Alzheimers Disease Stage
First, a little background information about the staging process. Through several studies, similar patterns of the transition of symptoms have been noted. Based on this data, a staging methodology has been developed. Experts have documented average patterns of symptom transition that eventuate in a lot individuals with Alzheimer's disease and developed various methods of "staging” based on these patterns. There is a direct association in the nerve cell deterioration from Alzheimer's and the manner of the staging. The area that is normally affected are the cells related with learning and memory. Then, it spreads to cells that control judgment, thinking, and behavior. Eventually, the cells that are responsible for coordinating movements are affected. One necessary thing to note is that the staging way is not set in stone. The manner in which the several stages present themselves, can and does, vary greatly from person to person. The following staging system is based on the work of Dr Barry Reisberg, who is the Clinical Director of New York University School of Medicine's Aging and Dementia Research Center. This system encompasses the more traditional idea of mild, moderate, moderately severe, and severe Alzheimer's disease, but uses a 7 Stage process. The first stage is Stage 1 and no real impairment is noted. There are usually no appreciable symptoms and the person afflicted has no idea that they are ill. Even the doctor in charge of the patient's care will not even be concious that the patient has been struck by Alzheimer's. Now in Stage 2, there are usually some modifications that the individual may be experiencing. Forgetting words or names or even where the car keys are located, is the beginning of this stage. Again, the troubling aspect is that even this stage may not be apparent to friends/loved ones or even during a routine check-up by the doctor. Next, we move on to Stage 3. This is the first stage that some individuals may be diagnosed as having Alzheimer's. It is at this stage, that almost everyone notices that troubles with memory and capability to function are apparent. Highlights of this stage include inability to perform properly at work. Inability to bear in mind simple things such as familiar names and places. In Stage 4, there are clear impairments that are revealed in physician screening. Some features of this stage are a decrease in current events or even holidays. Trouble with mental arithmetic, such as trying to count backwards for 100 in 7's. Not as able to perform complex tasks like paying bills or marketing. A loss of personal history, may occur. A subdued and withdrawn person, may now substitute a once social and outgoing personality. Requiring assistance in common activities may be required in Stage 5. An inability to recall where they live, their own telephone number or even where they graduated from high school or college. An increasing confusion in relation to date, month or year is noted. Even less-challenging mental arithmetic is hard to complete. May require aid in dressing appropriately for the current weather conditions or time of year. This individual is still able to recall their name as well as the name of loved-ones. Probably requires little assistance with toileting or eating. With the transition of the disease more memory deficits are noted in Stage 6. It is at this point, a lot may experience personality changes. They will likely call for assistance with activities of everyday living. Continuing to forget names of spouse/loved-ones is also part of this stage. Now, they must have aid with dressing, themselves. Increased episodes of incontinence are more notable. Sleep pattern disturbance is another feature found in this stage. And severe personality changes together with behavioral troubles is very significant at this stage. These include hallucinations, delusions and obsessive-compulsive behaviors like hand-wringing. Wandering out of facilities and becoming lost is not uncommon in Stage 6. Stage 7 is the final stage. It encompasses the individuals loss of response to their surrounding environment. Speech is severely impacted. Activities of everyday living are performed by caregivers, as the afflicted individual is perfectly dependent on others for help. Dysphagia (difficulty swallowing) is very average at this point. Hopefully, this staging system would be beneficial in increasing the knowledge of the symptoms of Alzheimers and can lead to earlier detection and treatment of this awful disease. Continued research into treatments and ultimately a cure for Alzheimer's is paramount. This disease slowly robs otherwise healthy and productive members of society of their lives. And impacts not only the individual diagnosed with it, the caregivers/loved-ones of the afflicted, but also the society that takes care of this stricken individual. |
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