Thai version of the Addenbrooke’s Cognitive Examination III: a validation study Abstracts Objective: To validate the Thai version of the Addenbrooke’s Cognitive Examination III (ACE-T) Methods: 147 participants (Dementia, n = 54; MCI, n = 50; controls, n = 43) aged 60 or above were assessed by a psychiatrist using ACE-T. Results: The ACE-T had good internal consistency () and inter-rater reliability (). With the cutoff score >>> the sensitivity and specificity were “”” for MCI, >>>> for dementia. The optimal cut-off score for the ACE-T to differentiate MCI from normal controls was 79/80, giving the sensitivity of 0.74, specificity of 0.84. At the optimal cut-off of 73/74, C-ACER had excellent sensitivity (0.93), specificity (0.95) to distinguish dementia from non-dementia. Conclusion: Thai version of ACE has a high …show more content…
It may not suit for busy general practice clinics or screening in the large number population. ACE measure a broad range of cognitive functions and comprising questions of variable difficulty. This could serve in specialist clinic/center, such as memory clinic or psychiatric clinic. Limitations Our study had some limitations. The majority of our dementia patients received diagnosis of AD, therefore, this limits the generalizability with other type of dementia, for example, frontotemporal dementia and Lewy body dementia. Prior studies demonstrated that ACE could be applied as a differentiating tool between frontotemporal dementia and Alzheimer’s disease; therefore, further studies should be investigated in this issues. The participants in this study are native Thai speaker, and had at least four years of education; consequently, this optimal cutoff point may not be apply to people who use Thai dialect as a first language or had less than four years of education. Test-retest reliability was not evaluated in this
Dementia is a serious disorder caused by a variety of brain illnesses which affects a person memory .There are three symptoms stages which are early,middle,and late stages. A Person with dementia lose the ability to think well enough to do everyday activities or solve problems. It is also difficult for a person with dementia to interact with others which makes this disease overwhelming for the families of the Patient. The number of people who have dementia is currently estimated at 47.5 million.
It provides the opportunity for prompt evaluation of the patient and possibly administer tests and treatments for reversing and determining the causes of memory loss. In addition, early diagnosis provides time for patients and families to prepare for the future and most importantly it maximizes the patients opportunity to contribute to their own care planning process. As previously stated, the diagnosis of dementia most commonly takes place in the primary care setting. During primary care visits with older or elderly people the interactions tend to be brief and patients often present multiple health conditions that they are experiencing. It can be challenging for the physician to pin point those intersecting health concerns with Alzheimer’s if they are not properly trained to do so.
There are different types of dementia and are described as follows: Fig 1.2 (a) different types of dementia with their percentages There are different types of dementia are Alzheimer’s, vascular, mixed, dementia with lewy’s body and frontotemporal dementia etc. and there are other types of dementia too such as AIDS dementia, Parkinson’s dementia etc. The Alzheimer’s is most common form of dementia. Let us describe the each of them in detail: Alzheimer’s dementia: Fig 1.2(b) area of brain affected and cross-section that is seen from the front in Alzheimer’s dementia.
The early stages of dementia are often just seen as “getting old” to those of us who are not trained. In this stage patients find it hard to follow a story through to the end, whether they are telling it or listening to it. Often they will notice everyone laughing but won’t actually understand a joke that was being told. It can also start with subtlety of slower responses to questions.
During my physical assessment, JT was alert and oriented times two. JT could identify herself and was aware of her surroundings. However, she was not oriented to time; she believed the year was 1931. Relating to the concept of chronic confusion, assessing arousal, orientation and attention to environment is a way to measure chronic confusion (Wilkerson, 2017 p. 168). Other medical concerns include her vision impairment.
Dementia is not a specific illness. It 's an overall term that describes a range of symptoms associated with a decline in memory or other thinking skills severe enough to cut a person 's ability to do everyday activities. Alzheimer disease accounts for 60 to 80 percent of cases. Vascular dementia, which occurs after a stroke, is the second most common dementia type. Dementia is often incorrectly referred to as "senility" or "senile dementia," which reflects the formerly widespread but incorrect belief that serious mental decline is a normal part of aging.
