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Symptoms
Normal Outward Behaviorsymptoms may be absent and only
a PET scan can identify and
diagnose Alzheimers
Very Mild Changes- things like
misplacing an object or forgetting
what a word is may appear in this
stage. Person may still be
asymptomatic in this stage.
Mild Decline- This is the point
where you start to notice symptoms.
Forgetting what the person just did
or repeating the same question over
and over as well as trouble with
remembering names become
apparent.
Moderate Decline- symptoms
worsen and patient reasoning and
thinking becomes less stable.
Patient can forget details about his
life and forget dates
Moderate Severe Decline- Patient
forgets where he is and what time it
is. He/she can forget phone
numbers, addresses, and starts
losing his/her train of thought.
Severe Decline- Symptoms worsen
and patient starts forgetting names.
He/she can mistake people for
others and delusions start setting in.
Very Severe Decline- Activities of
daily living start to decline and
Treatment
There is no cure of Alzheimers patients yet. Once the symptoms appear,
there is no way to stop them completely and they are also irreversible. There
are medications that can slow down the progression of the disease though.
Treatment is based on different factors. These factors include: The severity of
the disease, the reaction of the medication/ therapy on your body, age,
mental health, and medical history. There are medications that slow down
the breakdown of acetylcholine in the brain. There is only one medication
that is approved by the FDA and that is Aricept. Aricept is used for all stages
of Alzheimers and is in the form of a tablet. When the Aricepts
effectiveness becomes dull, Namzaric is used. This is a combination of
Namenda and Aricept. It is used best for moderate to severe Alzheimers.
There are also other drugs that can be prescribed to help with other
problems that accompany the disease such as: depression, sleeplessness,
and behavioral problems.
Clinical Trials
Research is very extensive for Alzheimers and scientists are searching ways
to stop the progression of the disease as well as treat the symptoms. The
testing of new drugs helps scientists decipher which ones work and which
dont. Research is moving forward to creating an Alzheimers vaccine
Nursing Interventions
1. Orienting the patient as much as possible is very important. This helps
the patient stay aware of themselves and the environment.
2. Promoting independence is also an important intervention. This
disorder can stress out the patient and make him aggressive because
he/she cant remember something or someone. Show to patient
different ways to perform a task and involve them in as many activities
as possible. Giving them the right to choose their own clothes and
other choices can boost their independence level/
3. Label clothes, drawers, using post-it notes, and hanging pictures
around the room will assist the patients memory.
4. Eliminate sources of hazard in the environment. Reduce the risk of
injury by putting the bed in the lowest position, no rugs in the room,
and remove sharp objects from the room.
5. Encouraging the patient to take part in social activities will help reduce
the risk of isolation and depression.
Skills
Reorienting a confused Alzheimers patient
References
1. "National Institute on Aging | The Leader in Aging Research." U.S National Library of
Medicine. U.S. National Library of Medicine, n.d. Web. 13 Oct. 2016.
2. "Help End Alzheimer's." Alzheimer's Association. N.p., n.d. Web. 13 Oct. 2016.