpful!
Yes, thank you so much for providing that video, i watched the second video prior to watching this video
Very helpful and interesting
Yes, MODEST AND SIGNIFICANT cognitive impairment. Do one on that.
John's Hopkins says I have mild cognitive impairment but I think I'm still doing well! IT does take more effort to get COOKING Meals I've Done for Year's. My Daughter THINKS I should move in with her because I need more help with watching my money and Bill's. Not sure what to expect
Many people do well with Mild Cognitive Impairment. So glad that is happening for you. Here's to many more years of holding steady! 💖
Good explanation and examples. Thank you very much
Yes, make the other video please
U say it right on!!
Request more videos for "the patient"
- I know the focus is on "caregivers" but we patients have virtually nothing providing guidance or assistance.
I discovered I have Alzheimer's last month after getting MRI for a different diagnosis. Guess I'm "lucky" to have found out this early. I'm only in mild dementia, so many things I can take care of before I get worse. I'm scheduled next month for an extended cognitive testing! Supposed to take 2 to 3 hours. Why???
It is pretty lengthy. They will test different areas of your brain - the different areas are responsible for different skills. In the end it will show you your strengths and weaknesses. It can be a good baseline for the future to track any decline and progression of that decline.
FYI something is wrong with the sound - like it's overloading - maybe adjust the gain down a little. Thanks for all the great help and support! What you're doing is ministering to so many as we deal with aging parents and loved ones.
Thanks for your feedback.
Yes - Please do video(s) on Mild...
I assume Mild... may lead to other.
-- Also -- PET scans can find the FTD... perhaps early detection (what is the correct term?)
What happens if a PET scan (or other) finds something? Does that lend weight to further testing or diagnosis?
Yes, would like to know how HC provider assesses difference in modest and significant
Can do a future video on that.
Afternoon Dr., my mom has been diagnosed with vascular dementia & Parkinson’s from doctors at Brigham’s in Boston! Mom has always had anxiety (untreated and undiagnosed) - she generally is level headed! Her anxiety causes her to act out - is it too late for a therapist or anxiety medication? TY for your video! - Laura
How does LBD and its fluctuations get diagnosed in a neuropsych test?
I'll do a future video on this. The neuropsych testing is really more about the patterns in testing in combination with the clinical symptoms reported by family/patient.
Have you had any experience with medicine NUPLAZID for hallucinations? Have you seen it used for Lewy Body Dementia?
Trying to figure out what is happening with me by mom. She completely forgets certain things. I personally believe the heart co editions she has may be contributing to the Dementia like symptoms she has. She also suffers from diverticulitis and other gut health issues. How can we be sure?
The other day, I said to my mom “ok, we have to get your oxygen back on”. She picked up the Kleenex box and was inspecting it. I asked her what she was trying to do? she said “trying to get it on”.
Sending you and your mom love!
@@DementiaCareblazers thank you Dr. Natalie!
High protein level in spinal fluid, declining cognitive tests, delusions, and memory issues as well as multiple Neurologist opinion. My spouse heading in to her 3rd year of obvious decline. Sad.
Obviously thinking has not improved. We got stupider if you compare DSM today and in the past