Homeopathic Doctor Anita Salunke practices in Chembur, Mumbai, India in her homeopathic clinic Mindheal. Find more information about homeopathic treatment at Mindheal. Welcome to safe, sure and effective homeopathic treatment Dimentia
Homeopathic Doctor - Dr. Anita Salunke homeopathic clinic for Dimentia
1. Effective treatment & remedies for Dementia at homeopathic Clinic ,Mumbai
Definition
Dementia is progressive deterioration in intellectual function and other
cognitive skills, leading to a decline in the ability to perform activities of daily
living.
Diagnosis is by history and physical examination.
Facts to remember:
• Mild slowing of cognitive processes is normal with aging and, it does not
suggest dementia.
• Dementia is typically preceded by a state of mild cognitive impairment,
which may last for several years.
• In every patient, evaluation for dementia requires a thorough review of
drugs, including OTC drugs.
• Being in a familiar, supportive environment and remaining active helps mild
and moderate cases decline slowly in function.
• Currently used drugs may modestly improve cognitive performance or
temporarily delay cognitive and functional decline due to dementia.
• Treating depression, which is common among patients with dementia, may
improve function and quality of life.
• Providing a source for ongoing education and support is main activity.
• As early in the disorder as possible, decisions about a surrogate to handle
finances and a health care proxy should be made.
Prevalence
The prevalence of dementia doubles every 5 yr after age 60 until about age
90. Dementia affects only 1% of people aged 60 to 64 but 30 to 50% of those
> 85
Cause
Causes are difficult to differentiate because definitions and clinical criteria for
diagnosis of many causes are not exact.
Alzheimer's disease is the most common type in 2/3 of cases of established
dementia. Vascular dementia is probably the next most common type, and
dementia with Lewy bodies may account for many cases.
2. Symptoms of Dementia
The following are some of the symptoms of Dementia:
The history varies depending on the cause of dementia.
• However, typically, intellectual and other cognitive functions decline over 2
to 10 yr.
• Symptoms can be divided into mild (early), moderate and severe (late).
• Personality and behavior changes may develop during any stage.
• Depression affects up to 40% of patients with dementia, usually when
dementia is mild or moderate, and may cause vegetative symptoms (eg,
withdrawal, anorexia, weight loss, insomnia).
• Depression can aggravate disability in dementia; distinguishing between
cause and effect is often difficult.
• Many people who develop dementia lose weight before other symptoms
appear.
• The incidence of seizures increases throughout the course of dementia.
• Psychosis (hallucinations, delusions, or paranoia) occurs in about 25% of
patients with dementia.
Mild dementia: Followings functions can be affected.
• Short-term memory is impaired
• Language functions, especially word finding.
• Aphasia (impaired ability to comprehend or use language)
• Agnosia (impaired ability to identify objects despite intact sensory function)
• Apraxia (impaired ability to perform previously learned motor activities
despite intact motor function) can develop
• Executive function (eg, ability to plan, organize, and sequence) is impaired.
• Apathy is common.
• Progressive difficulty with formerly mastered complex activities (eg, driving)
and moderately complex daily activities (instrumental activities of daily living;
eg, handling finances, preparing meals, housekeeping).
• Less likely to take the initiative.
• Difficulty following directions.
• Emotional fluctuation is common. Patients may be irritable, hostile, and
agitated.
• Although mild dementia may not compromise sociability, family members
may report that patients are not doing uncharacteristic things (eg, a miserly
widower gives thousands of dollars to a questionable charity). Poor judgment
3. is common.
Moderate dementia:
• The ability to perform simple daily activities (basic activities of daily living;
eg, bathing, dressing, toileting) becomes impaired.
• Patients cannot learn new information.
• Normal environmental and social cues for time and place do not register,
• Increasing disorientation.
• Patients remain ambulatory but are at increased risk of falls and accidents
due to confusion and poor judgment.
• Personality changes may progress. Patients may become irritable, anxious,
self-centered, inflexible, or angry more easily, or they may become more
passive, with a flat affect, depression, indecisiveness
• Lack of spontaneity, or general withdrawal from social situations.
• Psychotic symptoms may occur. Significant paranoia (eg, specific, often
persecutory delusions; generalized suspicion) occurs in about 25% of patients.
• The most common delusions are of stealing and that a spouse is unfaithful.
• Loss of self-recognition in mirrors; some patients with this delusion worry
that strangers have entered the home, but others enjoy the "visitor's"
company. • Patients often misidentify other people at this point (eg, thinking
their husband is their father or their daughter is their wife).
• Wandering can be a significant problem, returning to familiar surroundings
is very difficult.
• Patients may become physically aggressive or agitated or act in sexually
inappropriate ways.
• Sleep patterns are often disorganized.
Severe:
• Patients cannot perform the most basic activities (eg, eating, walking) and
become totally dependent on other people.
• Memory for recent and remote events is completely lost.
• Patients may be unable to recognize even close family members.
• The ability to walk is variably affected in different dementias but is usually
lost in the late stages; patients may become unable to move even while in
bed.
• Reflex motor function (eg, ability to swallow) is lost, putting patients at risk
of dehydration, undernutrition, and aspiration (which increases risk of
pneumonia).
4. • The combination of immobility and undernutrition increases risk of pressure
ulcers. Eventually, patients become mute.
• Total functional dependence usually requires that patients be placed in a
nursing home or that similar support be implemented in the home.
• End-stage dementia results in coma and death, usually due to infection
originating in the respiratory tract, skin, or urinary tract.
Diagnosis
For all elderly patients, mental status should be evaluated at each regular
checkup and whenever a change in mental status is suspected.
The Folstein Mini-Mental State Examination is most commonly used.
The patient's appearance should be observed because it may provide clues
(eg, poor hygiene) that confirm poor judgment or difficulty with some daily
activities.
If dementia is diagnosed, the cause of the dementia is identified, and
potentially reversible contributing factors are sought.
Diagnosis can be done by Diagnostic and Statistical Manual of Mental
Disorders, Fourth Edition Text Revision (DSM-IV-TR)
Other testing:As per the underlying cause.
Thyroid functions and vitamin B12
Routine use of CBC
Renal function tests
Liver function tests
Electrolyte and albumin measurement
Cerebrospinal fluid (CSF) - for evidence of infection.
Non contrast CT or MRI
Positive emission tomography (PET)
Single-photon emission CT (SPECT)
Homeopathic treatment for Dementia
• Physician should usually disclose the diagnosis to the patient.
• If the patient has difficulty understanding, the physician may talk with
family members first
• Correction of contributing factors: Treatment or elimination of all potentially
reversible contributing factors may substantially improve daily functioning
and quality of life and may delay severe disability and institutionalization. The
5. drug of choice is usually an SSRI
• Environmental measures: The next step is to create an appropriate, safe,
and supportive environment in which patients can function optimally.
• Nursing-home care: Nursing homes should be designed to reinforce
orientation and to be cheerful; they should provide regular low-stress activities
and minimal new stimulation
• Drugs: Eliminating or limiting drugs with CNS activity often improves
function. Sedating and anticholinergic drugs, which tend to worsen dementia,
should be avoided.
• Caregiver support is important factor.
Document Source: http://www.mindheal.org
Mindheal Homeopathy is a leading homeopathic treatment center in Mumbai,
India.