Dementia Care

 

Best Doctor For Dementia Treatment is Available At Amrutvel Vyasanmukti Kendra Rehab

Let us clarify that Dementia is not a specific disease rather it is a mental condition whereby a person loses their ability to think and process information in a coherent manner. The best way to recover from Dementia is by contacting dementia treatment in Pune, India.

What are the major causes of dementia?

As per the best doctor for dementia treatment, Dementia is not directly caused by a single factor. It is a product of a number of causal factors:

Damage to brain cells

An accident where the head of a person is affected stands a chance of suffering from dementia. Various regions of the brain are responsible for activities like thinking, movement, judgment, etc. and the inability of the brain cells to communicate disrupts these processes.

Underlying mental illnesses

Depression if left uncured or unattended then it might affect the person’s ability to make decisions and in turn, contribute to dementia.

Excessive alcohol or substance use, age, genetics, and more

According to the best dementia treatment centre in pune, India there are multiple reasons that lead to brain damage and are a risk factor for dementia. Old age is one of the most prominent factors making a person suffering from Dementia.

Degenerative neurological diseases

Alzheimer’s disease, Parkinson’s disease etc. are also contributors to dementia. Vascular disorders affect the flow of blood in the brain that may disrupt its proper functioning.

Do you have these symptoms? Contact Amrutvel Vyasanmukti Kendra Rehab for dementia treatment in pune

People with dementia face a general problem of dealing with daily simple activities. They find difficulties in thinking and remembering information. Following are some symptoms you should look out for:

Treatment of Dementia at dementia care centres in Pune India

While dementia cannot be completely cured, there are ways of keeping this condition in control to the extent it does not hamper the normal functioning of your daily life:

Medication

Although there is no direct medicine that can cure dementia, one can use medications for other underlying mental illnesses like depression or anxiety that are causal factors of dementia. Taking anti-depressants or sleeping pills might offer temporary respite.

Contacting old age home in Pune India

Therapy can be a great way of finding the cause of dementia and treating it properly. There are a number of therapies that you can try by visiting our dementia care of old age homes spreading across India

Cognitive Stimulation Therapy

It helps patients with mild dementia. It involves a group activity where everybody participates in mentally engaging activities like singing, talking, cooking etc.

Reminiscence Therapy

It helps in extracting information from the patient about their past. By using music that they loved or a photograph, this kind of therapy tries to bring forth responses from the forgotten past.

Changing lifestyle

Reducing alcohol intake, staying active, eating healthy, taking care of mental health, and having a proper sleep schedule also helps in the treatment. This is one of the reasons dementia patients should get admitted to the best old age home in Pune. At the centre they get best-in-class care and treatment for dementia.

What are the ways to prevent dementia?

Preventing dementia has no one cut way but you could try the following methods to be safe:

As per the best doctor for dementia treatment, preventing dementia is difficult but taking proper measures and being prepared is the least we can do.

The Amrutvel Vyasanmukti Kendra Rehabilitation Centre Has Been At The Forefront Of Dementia Care In Pune

We have started a new facility of 100 beds for care & treatment of Dementia ; Neurologically disable patients.

As a dementia care thought-leader we have been passionately motivated to continually innovate and advance our standards of care. Encouraged by an ever-increasing urge to serve those afflicted by dementia better we have started a new facility of 100 beds, at our dementia care centre in Pune. This immaculate dementia treatment facility will further endorse our endeavour of providing the highest possible quality of life to our residents through a range of highly personalized and meticulously curated specialized dementia treatment and care programs in Pune based around the needs of each particular individual.

How common is Dementia? It is estimated that 44 Million people in the World have Dementia today. Every 70 seconds someone develops Alzheimer’s disease.

 

We at The Amrutvel Vyasanmukti Kendra Rehabilitation Centre provide dementia treatment with care, compassion and dignity in a true home like setting to the senior members of our society at our dementia care centre in Pune. We believe that they should live out their golden years with dignity and respect, remain active and involved in their community to the best of their ability and be surrounded by friends. With this in mind, during their dementia treatment, we provide consistent observation and assistance to them, right from their daily activities to recovering certain physical and cognitive functions.

