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Dementia is an umbrella term used to describe a range of symptoms that affect cognitive abilities, including memory, language, perception, and judgment. It is a chronic condition that typically affects older adults, although it can also present in younger individuals. Dementia is characterized by a decline in cognitive function that is severe enough to impact daily activities and social functioning. The most common cause of dementia is Alzheimer’s disease, but other conditions can also lead to dementia, such as stroke, Lewy body disease, Parkinson’s disease, and frontotemporal dementia.

Symptoms

The symptoms of dementia can vary from person to person, but the most common symptoms include:

  1. Memory loss - This is the most common symptom of dementia. Individuals with dementia may forget things they have done recently, struggle to remember names, or forget important dates or events.

  2. Trouble with language - Dementia can affect an individual’s ability to communicate, resulting in difficulty finding the right words or completing sentences.

  3. Impaired judgment and reasoning - People with dementia often struggle to make decisions and may have difficulty understanding complex concepts.

  4. Emotional changes - Individuals with dementia may experience changes in mood, such as becoming more irritable, anxious, or depressed.

  5. Disorientation - Dementia can also cause individuals to get lost or disoriented, even in familiar places.

  6. Movement difficulties - Dementia can cause issues with movement, such as trouble walking, or trouble with balance and coordination.

  7. Trouble with daily activities - People with dementia may struggle to complete tasks they used to do easily, such as cooking or cleaning.

Causes

The causes of dementia can vary depending on the underlying condition. Alzheimer’s disease is the most common cause of dementia and is attributed to the buildup of abnormal proteins in the brain that damage neurons, leading to cognitive decline. Vascular dementia is caused by the interruption of blood flow to the brain, typically due to a stroke or other circulatory problems. Parkinson’s disease also involves the death of brain cells, which can cause dementia. Other causes of dementia include chronic alcoholism, traumatic brain injury, and infectious diseases like Creutzfeldt-Jakob disease.

Diagnosis

There is no single test to determine whether an individual has dementia. Instead, physicians will typically start with a medical exam and review an individual’s medical history. They may also perform cognitive tests to evaluate an individual’s memory, language, and problem-solving abilities. Doctors may also order imaging tests, such as a CT scan or MRI, to examine the brain and look for evidence of damage. In some cases, doctors may also conduct a blood test to rule out other possible causes of cognitive decline.

Treatment

There is currently no cure for dementia, and treatment aims to manage symptoms and slow the progression of the disease. Medications may be prescribed to help with memory and cognitive function, although their effectiveness varies from person to person. Behavioral interventions, such as increasing physical activity, improving nutrition, and promoting social engagement, may also be helpful in reducing symptoms and improving quality of life.

Caregiving

Caring for individuals with dementia can be challenging, both emotionally and physically. Many people with dementia require 24-hour supervision and assistance with activities of daily living. Caregivers may need to provide assistance with feeding, dressing, toileting, and medication management. It is essential for caregivers to take care of their own mental and physical health to avoid caregiver burnout.

Conclusion

Dementia is a complex and often debilitating condition that impacts millions of individuals worldwide. While there is no cure, early detection and careful management of symptoms can help to improve quality of life for individuals with dementia and their caregivers. Ongoing research into the causes and potential treatments for dementia offers hope for the future, but in the meantime, it is important to raise awareness of the condition and the challenges faced by those affected by it.


