Dementia is a collective term for disorders in which the higher intellectual
power’s deteriorating. Dementia literally means “de-mindedness, spiritual
degeneration ” Dementia is not a disease but a combination of symptoms that together form dementia syndrome.
Dementia is often associated with old age, but is not inevitable.
due to old age. Most over-65s function well mentally. However, certain cognitive capacities are not as good as in younger years. Which is a natural process.
In dementia, thinking, orientation ability, understanding, learning and
judgement and use of language less, while the consciousness remains clear.
Acting independently and taking initiatives are made more difficult and touching
below the previous level. Also personality and behavioural changes
may occur, such as the enhancement of character traits.
Often a person becomes disoriented in time and/or place and goes social.
lost skills. Many patients develop symptoms of depression.
In the final phase of the disease process, the patient is very much in need of help and
he/she no longer recognizes his/her family and surroundings.
Just some numbers:
❖ More than 260,000 people in the Netherlands have dementia.
❖ Of these, 12,000 are under the age of 65.
❖ More than 70,000 of these live in nursing or care homes.
❖ More than 150,000 of these have not yet been diagnosed.
❖ Every hour four people in the Netherlands suffer from dementia.
❖ In 2050 we will have 500,000 dementia patients.
❖ One in ten fifty-year-olds has the Alzheimer’s protein.
❖ 6% is older than 60, 20% is older than 80.
There are multiple types of dementia:
- Alzheimer’s disease
- Vascular dementia
- Mixed form
- Fronto-temporal dementia
- Lewy-body dementia
In addition to the above-mentioned ‘main forms’ of dementia, there are almost fifty other diseases that can lead to dementia:
Parkinson’s disease, Korsakov’s syndrome, Huntington’s disease, Creutzfeldt’s disease – Jacob and Down’s syndrome.
About 70 percent of people with dementia have Alzheimer’s disease. People with Alzheimer’s are often the first to notice the memory problems. Alzheimer’s disease causes accumulations of a certain protein, betaamyloid, in the nerve cells of the brain. It is thought that these accumulations affect the nerve cells and the connections between these nerve cells. As a result, the brain no longer functions properly.
We can roughly divide the disease into 4 different phases:
The I threatened (phase / stage 1):
Short term memory loss
Thinking is slower
Language use is less good
Reduced social adaptability
Disease awareness, but no disease insight.
I got lost (phase/stage 2):
Memory disorders more and more extensive
Lives more in the past
Orientation gets more and more disturbed
Motor restlessness and wanderlust
Reversal of the day and night rhythm
The world of experience is being reduced
Motorcycle visibly deteriorates
Movements are no longer targeted
The hidden I (phase/stage 3):
Still contact possible
Hardly conversa5e possible
More through touching, eye contact, repeating words.
The recessed I (phase/stage 4):
Completely dependent on others
Ability to chew and swallow is lost
Memory and language are minimal
Communication is severely disrupted