HELP! I'M SCARED FOR MY MOM

I am a nurse it sounds like Alzheimer disease. 

Hi Jay,

I'm a (former) nurse too - specialised in neurology. I'm 73, so in the same age group as your mother.

With respect, I'd beg to differ from poster jaylashanti.

This might, of course, be the start of Alzheimer's. So many of us will go down to this disease that it's worth considering it as a possible diagnosis.

However, you should also bear in mind the perfectly normal cognitive loss that affects us all as we age. I've had all kinds of alarms and excursions, starting 20 years ago, but I'm still capable of looking after myself (I live alone and have no children) as well as holding down a demanding voluntary job.

My first scare came almost 20 years ago. I was doing some ironing, which included a fake-suede jacket. This required the use of a sleeve-board that I'd used several times a year for many years. The mechanism for putting it up is very simple, but on this occasion I couldn't figure out how to do it. I flew into a total panic, shaking like a leaf, but decided to put the jacket to the bottom of the ironing pile. When I finally reached it, I had no difficulty in putting up the sleeve board.

I've used this tactic many times in the intervening years, when I've momentarily forgotten how to operate household appliances. I do something else, then return to the task in hand, by which time I have no problem at all.

I've also had a few occasions where I've become disorientated and not recognised my perfectly familiar surroundings. I've handled these episodes in the same way, by sitting down quietly and avoiding panic until my normal cognitive powers return.

I suspect that in my own case the absence of anyone - son or daughter - to look after me has thrown me on my own resources, with the result that I've always been able to pull myself together after these episodes. 20 years down the line, I don't think they're getting significantly worse.

As already mentioned, these episodes might be the initial signs of dementia in your mother (and me!) but I don't think you should be too alarmed at this stage. From my own experience, both as a former neuro nurse and an ageing woman, I'd suggest that you keep an eye on your mother while at the same time allowing her the maximum of independence. A sense of responsibility for oneself can be a powerful tool in the fight against dementia.

Hi Jay,

There are a number of things to consider.

1. As we all get older, our ability to remember can deteriorate, but there is no hard and fast "rule" for this happening, its simply a progression of the effect of age on ones body(including the brain).

2. Again, associated with age, we are more inclined to become "forgetful" particularly in circumstances where we have a number of differing things on our mind, whether it be a shopping list of things to remember(when entering a supermarket) or as happens sometimes to myself, in that I will go upstairs to do something, but when I get there I see something else that needs doing, and temporarily forget about the reason I went upstairs in the first place.

3.Pre-fronta-dimentia or the onset alzheimers affects the frontal cortex(just behind the forehead) where short-term memory resides, before it "transfers" to longer term memory towards the back of the brain. This deterioration in brain function is caused by a chemical which acts like a blocker, to the myriad of connections in the frontal cortex and this can become visible through a brain scan.

One of the ways to counter the onset of alzheimers to persuade a person to try and develop routines for their various activities. A routine, once remembered embeds itself in the long-term area of memory and is thus more easily "remembered".

Dimentia/Alzheimers does not negate memory unless it has progressed to a point where the sufferer has normally gone through all of the known "stages" of its progression, I.E my mother stepped outside her home, less that one metre from the front door, but did not know where she lived, nor did she recognise her home. She had developed full alzheimers over a period of years, before passing away at age 82 .

My wife's mother who is now 92 first developed memory loss, following two operations 18 months ago where she was given an anaesthetic twice in 10 days; there is a known risk for older persons from this which can  cause memory problems, but apparently not known at this particular hospital! It  has now progressed slightly but she suffers occasionally from occasional lapses where she will repetitively do or say the same thing multiple times without realising she has done so. At other times her memory is fine(for age 92).

The reality is that medical science does not really know too much of how and why alzheimers progresses, and it does not necessarily follow a common path in how it affects people or indeed why it can affect virtually all ages.

Perhaps the best way to cope with episodes that do occur is to be sympathetic and use language which calms the person when a memory lapse occurs; it can actually just be a slight overload of their ability to remember something, resultant in a moment of "panic".

There are many people who will try and provide "advice" which they think might be helpful, but although well intentioned it may in fact just provide a greater confusion to the listener. If you have any worries at all, it may be worthwhile to persuade your relative that a visit to a doctor might provide some measure of assurance, both to you and the relative.

Incidentally both dementia and azheimers are common descriptors for what is really the same thing, i.e. the onset of memory loss, but should not be used where an individual simply begins to become forgetful through the natural progression of age whereby our ability to remember does fall off as we get older.

In my younger days I did have what was termed and eidetic memory (I cant even remember its correct spelling now!), I mean a near perfect memory. At coming up for 72 my memory is beginning to let me down, but one brain scan later, I have been pronounced as NOT showing any signs of dementia in my frontal cortex, beyond what is expected as a normal deterioration for my age.

Hope this helps.

George

 

Jay

Return to the Doctor take your Mother with you. Your GP can arrange various tests to prove what the problem is. There are various things that could be causing these problems, All Dementias are not ALZ , a diagnosis needs to be worked on. I went through the tests early last year and it was proven I had something different, your Mother is at a good age and will have memory concerns.

There are sites on the web in the UK that deal with ALZ etc there you will get further information.

Get Her down to see your Doctor, tell us how she gets on

BOB

i would say that i think  you need to get your mum tested thats how my mum was then she started to forget to pay her bills .the doctor told me she had alzheimers hers is short term memory loss. taught about the war she knows everything but ask her something then ask her again ten mins later and she,s forgot. i could not get her a bank card as she could not remember the pin , mum got me to get a p.o.a as she knew she would get worse. and i manage all her finances now.

This might, of course, be the start of Alzheimer's. So many of us will go down to this disease that it's worth considering it as a possible diagnosis.

However, you should also bear in mind the perfectly normal cognitive loss that affects us all as we age. I've had all kinds of alarms and excursions, starting 20 years ago, but I'm still capable of looking after myself (I live alone and have no children) as well as holding down a demanding voluntary job.

My first scare came almost 20 years ago. I was doing some ironing, which included a fake-suede jacket. This required the use of a sleeve-board that I'd used several times a year for many years. The mechanism for putting it up is very simple, but on this occasion I couldn't figure out how to do it. I flew into a total panic, shaking like a leaf, but decided to put the jacket to the bottom of the ironing pile. When I finally reached it, I had no difficulty in putting up the sleeve board.

I've used this tactic many times in the intervening years, when I've momentarily forgotten how to operate household appliances. I do something else, then return to the task in hand, by which time I have no problem at all.

I've also had a few occasions where I've become disorientated and not recognised my perfectly familiar surroundings. I've handled these episodes in the same way, by sitting down quietly and avoiding panic until my normal cognitive powers return.

I suspect that in my own case the absence of anyone - son or daughter - to look after me has thrown me on my own resources, with the result that I've always been able to pull myself together after these episodes. 20 years down the line, I don't think they're getting significantly worse.

As already mentioned, these episodes might be the initial signs of dementia in your mother (and me!) but I don't think you should be too alarmed at this stage. From my own experience, both as a former neuro nurse and an ageing woman, I'd suggest that you keep an eye on your mother while at the same time allowing her the maximum of independence. A sense of responsibility for oneself can be a powerful tool in the fight against dementia.

Hi Jay! How is your mom doing now? Yes you always have to keep an eye on her but don't restrict her from doing the things she used to do. God bless!

Hope shes feeling better ..this happened to me after taking antibiotics for my stomach..still struggling