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Steve Barclay: 'We must look beyond borders for dementia cure'

Telegraph

23-05-14 20:19


The UK's Health Secretary, Steve Barclay, has said that the global scale of the dementia challenge means that G7 countries must look beyond their own borders to beat the disease. Mr Barclay is expected to sign an agreement during his visit to Japan this week, which will require then nation's member states to invest in research and development. The trip also includes a visit to a care home in Tokyo to see how Japan has used advanced technology to help dementia sufferers. The UK population includes an estimated 944,000 dementia sufferers, with one in 11 people over 65 affected.

https://www.telegraph.co.uk/politics/2023/05/14/steve-barclay-we-must-look-beyond-borders-for-dementia-cure/
As a geriatrician, I’ve treated hundreds of dementia patients. They deserve a choice

The Sydney Morning Herald

23-05-14 19:00


Voluntary assisted dying should be available to dementia sufferers as part of an advanced care plan, according to Kate Gregorevic, a Melbourne-based geriatrician. By the time someone has advanced dementia, they have lost the ability to make their own medical decisions. Those decisions fall to their medical treatment decision-maker or substitute decision-maker, a person who can legally make decisions on their behalf. However, as many of these conversations only happen in the midst of a crisis, Gregorevic argues voluntary assisted dying should be available for those wishing to make this choice in advance.

https://www.smh.com.au/national/victoria/as-a-geriatrician-i-ve-treated-hundreds-of-dementia-patients-they-deserve-a-choice-20230511-p5d7qg.html
‘The Diplomat’ vs. Reality

NY Times

23-05-14 10:52


The U.S. State Department's top diplomat for Europe, Wess Mitchell, resigned in January after just 16 months in the post, citing personal reasons, according to a statement released by the department. Mitchell was a key figure in imposing US sanctions on Russia for interfering in the 2016 presidential election, although his role in President Donald Trump’s efforts to improve relations with Russia was limited. Mitchell's departure follows a series of other exits of senior officials from the State Department and White House over the last year, including secretaries of state, national security advisers and the ambassador to the UN.

https://www.nytimes.com/2023/05/14/briefing/the-diplomat-netflix-reality.html?searchResultPosition=2
Dementia and the options of dying

The Age

23-05-14 10:00


Several authors have called for changes to Victoria’s voluntary assisted dying legislation, to allow patients with irreversible conditions such as dementia to pre-arrange termination of life if they deteriorate to a certain stage. Jan Newmarch believes people should be allowed to make such decisions while they are still rational, which is difficult under current laws that require less than six months’ life expectancy. Mirna Cicioni suggests people should be able to list specific irreversible conditions after which they would want their lives to be ended, and that this should be written into a legally recognised document such as a will to prevent both discrimination and non-consensual termination of life. Kyle Matheson believes families should become responsible for deciding on treatment for dementia patients and Jill Edwards suggests people should be allowed to make a decision in advance that they want assistance to die should they be diagnosed with irreversible conditions.

Others have also called for people’s rights to be respected in relation to assisted dying. Ange Mackie writes of her distress at her mother’s suffering from vascular dementia and wishes to avoid such an end herself and Ross Churcher argues that people should be able to stipulate their own end-of-life wishes in a formal document to be signed and witnessed, like a will. In the case of the latter, doctors not connected to the patient would have to give their approval for access to assisted dying.

These opinions follow the exclusion of dementia patients in Victoria’s voluntary assisted dying legislation, with suggestions that this group is being discriminated against. It remains a contentious issue with many opposing the concept of voluntary assisted dying, whatever the circumstances or conditions.


https://www.theage.com.au/national/victoria/dementia-and-the-options-of-dying-20230514-p5d89e.html

Japan pushes for strong pledges on tackling dementia from G7 allies

Financial Times

23-05-13 23:19


World leaders are expected to pledge to tackle dementia for the next decade at the G7 summit in Hiroshima, as effective treatments for Alzheimer’s begin to emerge. Japan’s government is hosting a meeting of global dementia organisations in Nagasaki this weekend ahead of the summit on May 19, and hopes the conference will pave the way for an updated declaration, matching the scope of the commitments made at the G8’s London summit in 2013. The declaration is likely to include commitments such as increasing funding for research, improving access to care and increased international co-operation.

https://www.ft.com/content/25bd68d4-cf44-469a-9afc-d546d7856937
The 10 foods that could reduce your risk of dementia

