Alzheimer’s Disease: Problems, Prospects, and Perspectives by Barry Reisberg, Jeffrey Borenstein, Emile Franssen, Stacy PDF

By Barry Reisberg, Jeffrey Borenstein, Emile Franssen, Stacy Salob, Gertrude Steinberg (auth.), Harvey J. Altman Ph.D. (eds.)

Alzheimer's disorder is a chief neurodegenerative ailment whose prevalence and incidence is speedily imminent epidemic proportions. an immense cause of this is often that guy resides longer than he has ever lived ahead of and the chance of contracting the sickness is considerably larger in the aged part of the inhabitants. the matter turns into much more acute within the mild of modern estimates which expect that the variety of humans residing past the age of sixty five is anticipated to proceed to extend. The impression of those records at the kin and the healthiness care by way of time, attempt and price are impressive. a up to date document issued by means of the Michigan activity strength on Alzheimer's affliction and comparable stipulations (1987) successfully underscores this final aspect. "Each individual with a dementing disorder calls for a normal of 7 years of care, both at domestic or in a residential care facility. Care supplied at house is expected to price approximately $12,000 each year, for a complete of $84,000 in keeping with individual. this can be a conservative determine, despite the fact that, simply because many folks with dementia spend their previous few years in a nursing domestic at a regular 'cost of $22,000 according to 12 months, and a few spend from 10 to fifteen years in a nursing domestic, for a complete expense of $220,000 to $330,000.

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Extra info for Alzheimer’s Disease: Problems, Prospects, and Perspectives

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1985, Occurrence of neuropathological changes and dementia of Alzheimer's disease in Down's syndrome, Ann. , 17:278-82. 28 DEMENTIA, DEPRESSION, AND PSEUDODEMENTIA Barry Siegel 1 and Samuel Gershon 2 lDepartment of Geriatrics Lafayette Clinic Detroit, Michigan 2professor and Chairman Department of Psychiatry School of Medicine Wayne State University Director, Lafayette Clinic INTRODUCTION There has been an increasing interest in the varieties of dementia and particularly their differentiation from pseudodementia (Terry and Katzman, 1983; Bulbena and Berrios, 1985).

Lithium and ECT have all been found to be effective in particular cases (Ban, 1984; Charatan, 1985; Gerner, 1985). CLINICAL VIGNETTE The following clinical case adapted from McAllister and Price (1983) shows both the difficulty with the diagnosis and the potential for response to treatment. Ms. , a 61 year old housewife, was referred for evaluation of agitation, social withdrawal. and pronounced memory deficits of several months' duration. Her past history was notable for a hospital admission 20 years prior to the present assessment.

Reports of reversible dementia had been explained by postulating the 35 Table 4. Disorders Associated with Dementia (Lishman, 1978; Wells, 1979; Kiloh, 1961; Marsden and Harrison, 1972; Nott and Fleminger, 1975; Smith and Kiloh, 1981; Mahandra, 1985) Ganser syndrome Malingering Compensation neurosis Post-traumatic disorder Sensory deprivation Depression Obsessive disorders Mania Paraphrenia Anxiety states Shoplifting Bizarre hypochondriasis Chronic pain Thyrotoxicosis Drug toxicity Conversion and dissociative reactions Schizophrenia and schizophreniform conditions existence of "vesanic" dementia, that is dementia caused by functional psychosis.

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