Incidence increases dramatically as people move into their 90s
. About 5% of those ages 71 to 79 have dementia, and about 37% of those about 90 years old live with it.
Older people may worry about their own loss of function as well as the cost and toll of caregiving for someone with dementia. A 2018 study estimated the lifetime cost of care for a person with Alzheimer’s, the most common form of dementia, to be US$329,360
. That figure, too, will no doubt rise, putting even more burdens on family, Medicare and Medicaid.
There has also been a good deal of talk and reporting about dementia in recent months because of the US presidential election. Some voters have asked whether one or both candidates might have dementia. But, is this even a fair question to ask? When these types of questions are posed — adding further stigma to people with dementia — it can unfairly further isolate them and those caring for them. We need to understand dementia and the impact it has on more than 5 million people in the US who now live with dementia and their caregivers. That number is expected to triple
First, it is important to know that dementia cannot be diagnosed from afar or by someone who is not a doctor. A person needs a detailed doctor’s exam for a diagnosis. Sometimes, brain imaging is required. And, forgetting an occasional word — or even where you put your keys — does not mean a person has dementia. There are different types of memory loss and they can have different causes, such as other medical conditions, falls or even medication, including herbals, supplements and anything over-the-counter.
Older people wonder and worry about so-called senior moments and the memory loss they perceive in themselves and others. I see patients like this
every week in my geriatric clinic, where they tell me their stories. They forget a word, get lost in a story, lose keys or can’t remember a name. Details vary, but the underlying concern is the same: Is this dementia?
Normal memory loss
As we age, we experience many physical and cognitive changes. Older people often have a decrease in recall memory. This is normal. Ever have trouble fetching a fact from the deep back part of your “mind’s Rolodex”? Suppose you spot someone at the grocery store you haven’t seen in years. Maybe you recognize the face, but don’t remember their name until later that night. This is normal, part of the expected changes with aging.
What’s more of a potential problem
is forgetting the name of someone you see every day; forgetting how to get to a place you visit frequently; or having problems with your activities of daily living, like eating, dressing and hygiene.
When you have troubles with memory — but they don’t interfere with your daily activities — this is called mild cognitive impairment. Your primary care doctor can diagnose it. But sometimes it gets worse, so your doctor should follow you closely if you have mild cognitive impairment.
You want to note the timing of any impairment. Was there a gradual decline? Or did it happen all of a sudden? This too you should discuss with your doctor, who might…
Read More News: Is my senior moment the start of dementia?