Telegraph

23-05-18 08:00


Recent reports of a new drug being developed to help slow the progress of Alzheimer’s disease is encouraging, however, individuals are urged to take further steps to reduce their risk of developing all forms of dementia by sticking to a plant-rich Mediterranean diet. Eating specific foods that are rich in nutrients and micronutrients can improve brain function and brain health, according to sources including Sky News and the Alzheimer's Society. In a study published in Alzheimer’s & Dementia, adhering closely to a Mediterranean diet could reduce the likelihood of developing dementia by 53%. In addition to consuming whole grains, olive oil, berries, fruits and vegetables, sticking to a diet of essential amino acid-rich proteins such as chicken breast, and fatty fish can reduce inflammation and inhibit brain cell death, meaning low-protein diets are linked to poor maintenance of brain function in older people. Boosting gut microflora by eating kefir, kimchi or kombucha, all high in postbiotic chemicals, can directly influence brain function and brain health too.

https://www.telegraph.co.uk/health-fitness/mind/the-10-foods-that-could-reduce-your-risk-of-dementia/
Australian police ‘taser’ 95-year-old dementia patient in care home

Telegraph

23-05-18 12:25


Australian police are reportedly to have used a taser to subdue a 95-year-old woman with dementia, causing a brain bleed and fractured skull. Clare Nowland had been carrying a knife at the time, hence the police being called, but the use of a taser has shocked the local community. A critical incident team is now reportedly investigating the matter.

https://www.telegraph.co.uk/world-news/2023/05/18/95-year-old-australian-woman-tasered-police-dementia/
Probe launched after 95-year-old woman tasered at Australian care home

The Independent

23-05-19 08:07


Australian police are investigated after allegedly Tasering a 95-year-old dementia patient at a care facility, according to reports. The woman had a steak knife and was found wandering around the aged care home before the police were called. Clare Nowland allegedly refused to lower the blade and approached officers before being Tasered. She was left in a critical condition, although it is unclear if her illness was caused by the Taser. The officer who fired the Taser had been taken off duty pending a criminal investigation.

https://www.independent.co.uk/news/world/australasia/australia-police-taser-clare-nowland-b2341914.html
Roberto died after being Tasered 14 times. It was supposed to change everything

The Sydney Morning Herald

23-05-19 19:00


The use of Tasers by police in New South Wales has again been questioned following an incident where a 95-year-old woman with dementia was tasered by an officer. Senior constable, Terry said the woman was armed with a steak knife and moving slowly with a walking frame, however, questions have been raised about the officer's decision to use such force. The incident comes after the death of Roberto Curti who was tasered by police officers 14 times, which led to criticism of the vague and confusing rules surrounding the use of Tasers in New South Wales. Tasers were first introduced as an alternative to lethal force and a way of reducing the threat of injuries to police and members of the public. However, they can cause considerable pain, trigger anxiety and stress, and put the heart at risk, particularly with people who are elderly or have an underlying heart condition. Since Curti’s fatality, four more people in New South Wales have died in Taser-related incidents, including Stephen Kline, who died in 2016 after a Taser ignited flammable liquid, causing an explosion and burns to his leg, and Jack Kokaua, a mental health patient who was Tasered three times despite having a heart condition.

Civil rights activists and veteran police have questioned the need to use Tasers in incidents involving mental illness, alcohol, or domestic violence. The National Justice Project’s George Newhouse has called for police not to be the first responders in mental health crises. “They’re the ones that get called out at 4am in the morning, but their responses are not attuned to de-escalation,” he said. Dementia Australia has called for better training for police in identifying new care-based approaches that don’t require police action in aged care homes. Tasers are mostly used in residential settings for incidents involving mental illness, alcohol, and domestic violence, and police officers receive training on their appropriate use and are required to document each time they draw their Taser.


https://www.smh.com.au/national/nsw/roberto-died-after-being-tasered-14-times-it-was-supposed-to-change-everything-20230519-p5d9ok.html

