1. Dementia Care Jagruti Rehabilitation Centre

2. Introduction  Dementia is not a single illness but a group of symptoms caused by damage to the brain. The symptoms include loss of memory, mood changes and confusion.  Dementia is caused by diseases of the brain. There are different types of dementia including Alzheimer's disease, vascular dementia, dementia with Lewy bodies andfrontotemporal dementia Dementia types of dementia http://www.jagrutirehab.org/

3. Symptoms Of Dementia  Memory Loss  Fronto-Temporal Dementia  Later Stages  Communication  Incontinence  Eating http://www.jagrutirehab.orghttp://www.jagrutirehab.org/

4. Memory Loss  Usually recent memory loss is remarkable. Patient may forget names, routes, passwords etc. But he can remember well his days in younger age or school name or birth date, etc.  Person may get confused in unfamiliar environment & may get lost.  Difficulty in finding the words.  Changes in personality & behavior  Depressive symptoms, loss of interest may be there. Depressive symptoms  Early symptoms are often mild, called as cognitive impairment, slowly get worse. This is the right time to treat patients with current medications.  Some patients develop forgetfulness slowly while others fast.  Vascular Dementia symptoms usually develop suddenly but slowly recover & they may persist without much worsening.Dementia symptoms  Dementia with Lewy Bodies develops visual hallucinations & their activities become slower as Parkinsonism increases. http://www.jagrutirehab.orghttp://www.jagrutirehab.org/

5. Fronto-Temporal Dementia  Fronto-Temporal Dementia typically has more changes in behavior & personality than Memory. Usually these develop very quickly, may be in months.  This develops early in sixties & person may be working before onset.  Symptoms corresponding to frontal lobe like repetitive behavior, difficulty in language, Mood disturbances may be there. http://www.jagrutirehab.orghttp://www.jagrutirehab.org/

6. Later Stages  As dementia progresses memory become more disturbed. Patients tend to forget names of near relatives, also daily routine of person may get affected.dementia progresses memory  They tend to forget to eat & sleep. They can’t take care of themselves & may need assistance in everything.  They may find difficult to understand simple information, tasks or instructions. http://www.jagrutirehab.org/

7. Communication  There may be difficulty in speaking or may loss ability to speak. There is need to communicate them with nonverbal communications like touch & gestures. Mobility  Gradually their movement get restricted. They can’t move without support & may become bedbound. Sometimes rigidity may develop due to less movement. There are chances of bedsores which eventually lead to ore seriousness. http://www.jagrutirehab.orghttp://www.jagrutirehab.org/

8. Incontinence  Actually they are not incontinent; they forget toilets & pass urine & stool anywhere. Diapers may be required, sometimes they are unwilling to use diapers & then the real problem occurs. Eating  Loss of petite & weight loss is common in later stages. It’s important to give them food on timely basis, sometimes multiple times as they forget or may say I just ate. Swallowing difficulties are common, may lead to choking. Aspiration pneumonias are common. http://www.jagrutirehab.org/

9. THANK YOU Jagruti Rehabilitation Centre Manjari Farm, Pune Solapur Road, Opposite Govind Lodge, Hadapsar, Pune, Maharashtra 412307 http://www.jagrutirehab.org/