We have special equipment’s like flower beds, bed pans& pots, walkers, traction sets, nebulizer, ECG machines, oxygen cylinders, airways, emergency medicines. For the bed-ridden patients in our dementia care centre airbeds, wound dressings, bed sore care are also available.

 

       

Why early Diagnosis & Treatment

Most types of Dementias can’t be cured but, if detected early there are various ways to treat them or at least maintain mental functions & prevent deterioration. We at our dementia care centre at the Amrutvel Vyasanmukti Kendra Rehabilitation Centre, Pune place great importance on the early and accurate diagnosis of a patients dementia, so that we can help him face his lifelong ailment better and faster.
Also if there is an early diagnosis, person can plan their own treatments & future. They can find out the right people, hospital & authority of their property, to lead a fulfilled life. There is strong evidence that early diagnosis helps the patient to live independently in their own home for longer, thereby resulting in substantial savings on long-term care costs. Drug and non-drug treatments can also prove to be more effective. Early diagnosis also beneficial in improving cognition and help in sustaining self-esteem and treating depression. Also some of the dementia symptoms are reversible if detected early and can be treated to help reduce the severity of dementia symptoms. Also there are some Treatable Causes that are treatable.

# Depression Brain Infections Brain Tumors
1 Hypothyroidism Vit B12 Deficiency Vit D 3 deficiency
2 Head Injuries Over medications Normal Pressure Hydrocephalous
 

Alzheimer’s Dementia

Alzheimer’s Dementia is a degenerative brain disease and it’s the most common form of Dementia. Alzheimer’s is a type of dementia that affects memory, thinking and behavior. Around 70% of patients are having this type of Dementia. It increases with age. There is loss of Brain cells due to formation of Plaques; Neuro fibrilary tangles which lead to shrinkage of Brain. The Gray matter of our brain is responsible for thoughts, Memory, higher functions like calculation, Planning; organization etc. Due to loss of neurons in these areas lead to deterioration of these functions. Alzheimer's has no current cure, but treatments for symptoms are available. Although we know that the current Alzheimer's treatments cannot stop Alzheimer's from progressing, we at our dementia care centre give these treatments so that we can temporarily slow the worsening of dementia symptoms and improve quality of life for those with Alzheimer's and their caregivers.

Vascular Dementia

This is the second most common form of Dementia. It’s estimated that around 15-20% of all dementias are due to Vascular Dementia. It’s caused by reduced blood supply to the brain, i.e. Stroke. It may be hemorrhagic or occlusion of blood vessels. Because of it Brain cells die creating problems with reasoning, planning, judgment, memory and other thought processes. Atherosclerosis is the main reason for these types of Dementias. Type I diabetes, high blood pressure, high cholesterol and smoking increases its risks. Vascular Dementia disease and Alzheimer's disease often occur together. There’s currently no cure for vascular dementia and there’s no way to reverse any loss of brain cells that happened before the condition was diagnosed. But if found at an early stage, we at our dementia care centre in Pune administer this dementia treatment so that we may be able to stop the patient’s dementia from getting worse or at least slow it down.

Dementia with Lewy Bodies

Lewy bodies are small, circular lumps of proteins that develop inside the brain cells which causes disturbances in neurotransmitters, acetylcholine, dopamaine. It is the third most commoncause of dementia after Alzheimer’s Dementia and Vascular Dementia, accounting for 5 to 10 percent of the cases. It leads to problems with thinking, movement, behavior, and mood. It is a progressive disease, meaning symptoms start slowly and worsen over time. In the later stages of the disease, patients often depend entirely on others for assistance and care. There are also symptoms of Parkinsonism in this Dementia such as shaking, tremors, slowness & rigidity. While Lewy body dementia(LBD) currently cannot be prevented or cured, some symptoms may respond to treatment for a period of time. We at Jagruti Rehabilitation Centres, dementia care centre nevertheless devise a comprehensive dementia treatment plan that involves medications, physical and other types of therapy, and counselling so that those symptoms respond positively to our dementia treatment. Our skilled care team often suggests ways to improve the quality of life of both the person with LBD and their caregivers.

