MEMORY PROBLEMS IS IT EARLY DEMENTIA OR NORMAL AGING?

DEMENTIA MANY CAUSES: ALZHEIMER’S IS MOST COMMON; STROKES, ANOXIC BRAIN DAMAGE, PARKINSONS 4.9 MILLION AMERICANS TODAY DOUBLING OF THOSE >65 BY 2050 MEANS 10 MILLION OR MORE WILL HAVE DEMENTIA

DEMENTIA MEMORY PROBLEMS EARLY AS DISEASE PROGRESSES, OTHER DOMAINS AFFECTED JUDGMENT, BEHAVIOR, ADL’S AND EVENTUALLY SPEECH ARE ALL AFFECTED

WORRY ABOUT DEMENTIA FEAR OF GETTING DEMENTIA NORMAL AGING CAN CAUSE SOME MEMORY ISSUES WHAT IS THE DIFFERENCE BETWEEN NORMAL AGING AND DEMENTIA?

NORMAL BRAIN AGE AFFECTS ALL ORGANS LESS BLOOD FLOW TO BRAIN AS YOU AGE LOSS OF BRAIN CELLS NEUROTRANSMITTER FUNCTION IMPAIRED

TYPES OF MEMORY RECALL/RETRIEVAL CALCULATION PROCEDURAL-TASKS FACTUAL MEMORY EXECUTIVE FUNCTION ORIENTATION

RECALL WHAT IS HER NAME? NORMAL AGING: SLOW RETRIEVAL MAY OCCUR: “SENIOR MOMENT” ALZHEIMERS: YOU CANNOT RECALL NAME

SLOW RETRIEVAL A NORMAL CONSEQUENCE OF AGING THE RIGHT ANSWER WILL COME TO YOU ANALOGY: COMPUTER SORTING THROUGH FILES

EPISODIC MEMORY STORING NEW MEMORIES REMEMBERING TIME AND PLACE, WHEN AND WHERE AN EPISODE HAPPENED DECLINES SOME WITH NORMAL AGING

EPISODIC MEMORY DEMENTIA: GET LOST-CAN’T REMEMBER WHERE THEY ARE GOING LOSE THINGS-CAN’T REMEMBER WHERE THEY PUT HARD TO FORM A NEW MEMORY

ORIENTATION WHO YOU ARE, WHERE YOU ARE, WHEN IT IS NO CHANGE WITH NORMAL AGING A COMMON PROBLEM WITH EARLY DEMENTIA

WHAT SEASON IS IT?

CALCULATION MANIPULATE SEVERAL PIECES OF INFORMATION ADD A FEW NUMBERS COUNT BACKWARD FROM 100 BY 7:100, 93, 86, 79, 72, 65, 58 SEQUENCES-DRIVING

CALCULATION NORMAL SLIGHT CHANGE BALANCE CHECK BOOK TAKES LONGER DEMENTIA MAJOR CHANGE CANNOT BALANCE CHECK BOOK GET LOST

FACTUAL MEMORY WHO WON THE WORLD SERIES IN 1948? WHO WAS U.S. PRESIDENT DURING WORLD WAR II? EITHER IT IS THERE OR IT IS NOT

FACTUAL MEMORY NORMAL MILD CHANGE CAN REMEMBER CONTEXT DEMENTIA BIG CHANGE CONTEXT HARD TO LEARN NEW FACTS

FACTUAL MEMORY NORMAL AGING: NOT MUCH CHANGE DEMENTIA: REMOTE MEMORIES REMAIN AND CAN BE RETRIEVED; LEARNING NEW FACTS/MEMORIES IS IMPAIRED SIGNIFICANTLY

HOW MANY WITH DEMENTIA LIVE IN USA TODAY?

DID YOU REMEMBER? 4.9 MILLION I BET YOU REMEMBER YOUR GRANDAUGHTER’S BIRTHDAY!

PROCEDURAL MEMORY LEARNING A TASK LIKE RIDING A BIKE OR BRUSHING TEETH, SHAVING LITTLE CHANGE WITH AGE ONLY IN ADVANCED DEMENTIA IS THERE A DEFICIT

EXECUTIVE FUNCTION CAN YOU PLAN A MENU, SHOP, AND COOK A MEAL? CAN YOU PLAN A PARTY, SEND INVITATIONS, PREPARE YOUR HOME FOR THE GUESTS? CAN YOU MANAGE MONEY?

EXECUTIVE FUNCTION NORMAL AGING DOES AFFECT THIS ANXIETY DUE TO TASK BEING MORE DIFFICULT DEMENTIA SIGNIFICANT DECLINE SIMPLY CANNOT MANAGE AFFAIRS

SUMMARY:NORMAL REMAIN ORIENTED SOME RETRIEVAL PROBLEMS SLOWER CALCULATION FACTS REMEMBERED NO PROBLEM WITH TASKS EXECUTIVE FUNCTION?

SUMMARY:DEMENTIA DISORIENTED PLACE/TIME RETRIEVAL DIFFICULT TO IMPOSSIBLE CALCULATION IS POOR SEQUETIAL TASKS HARDER FACTS ARE REMEMBERED

SUMMARY:DEMENTIA DIFFICULTLY LEARNING NEW FACTS AND EPISODES TASKS OK UNTIL LATE STAGE EXECUTIVE FUNCTION DECLINES SIGNIFICANTLY