Dementia
On this page:
- About Dementia
- Signs and Symptoms of Dementia
- Causes of Dementia
- Seeing a Professional
- Tips for Talking With People Who Have Dementia
- Other Resources
About Dementia
Dementia causes memory loss and other thinking problems that make it hard for the person to remember important information, solve problems, or plan their day. Everyday tasks like getting dressed, taking medicine, and paying bills may be harder to do.
Most types of dementia get worse over time and do not have a cure. Alzheimer’s disease is the most common type of dementia.
Signs and Symptoms of Dementia
In most cases, dementia starts with memory loss. As time goes by, other signs and symptoms develop, including
- distraction;
- forgetfulness and confusion;
- trouble setting goals and making plans;
- trouble understanding conversations;
- trouble telling others what they want and need;
- personality changes;
- depression; and
- trouble eating and swallowing.
By the final stages, people with dementia may not be able to feed themselves, walk alone, or speak clearly.
Causes of Dementia
Dementia itself is not a disease. Different brain diseases cause dementia. Some of the conditions that can cause dementia are
- Alzheimer's disease;
- multiple small strokes;
- Lewy body dementia;
- frontotemporal lobar degeneration;
- Parkinson's disease; and
- Huntington's disease.
Infections and reactions to medicine can cause symptoms that are like dementia. This is called pseudodementia. These symptoms may go away after treatment.
Seeing a Professional
Testing for Dementia
See a doctor if you have concerns about a loved one or about yourself. The doctor will run tests to see if there is another cause for the problems you’ve noticed. See an audiologist for hearing testing. Hearing problems can make a person seem confused. Hearing loss may also put a person at risk for dementia.
An SLP can test speech, language, and thinking skills. The SLP can also look at eating and swallowing functions, if those become a problem.
Treatment for People With Dementia
The goal of treatment is to maintain quality of life of the person with dementia for as long as possible.
Certain medicines can slow down dementia, but they do not make it go away. Treatment for memory and other thinking skills can keep symptoms from getting worse. SLPs help a person with dementia stay as independent as possible. They may work on attention, memory, problem solving, and higher-level thinking skills. Some strategies that the SLP may teach a person with dementia include
- practicing different ways to remember important information;
- using written words or pictures to help complete tasks;
- making "memory books" to help remember personal information;
- training family members and care partners on how to communicate better with the person with dementia; and
- developing daily routines.
The SLP can also work with a person with dementia to make sure they can eat safely. This may include eating different types of foods or eating in different ways. Family members and care partners can support the person with dementia to make sure that they eat enough.
Tips for Talking With People Who Have Dementia
You can help a person with dementia by doing the following things:
- Repeat important information to help them stay focused.
- Speak slowly and clearly.
- Give choices instead of asking open-ended questions. For example, ask, "Would you like coffee or tea?" instead of "What do you want to drink?"
- Keep information and questions short and simple.
- Use written words or pictures to help with tasks. For example, post pictures that show how to get dressed, or write down the steps for how to prepare a simple meal.
- Remind the person about appointments or when to take medicine.
- Remove distractions, like the television, when in conversation.
Family members and other caregivers may want to join a support group. Support groups can offer ways to handle the stress of caring for someone with dementia. Adult day care centers or services can also help. They can care for the person with dementia while family and care partners take some time for themselves.
Other Resources
Other resources on dementia are listed below. This list does not include every website on this topic. ASHA does not endorse the information on these sites.
To find an SLP near you, visit ProFind
