Occupational Therapy Role in Alzheimer's Disease

Category: Health

By Dr.Beniel Raja



Alzheimer's disease is a progressive, neurodegenerative disease that slowly destroys memory, thinking skills, and eventually, the ability to function. It is the most common cause of dementia, a general term for the decline in mental abilities that affects memory, thinking, reasoning, and behavior.

CAUSES:

The exact cause of Alzheimer's disease is unknown, but it is believed to be caused by a combination of genetic and environmental factors. Some of the risk factors for Alzheimer's disease include:

Age: The risk of Alzheimer's disease increases with age, especially after the age of 65.
Family history: Having a parent, sibling, or child with Alzheimer's disease increases your risk of developing the disease.

Down syndrome: People with Down syndrome have a higher risk of developing Alzheimer's disease.
Head injury: A severe head injury can increase your risk of developing Alzheimer's disease later in life.

SYMPTOMS:
  • Memory loss, especially forgetting recent events or conversations
  • Difficulty with planning and problem-solving
  • Problems with language, such as trouble finding the right words or understanding what others are saying
  • Changes in mood or personality, such as confusion, agitation, or anxiety
  • Loss of interest in activities that were once enjoyed
STAGES:

Early stage:

This stage is often referred to as mild cognitive impairment (MCI).

People in this stage may experience:
  • Mild forgetfulness, especially of recent events
  • Difficulty with planning and problem-solving
  • Changes in mood or personality
  • Loss of interest in activities that were once enjoyedMiddle stage:
  • As the disease progresses, symptoms become more noticeable and interfere with daily activities.
People in this stage may experience:
  • More significant memory loss, including forgetting names of close friends and family members
  • Difficulty with communication, such as trouble finding the right words or understanding complex sentences
  • Difficulty with reasoning and judgment
  • Changes in personality, such as becoming withdrawn or suspicious
  • Needing assistance with daily tasks, such as dressing, bathing, and eating
Late stage:

In the late stage, people become completely dependent on others for care.

They may experience:
  • Severe memory loss and confusion
  • Inability to communicate effectively
  • Difficulty swallowing and eating
  • Loss of bladder and bowel control
  • Increased risk of infections and other health problems
MEDICAL TREATMENT:

There is no cure for Alzheimer's disease, but there are medications and treatments that can help manage the symptoms and slow the progression of the disease.

These include:
  • Cholinesterase inhibitors: These medications work by increasing levels of acetylcholine, a chemical messenger in the brain that is important for memory and thinking.
  • Memantine: This medication works by blocking the action of glutamate, another chemical messenger in the brain that can be harmful in high levels.
  • Non-drug therapies: There are also a number of non-drug therapies that can help people with Alzheimer's disease, such as cognitive stimulation therapy, music therapy, and exercise.
  • Environmental modifications: Adapting the home environment to make it safer and easier to navigate, such as removing clutter, installing grab bars, or using adaptive technology.
  • Assistive devices: Recommending and training individuals on how to use tools and equipment that can assist with daily tasks, such as dressing aids, breachers, or communication devices.
  • Sensory integration: Using sensory experiences to improve cognitive function, reduce anxiety, and promote engagement.
  • Cognitive rehabilitation: Implementing strategies to improve memory, attention, problem-solving, and communication skills.
  • Motor skills training: Addressing physical limitations and promoting strength, balance, and coordination to maintain mobility and independence.
  • Therapeutic activities: Engaging individuals in meaningful activities that provide cognitive
  • stimulation, social interaction, and enjoyment

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