Question

Can you help me with a discussion response to a classmate? Thanks.

Questions:

Compare and contrast Alzheimer's and normal age-related memory changes. Due to the increasing older adult population, AD rates will increase. However, the etiology of it is not well understood and there are no effective treatments.   What would you suggest for decreasing the risk to AD, slowing the rate of AD or living with AD? How are the families of AD patients affected and what would you suggest to lessen the physical and emotional stress of caring for an AD older patient? How can this issue be addressed at a societal or community level to reduce the risk of AD or assist those with AD?

Assume that you are a physician who primarily sees older adults. How would you diagnose depression and anxiety and which treatments do you think are the most effective and why?

The article "The State of Mental Health and Aging in America" presents various maps which illustrate the distribution of mental health problems, such as depression, anxiety, life satisfaction and frequent mental distress. Why do you think that certain states higher rates? Why do women have higher rates than men of the same age? Why do Hispanics have a higher rate than whites? If this is to be addressed as a public health issue, what social policies or program would be helpful in addressing mental health problems among older adults.

Classmates answer:

With normal age-related memory loss, recalling details from a conversation that took place over a year ago may be difficult. With AD, recalling details of recent events is difficult, if not impossible. With memory loss, the names of acquaintances may be forgotten. With AD, family and friends are forgotten. With memory loss, the individual notices that something is wrong and worry, while relatives aren't concerned. With AD, friends and family members are worried about the loss of memory while the individual is oblivious. AD can also cause dramatic personality changes as well as an increase of aggressive behavior.

Ways to decrease the affects of AD are to maintain as healthy of a lifestyle as possible and to cut down on stress. Excerising, getting plenty of sleep and learning new things that may help. There are no current ways to slow down the rate of progression of AD. For people living with the disease, they should keep a routine, put things in the same spot all the time so that they are easily found, and they should repeat information in order to help remember it. Families of people with AD tend to be stressed, and have feelings of guilt, anger and grief. The guilt is knowing that they need to be taken care of. The anger stems from knowing that the person should be able to remember things and they are unable to do that, and there is a lot of feelings of grief involved because caregivers have to watch the ones they love slowly dwindle away. Or deal with not being recognized by someone that they love and hold dear. This is a problem that society has to deal with and I think the best way to provide community assistance is to make sure that people suffering from AD able to be cared for. One of the ways would be financially. Making sure that families have what they need to care for ailing relatives should be something that everyone is concerned about.

I would diagnose stress and anxiety by having the patient describe the thoughts that they are having on a daily basis. I would ask if those thought are preventing them from going about their daily lives normally. From the map it looks like states that are mostly surrounded by water and are on the east coast are in the majority of those who don't feel like they can get help when they need it. If I could guess I would say that those states probably have a higher cost of living and maybe the people that live in those states may have lower income and feel as though they can't get help. The only other thing that I notice is that most ofthose states are larger, so maybe they just do not have access to people or the help they need.

Women have higher rates of anxiety and depression because they have more stress. Hispanics have a higher rather than whites because they have more stress. I think counseling and medication are both helpful for dealing with anxiety and depression. Sometimes depression is due to a chemical imbalance, and sometimes that requires medication. I think counseling is also very important because getting to the root of the problem is how you help to solve it. Counseling can help to determine if there is a underlying issue that needs to be addressed.

Answer 1

Answer: Alzheimer's disease is a progressive disease in which recalling details of recent events is difficult.

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