Posts Tagged ‘dementia’

Alzheimer’s and Money Problems

Sunday, November 21st, 2010

This excellent short video is a cautionary tale about the dangers of Alzheimer’s for Seniors. The following background story about Alzheimer’s and Money Problems is from CBS News. (“Senior Moment:” As the Boomer Generation Ages, Dr. Jon LaPook Examines How Easily Warning Signs for Alzheimer’s Are Missed. by Jonathan LaPook)

“Dr. Max Gomez was a successful OB-GYN in Miami, delivering thousands of babies. He lived the good life, but admits he was bad with money. Gomez has suffered more than a few bad investments. He is now penniless, living in a care facility paid for by Medicaid.

His son is WCBS medical correspondent Dr. Max Gomez. Even with his training, he missed the warning signs of Alzheimer’s disease until three years ago — when he discovered his father had lost every dollar he’d earned.

Dr. Gomez’s father was not practicing medicine, but still had the title of medical director at a clinic. That clinic made him legally responsible for multiple commercial loans, and took out mortgages in his name.

A girlfriend wrote thousands of dollars in checks against his savings account.

The FBI started investigating after his ID was used to file millions of dollars in false Medicare claims.

“Here he was helpless and being taken advantage of left and right,” Dr. Gomez says of his father. He adds, “There’s never one big ‘ah ha’ moment.”

Patients can seem lucid. Even as, in Dr. Gomez’s case, the disease is destroying the brain. In Alzheimer’s disease, nerve cells die in key brain regions. One of the first is the hippocampus. Damage to the hippocampus, and later the frontal lobe, affect the ability to plan organize and reason – crucial for managing money.

“You can’t retain the facts because of memory, and you can’t utilize the facts efficiently,” explains Mony John de Leon, director of the NYU Center for Brain Health. “It’s very hard – as people become deteriorated – to manage finances.”

The financial services industry realizes brokers and bankers may see aging clients more often than out-of-town families do. They’re training representatives to report warning signs including confusion, mood swings, and losing things. Susan Axelrod of the Financial Industry Regulator Authority adds, “Also importantly, changing a long term investment strategy suddenly.”

Learn the Stages of Dementia

Thursday, January 28th, 2010

GDS (Global Deterioration Scale) is the rating scale used to determine whether a person has cognitive impairments related to dementia. A cognitive impairment may be any deterioration in skills like thinking, knowing, learning and using judgment. The scale was first published in 1982 in the American Journal of Psychiatry by Dr. Barry Reisberg. Dr. Reisberg says the GDS stages are 1-4, pre-dementia stages, and 5-7 this is when a person can no longer survive without assistance. With more and more older adults being diagnosed with dementia, it often falls on loved ones to learn the stage there loved one is at, and how they can best care for them.

Because the stages often overlap, meaning symptoms from one stage start to seep into a previous stage it can be hard to find where a loved one may fall in the disease process. So to combat this problem, the GDS scale is another alternative to the staging process we already know has limitations.

The staging levels are:
Level 1- No cognitive decline
Level 2- Very mild cognitive decline
Level 3- Mild cognitive decline (forgetfulness)
Level 4- Moderate cognitive decline (decreased knowledge of current and recent events)
Level 5- Moderately severe decline (early dementia- patient can no longer survive without help)
Level 6- Severe cognitive decline (may forget their spouses name, delusional behavior, obsessive symptoms, etc.)
Level 7- Very severe decline (all verbal abilities are lost, requires assistance with everyday needs, loss of basic skills including the ability to walk)

To read the full article, please visit: http://bit.ly/9I0EVQ

This graph shows the impairment of activities in patients with deteriorating mental faculties.