A Guide
to Alzheimer's Disease
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Are you having memory problems that seem to
go beyond the ordinary, or do you see this happening
to someone you love? Are there other difficulties,
like struggling to follow a conversation or find
the right word, getting confused in new places,
or botching tasks that once came easily? Everyone
has these experiences sometimes, but if they
happen regularly, they may be early signs of
Alzheimer’s disease.
About 4.5 million Americans have Alzheimer’s
disease. It is the seventh leading cause of death
in the United States, and it is bound to become
more common as the vanguard of the baby boom
generation turns 65, the age at which Alzheimer’s
becomes a major risk.
The information in this guide includes help
for family members and caregivers, as well as
for the individuals with Alzheimer’s. Because
the disease is progressive, coping with it requires
foresight and careful advance planning. This
includes getting financial and legal documents
in order, investigating long-term care options,
and determining what services are covered by
health insurance and Medicare. People in the
early stages often can be partners in that planning.
48 pages. (updated: 2007)
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Table of Contents:
- What is Alzheimer’s
disease?
- Reasons for
hope
- A surprising
history
- The growing
numbers
- Is it forgetfulness
or dementia?
- Normal forgetfulness
- Mild cognitive
impairment
- Dementia
- Recognizing
the symptoms
- How the brain
works
- A macro view
of the brain
- A micro view
of the brain
- Risk factors
for Alzheimer’s disease
- Age and sex
- Genetic factors
- Cardiovascular
risk factors
- Diabetes
- Head injury
- Possible
protective factors
- Nonsteroidal
anti-inflammatory drugs (NSAIDs)
- Statins
- Alcohol consumption
- Education
- Enriched
environment
- Exercise
- Diet
- Estrogen
- Diagnosing
Alzheimer’s disease
- Finding a
physician
- What to expect
- The evaluation
process
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- Is it Alzheimer’s
or another dementia?
- Reversible
dementias
- Irreversible
dementias
- The search
for therapies
- Drugs for
memory and cognitive function
- Medications
for behavior problems
- Therapies
under investigation
- For the caregiver
- Legal decisions
- Financial
matters
- Explaining
the condition
- Coping with
daily challenges
- Finding help
and support
- Anticipating
the future
- The five
stages of Alzheimer’s
- Long-term
residential care
- Making the
decision
- Better care
for people with Alzheimer’s
disease
- Types of
facilities
- Glossary
- Resources
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Here's
an Excerpt from this Alzheimer's Disease Special
Health Report
Alzheimer’s disease is a degenerative
brain disorder that results in memory loss, impaired
thinking, difficulty finding the right word when
speaking, and personality changes. Its course
is marked by a continual loss of neurons (nerve
cells) in areas of the brain that are crucial
to memory and other mental functions. Levels
of brain chemicals known as neurotransmitters,
which carry complex messages back and forth among
billions of nerve cells, are also diminished.
After the symptoms first appear, people live
anywhere from 2–20 years in an increasingly
dependent state that exacts a staggering emotional,
physical, and economic toll on families.
There is no cure or even a firm cause or proven
means of prevention. But early diagnosis is important
because new drugs are available that may temporarily
stabilize or delay worsening of cognitive symptoms,
and they work best in the early stages of the
disease.
Nevertheless, there are reasons for hope. Promising
results of broad-based brain research have made
Alzheimer’s researchers optimistic about
the prospects for improved treatment and prevention.
Intense efforts over the past two decades have
advanced scientists’ understanding of the
chemical changes that take place inside the brain.
Key discoveries have cleared the way for pharmaceutical
companies to start developing compounds that
might block the disease’s destructive course
and cure the patient. There is also hope that
scientists will someday create a vaccine to prevent
and even treat Alzheimer’s disease.
These prospects are exciting, but they’re
still a long way from providing relief for the
estimated 24 million people worldwide who currently
have Alzheimer’s disease. The good news
is that science has given health care providers
a new understanding of ways to improve the day-to-day
lives of these people. And this growing awareness
has produced an increasing number of support
groups and community services around the country
to alleviate families’ isolation and help
ease the burden of caring for people with Alzheimer’s
disease at home.
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