Finding balance in transphobic row

The Age

23-05-20 10:00


The discussion about the intersection of sex and gender, and women's concerns around trans activism has been reinvigorated by coverage of feminist academic Holly Lawford-Smith's treatment by trans activists, as highlighted in The Age. Some women feel marginalised by what they see as the trans community's assault on hard-won female rights and the push for what they see as inclusion without recognition of biological realities concerning gender. Some are particularly concerned by what they see as what amounts to bullying and thought-policing on university campuses.

https://www.theage.com.au/national/victoria/finding-balance-in-transphobic-row-20230520-p5d9wu.html
‘I thought my daughter had long Covid - it turned out to be dementia’

The Independent

23-05-20 08:05


A 20-year-old thought to be suffering from long Covid has been diagnosed with dementia by doctors in Texas. Gianna Cabo first displayed symptoms of forgetfulness and confusion in the wake of a severe coronavirus infection, but the condition frequently affected her mother’s memory following the same illness. Her mother Rebecca Robertson also suffered from a serious brain injury following a car accident in 2019. Cabo’s cognitive abilities have deteriorated steadily since she fell ill with Covid in June 2020.

https://www.independent.co.uk/news/health/long-covid-dementia-symptoms-daughter-b2342570.html
The village in France where everyone has Alzheimer’s

Telegraph

23-05-21 10:00


The Village Landais in Dax, south-west France, is a purpose-built community for elderly people with Alzheimer’s disease. It is, in essence, a large care home: all 120 residents have Alzheimer’s disease, but there are no wardens. They live independently in small, self-contained houses on the 17-acre site, each designed for four to eight people, in flats arranged around leafy squares. The village has a grocery store, a hair salon and library, and a few months ago opened its own pub, called La Dernière Séance (“The Last Picture Show”). Access is controlled with key codes to control residents wandering off. The cost of building the village, at €28 million, was funded largely by the state. It has been hailed as a model of cutting-edge dementia care, with a holistic approach that has seen it compared to a spa or holiday resort. It is staffed by a team of around 50 carers. At present, waiting lists are so long that some people have applied for French citizenship to qualify for a space in the village.

https://www.telegraph.co.uk/news/2023/05/21/village-landais-france-alzheimers-dementia/
Six NSW police officers handcuffed 81-year-old dementia patient

The Independent

23-05-21 07:25


Bodycam footage has revealed that six officers used two sets of handcuffs to restrain an 81-year-old woman suffering from dementia at a nursing home in Randwick, Sydney. Rachel Grahame was surrounded by police officers who handcuffed her after she took a lanyard from a staff member. She cried out to the officials who held her arms and legs, and demanded that they explain why they were handcuffing her, calling one of them a “big brute”.

Ms Grahame’s family sued the police and the matter was settled in November 2021. Her daughter, Emma Grahame, has since spoken out publicly about the incident, stating that: “It just showed me that the police have learned nothing from the actions that we took against them.” This comes as another incident of police using excessive force against an elderly dementia patient in Cooma has been revealed to the public.

Police notes obtained by Emma Grahame claimed that Rachel was “aggressive” and was “forcefully sat in a chair by multiple nurses”, while police notes describe a “shocking and violent attack” in which officers suffered bruises and bites. Emma Grahame said that her mother was taken to hospital after the incident and received no apology from the police. She is speaking out to highlight ongoing issues of excessive force by the police against elderly and vulnerable patients in care homes.


https://www.independent.co.uk/news/world/australasia/nsw-dementia-patient-handcuff-rachel-grahame-b2342858.html
Missing British grandma found dead on Greek Island after two weeks