 

Fronto-Temporal Dementia

Frontotemporal dementia is an umbrella term for a group of uncommon brain disorders that primarily affect the frontal and temporal lobes of the brain. These areas of the brain are generally associated with personality, behaviour and language.In frontotemporal dementia, portions of these lobes shrink (atrophy). Signs and symptoms vary, depending on which part of the brain is affected. Some people with frontotemporal dementia have dramatic changes in their personality and become socially inappropriate, impulsive or emotionally indifferent, while others lose the ability to use language properly.It is also called as Early Onset Dementias as they start at early age i.e. before 65 years of age. Usually these types of Dementias are rapidly progressive and may cause death within few years of its diagnosis. Usually these are genetically transmitted and found in families. Your risk of developing frontotemporal dementia is higher if you have a family history of dementia. There are no other known risk factors. There is currently no treatment for Frontotemporal dementia but there are treatments that help control some of the symptoms for years and we at our dementia care centre administer those very same dementia treatments to control and delay as much as possible the severe symptoms of dementia.

 

Rare causes of Dementia

  • Huntington’s disease
  • Progressive Supranuclear Palsy
  • Cortico-Basal Degeneration
  • Metal Poisoning e.g. Lead
  • Addiction Dependance
  • Medications like steroids
  • Vitamin Deficiency
  • Head Injury
  • Normal Pressure Hydrocephalus
  • Hypothyroidism
  • Wilson’s disease

 

Memory Loss

Usually recent memory loss is remarkable. Patient may forget names, routes, passwords etc. But on the other handhe 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, have Difficulty in finding words, Changes in personality & behaviour, Depressive symptoms, may show a loss of interest. Early symptoms are often mild, called as cognitive impairment, slowly get worse. This is the right time to treat patients with current medications and we at our dementia care centre at Pune do just that, to delay as much as possible the advent of more severe dementia.
Some patients develop forgetfulness slowly while others develop it fast. Vascular Dementia symptoms usually develop suddenly but slowly recover & they may persist without much worsening. Dementia with Lewy Bodies develops visual hallucinations & their activities become slower as Parkinsonism increases.

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, Movement disorderssimilar to those associated with Parkinson's disease or amyotrophic lateral sclerosis (ALS)may be there.There are no specific treatments for any of the fronto-temporal dementia’s. But there are certain medications that can reduce agitation, irritability and/or depression. We at our dementia care centre administer these very same medicines as dementia treatments to help improve their quality of life.Alsowe give speech therapy to people experiencing language difficulties as they benefit from speech therapy to learn alternate strategies for communication.

Later Stages

The later stages of dementia can be a challenging time both for the person experiencing dementia and for those close to them. The patientsare likely to be morefrail.As dementia progresses, memory becomes more disturbed. Patients tend to forget names of near relatives, also the daily routine of the person may get affected. 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.

Communication

In the later stages of dementia,a person is likely to have more problems with verbal communication.They may not understand what is being said to them and are less likely to be able to respond verbally as they may have limited or no speech.We at our dementia care centre therefore place emphasis on the need to communicate with them with non-verbal communications like touch & gestures.Thereby giving the patient a lot of moral support during very difficult times.

 

 

Mobility

Dementia is a debilitating neurodegenerative disease.Gradually their movements 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 more serious problems. The more mobile a person with dementia remains, the better it will be for their health, and the easier for those around them to manage.

Incontinence

Incontinence is a symptom that develops in the later stages of dementia.Urinary incontinence, or unintentional urination, is common in people who have dementia. It can range from mild leaking to unintentional urination, occasional leakage of stool before a bowel movement or a total loss of bowel control.Actually they are not incontinent but they forget toilets &therefore pass urine & stool anywhere. Diapers may be required in such cases, but sometimes they are unwilling to use diapers & then the real problem occurs.

Eating

Eating and drinking becomes more difficult as dementia progresses. People in the later stages of dementia may experience loss of appetite & weight loss. 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.

 

Dementia Treatment

Most Dementias progress slowly & they don’t have cure. But there are some medications available which may slow the progress of the Dementia. If diagnosed earlier the results & quality of life may remain very good. Person may remain independent for long. Also we have to find if any treatable conditions like vitamin deficiency, hypothyroidism, depression, tumor, etc. are there to treat it.We at our dementia care centre in Pune fully subscribe to this view and continue to endeavour with our efforts of dementia treatment to slow down the progression of dementia in such patients.

