SAANS interesting Case series:One should not simply call progressive dementia without attempting good comprehensive CBT and Rehabilitation therapy




§  This is a 70 year old vascular dementia presented behavioural and personality changes. There was a history of huge psychological trauma when he suddenly lost his young son. He is diabetic with early nephropathy changes. He had a old CVA and presented with altered sensorium and hyponatremia.  His glycemic  control was good .He responded to sodium correction and improving with our SAANS Rehab and Cognitive Behavioural Therapy. Unlike literature he is stable and improving. Our dementia protocol includes cognitive testing images, muscle reconditioning, nutritional intervention  and occupational therapy. We used Cognitive stimulation through Visual cues, reminders, problem solving, activity planning and functional therapy to improve ADLs. SAANS breathing techniques used to improve his endurance.

v Our take:
 One should not simply refer and call progressive dementia without attempting good comprehensive CBT and Rehabilitation therapy

Types of dementias that progress and aren't reversible include:


Ø  Alzheimer's disease.  Alzheimer's disease is the most common cause of dementia. plaques and tangles are often found in the brains of people with Alzheimer's Certain genetic factors might make it more likely that people will develop Alzheimer's.
Ø  Vascular dementia. This second most common type of dementia occurs as a result of damage to the vessels that supply blood to your brain. Blood vessel problems can be caused by stroke or other blood vessel conditions.
Ø  Lewy body dementia. Lewy bodies are abnormal clumps of protein that have been found in the brains of people with Lewy body dementia, Alzheimer's disease and Parkinson's disease. This is one of the more common types of progressive dementia.
Ø  Front temporal dementia. This is a group of diseases characterized by the breakdown (degeneration) of nerve cells in the frontal and temporal lobes of the brain, the areas generally associated with personality, behavior and language.As with other dementias, the cause isn't known.
Ø  Mixed dementia. Autopsy studies of the brains of people 80 and older who had dementia indicate that many had a combination of Alzheimer's disease, vascular dementia and Lewy body dementia.


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