The Independent

23-05-21 16:08


Susan Hart, a 74-year-old British grandmother, has been found dead 17 days after going missing on a visit to Telendos, a small Greek island, according to her daughter Ruth Landale. The grandmother-of-four was visiting the island with her husband, a keen rock climber, when she isolated herself from the rest of the party to read. Upon returning to find her missing, her husband searched the island with the help of volunteers and rescue teams. It is understood that Hart may have been showing early signs of dementia.

https://www.independent.co.uk/news/uk/home-news/missing-british-woman-dead-greece-susan-hart-b2343010.html
British grandmother, 74, found dead on remote Greek island

Telegraph

23-05-21 19:58


Susan Hart, aged 74, who had been reported missing on the Greek island of Telendos earlier this month, has been found dead in a remote area. The British grandmother had gone missing on 30 April while staying on the island with her husband Edward. According to her family, Mrs Hart had planned to read while her husband went rock climbing. She was last seen taking a ferry from Kalymnos to Telendos. The family spent more than two weeks on the under-two-square-mile island in their search for the missing woman. Greek authorities have yet to determine the cause of death.

https://www.telegraph.co.uk/world-news/2023/05/21/greece-telendos-missing-british-woman-dead-dementia/
Camilla receives ‘beautiful’ compliment after meeting children

The Independent

23-05-26 08:27


Queen Camilla has visited the Armagh Robinson Library and Museum in Co Armagh during a visit to Northern Ireland. The facility is taking initiatives to make history accessible to all, including as a tool for learning languages at an early age and utilising its space for volunteering and encouraging reading and literacy programmes. Camilla met with children from Drelincourt primary school, who told her about their work studying the reproduction Lindisfarne Gospels. She also chatted to volunteers while viewing books and signed a commemorative photograph of her visit.

https://www.independent.co.uk/life-style/royal-family/queen-camilla-northern-ireland-library-children-b2346309.html
First ever drug found to slow Alzheimer’s submitted for approval

Telegraph

23-05-26 21:48


The UK regulator has been asked to approve the first drug to slow the development of Alzheimer's. Eisai has applied to the Medicines and Healthcare products Regulatory Agency for permission to offer lecanemab to early stage Alzheimer patients. The drug was found to slow cognitive decline by 27% in a Phase III clinical trial that marked the first ever demonstration of a therapeutic agent capable of slowing the progress of the disease. Lecanemab is given by infusion every two weeks. The regulators will evaluate its safety and effectiveness. Alzheimer's progressively robs people of the ability to think, speak and move, and affects more than 50 million people globally.

https://www.telegraph.co.uk/news/2023/05/26/alzheimers-lecanemab-drug-slows-disease-eisai/
How a home robot could help people with memory problems find lost items

Telegraph

23-05-28 16:00


Researchers at the University of Waterloo in Canada have developed a robot that can help track lost items. Programmers have reprogrammed the robot, which can detect, track and keep a record of objects stored in its video data. A graphical interface was then developed allowing users to choose which objects were tracked, with the robot subsequently indicating when and where objects were last observed. The technology is being tested to help those with dementia and memory issues, but developers say that a personalised companion robot that provides independence could have other future uses.

https://www.telegraph.co.uk/news/2023/05/28/home-robot-track-lost-items-memory-problems-dementia/
Carleton researchers invent rapid saliva test that can provide early detection for Alzheimer’s and Parkinson’s

The Toronto Star

23-05-31 10:00


Researchers from Carleton University in Ottawa have created a handheld 3D-printed device that uses saliva samples to detect the early signs of Alzheimer's and Parkinson's diseases. The device, which the team aims to have in clinical trials within a year, can diagnose patients "within seconds," using disposable sensors to analyse saliva. Professor Ravi Prakash, who led the project, said his tool can be used in conjunction with treatment to monitor progression and that the team was revising the paper about it before publication soon. The device could be produced more cost-effectively than current tests, Prakash said.

https://www.thestar.com/news/canada/2023/05/31/carleton-researchers-invent-rapid-saliva-test-that-can-provide-early-detection-for-alzheimers-and-parkinsons.html