 

Aricept (Donepezil)

This is Acetylcholinesterase inhibitor. Aricept (donepezil) improves the function of nerve cells in the brain. It is having very good results & can slow the progress of dementia. Others in this class are Rivastigmine & Galantamine.

Memantine

It’s another medicine used in combination with donepezil or as a monotherapy. It reduces cyto toxicity by acting on Glutamatergic (NMDA) receptors. Ithas also showed efficacy in slowing the progress of Dementia. Both of these medicines may reduce the Behavioural symptoms of dementia effectively.

Antipsychotics

These medicines are used to reduce the behaviour of an aggressive patient. But at Amrutvel Vyasanmukti Kendra Rehabilitation Centre, we don’t recommend them as they may cause more side effects like falls, sudden deaths, increased morbidity & confusion in patients.

Antidepressants

It’s based on more emotional than factual things. Always there is some reason for any behaviour of the patients. Eg. We have a patient Dr Potnis, she always asks when is my father coming to take me, although her father expired 20years back.We have to tell her that he will come tomorrow or we have talked with him just now and he will come. Immediately her behaviour gets stabilized for some time. If we tell her that he is expired then she will get agitated & get unmanageable.

B) Psychosocial Intervention

Psychosocial Intervention does not slow down the progression of Dementia but are helpful in managing the symptoms.

Cognitive Stimulation

It includes various activities & exercises designed to improve memory, problem solving skills & language ability. These can be used to reduce aggression, improve communication, improve eating habits, to reduce incontinence etc.

Validation Therapy

Validation therapy is a method of therapeutic communication which can be used to connect with someone who has moderate to late-stage dementia. It places more emphasis on the emotional aspect of a conversation and less on the factual content, thereby imparting respect to the person, their feelings and their beliefs.This method of communication often prevents argumentative and agitated behaviors. Validation may require you to agree with a statement that has been made, even though the statement is neither true or real, because to the person with dementia, it may actually be both true and real.

Behavioral therapy

Cognitive behavioural therapy or CBT is a talking therapy that aims to help people understand theoften missing link between their thoughts, feelings and behaviours and use this understanding to make positive changes. These therapies can be used in various difficult behaviors of a patient. E.g. If a person is having symptom of wandering, we can engage him in some activities so he will be occupied & his symptom will reduce. Also aggression can be reduced using these techniques.CBT doesn’t work for everyone but it has become a popular way of helping people to cope with anxiety, depression and other mental health problems.CBT is only relevant if you have both dementia and anxiety or depression. If you do have this combination of difficulties, it is good to start as early as you can.

Family Therapy

We at Amrutvel Vyasanmukti Kendra Rehabilitation Centre and our dementia care centres firmly believe thatFamily caregiving for dementia patients is a major social and clinical problem. Family caregivers face major stressful emotional, social and economic burdens, and the negative consequences associated with caregiving. In this regard, family-based therapy is a promising intervention for increasing social support for caregivers, and enhancing their quality of life and ability to provide care. It’s an important issue, as many have difficulty in understanding & accepting the fact that their loved ones are having Dementia and are undergoing dementia treatment at a dementia care centre. We have to address care givers burden. Many people are having depressive symptoms & helplessness. Supportive therapies work for them or respite is another good example to reduce their burden.

Challenging Behaviors

As the dementia progresses, many people develop behaviours that can be challenging. This includes restlessness and aggression.Aggression is not just about physical acts but can be shown in other ways, including verbal aggression. These behaviours can be distressing, both for the person and the carer.If a person with dementia becomes aggressive, it is important to remember that they are not ‘behaving badly’ and are not to blame. Their behaviour may be a direct result of changes in their brain, or be caused by a general health problem, such as pain from an infection. These behaviours can also reflect problems related to the care the person is receiving, or their general environment or social interactions. In this case, the behaviour is best viewed as an attempt to communicate an unmet need, rather than as a direct symptom of dementia. If a person is being aggressive, they should be assessed in the first instance to identify any possible underlying causes.We at our dementia care centresare using various psychological interventions to reduce their challenging behaviors without using antipsychotics. We carefully observe the patients undergoing dementia treatment& respond accordingly.