
07-22-2022, 12:54 AM
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Join Date: Mar 2015
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Quote:
Originally Posted by ThirdOfFive
There are many kinds of dementias, all with some similarities but with significant differences as well. Alzheimer's is the most well known but it is far from the only one. Progressive dementias include Lewy body dementia, Vascular dementia, Frontotemporal dementia, mixed dementia, etc. Other types include Parkinson - related dementia, dementia related to head trauma, Creutzfeldt-Jakob disease, dementia caused by long-term alcohol abuse (often reversible to an extent) etc. etc.
The post to which this response is directed contains a blanket statement that could not be further from the truth, that "They belong in assisted living facilities and should not be out on the streets creating disturbances." Nothing could be further from the truth. No dementia is a static condition that has a totally predictable pattern of progression. In many cases a person with dementia is at his or her most functional early in the day; things may get worse as the day progresses. Not all dementias involve delusionary behavior (the subject of the OP in my opinion). Not all functions are impacted equally: my dad had Parkinson's - related dementia which meant, among other things, that he suffered from delusions and hallucinations but the part of his mind having to do with numbers and figures was a sharp as it ever was. And so on.
I'll give odds that any one of us, if we're out and about, encounter at least twenty people a day with a dementia of some type or other, at some stage of advancement. Just like persons with developmental disabilities, most people afflicted are perfectly capable of functioning in society; some with no help at all, others with varying degrees of assistance. If a person with dementia has difficulty handling emotions to the point of irrational anger, or some other manifestation that puts the person at risk, then he or she should be accompanied by a companion who knows the risks and helps the person avoid situations where it could become a problem. There are medications that help with behavioral manifestations as well as slowing (at times even improving) the cognitive decline.
These people, unless there is definite evidence that their behaviors are going to cause significant problems or will result in a definite danger to themselves or others, BELONG out in society. It helps them hang on to various skills, assists in combating depression, and helps keep them functional for as long as possible. If we're inconvenienced by that from time to time--so what? There, but for the grace of God, go any one of us.
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AMEN and AMEN! And yes I am shouting. As a retired RN who spent30+ years working with Assisted Living and Memory Care Communities we are still so unenlightened regarding this devastating disease. This is the cruelest disease of all. Just ask families who have cared for a loved one until the end. Why is it the cruelest? Because you lose them twice.....once when they no longer recognize you and again when actual death comes. Patients and families deserve help in any way that we can assist. Even if it does "annoy" you or takes a tiny bit of your enjoyment away. Be kind..be patient....give another broken human being a chance to experience a little joy, even if it doesn't turn out that way. Thanks for reading.
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