OGO3 meron Dementia Dementia is a mental disease where you lose some maybe all of your memory for a long period of time or even eternity rly symptoms can occur for some people and can include behaviour swings and anxiety or even blindness. There are many different types of dementia and some of them include the mo common Alzheimers Disease which takes up 70% of all the people that have dementia, vascular dementia, Frontotemporal dementia, Lewy body dementi a and many more, these often occur over the age of 60 but it is possible to also get it if you are young. 90% of people with Parkinson 's disease will get the exact same symptoms as people with dementia would get It 's possible to get more than one form of dementia. Alzheimers disease Alzheimer 's disease
a. Like speaking to someone b. Remembering a person’s name c. And the ability to pay attention to what is going on around you II. Today we are going to look at three different types of Dementia which are Alzheimer’s, Vascular Dementia, and Frontotemporal Dementia. Transition:
The Long Island Alzheimer’s Foundation (LIAF) is a social model day program for individuals with Alzheimer’s disease and other related memory disorders to help improve their quality of life. LIAF is located in Port Washington, NY and offers services to treat individuals with early, moderate and late stage Alzheimer’s. The agency population is comprised of male and female participates with ages ranging from mid-fifties to late-nineties who all suffer from Alzheimer’s disease. LIAF biopsychosocial are done during a client’s initial intake and reviews are conducted quarterly by a Social Worker.
The term ‘dementia’ is an umbrella term for a range of progressive conditions that affect the brain. Doctors typically use the word ‘dementia’ to describe the common symptoms such as memory loss, confusion and problems with speech and understanding. Each type of dementia stops an individual’s brain cells working in specific areas, namely their ability to speak and remember things. 1.2 -Describe key functions of the brain that are affected by dementia The brain is made up of four lobes, namely frontal, temporal, parietal and occipital, all of which have different functions.
The article titled “Half of Alzheimer 's cases misdiagnosed” made it evidently clear that Alzheimer’s disease is a disease we have yet to fully understand or treat. Not only is there a lack of information about this disease, it is common for the similar side effects of dementia to be confused with Alzheimer’s disease. To clarify what dementia and Alzheimer’s disease is, I will provide an authentic definition of each. To begin, I will state that there are different forms of dementia. According to a site that specializes in providing information about dementia and Alzheimer’s disease, states that “Dementia is a general term for loss of memory and other mental abilities severe enough to interfere with daily life.
Introduction Alzheimer’s is a chronic neurodegenerative disease that usually starts slowly and gets worse over time. The most common early symptom is difficulty in remembering recent events or short memory loss. As the disease advances, symptoms can include difficulty with language, disorientation, mood swing and behavior problems. As a person 's condition progressed, they often withdraw from friends and family. Slowly, bodily functions deteriorated and eventually death occurs.
2.1: Explain the importance of recording possible signs or symptoms of dementia in an individual in line with agreed ways of working? The Impact of early diagnosis allows the individual with dementia as well as their family members and friends to accept help so they can understand and adjust with the individual with dementia. This helps individual statute of their other conditions that may have similar symptoms to dementia and that may be treatable before it gets very serious e.g. depression, chest and urinary tract infection which is also known as UTI. This may also help statute out the other possible causes of confusion e.g. poor eyesight, hearing, emotions, side effects of certain medications that they may be taking.
Have you or anyone in your family come across the disease known as the Alzheimer’s disease? Luckily, I never met anyone in person with that disease… at least that’s what I think. The Alzheimer’s is a serious disease that is commonly found in the elderly population. Being diagnosed with the disease ultimately means death since there are no known cure. Although the disease is not contagious, the emotional aspect of it spreads as if it is.
Dementia is one of the most feared diseases and expensive to society currently. It is defined as a clinical syndrome of acquired cognitive impairment that determines decrease of intellectual enough capacity to interfere social and functional performance of the individual and their quality of life. It is a known fact that patients tend to express themselves through their behaviour and expect their carers to understand this notion. The diverse kinds of causes of different behaviours are inability to communicate, difficulty with tasks, unfamiliar surroundings, loud noises, frantic environment, and physical discomfort. Many diseases can cause dementia, some of which may be reversible.