Screening for Dementia 3: Patient Assessment 

Astrid Please don't accept it as fact. Oftentimes regulating blood sugar with a HEALTHY Keto diet, and taking the "victim" off of soy will CURE most signs of dementia and/or Alzheimer's. Soy is in most all foods now as are artificial sweeteners. Many people cannot use Stevia, but it and soy are touted as healthy. They aren't.

Yes

@@chinookvalley WTF? Lol dude Just stop. That's a dirty way to promote something

@@chinookvalley you are a terrible person. the kind of person that would feed only vegetables to their dog in order to promote veganism.

@@chinookvalley you can't cure dementia or alzheimer's, it's a cruel fucking thing. there are ways to slow down the decline of dementia but you will never be rid of it, it's the harsh truth.

At that age it can change fast. My best friends mother was 90 living on own,went out dancing,planted a garden, took day trips on own and kept house and yard spotless. She had a fall broke hip and less than a year later dead.

@@hard-truthsbetter-than-swe6543 obviously I know that, when you’re old you’re fragile. My comment was referring to dementia.

My great grandma was 95 when she began having memory problems and then 2 years later she didnt know her name or anything.

@@hard-truthsbetter-than-swe6543 that is why people go downhill. Medical care sucks.

@@noreenjackson4377 if you got a better solution to prevent death

💔

I wonder if her children really are dead, because he said she was confused about her children

I have to wonder if any of that emotional trauma has to do with her dementia. I'm no Dr, but you have to consider that maybe dementia is the mind's method of scarring over a life's-worth of pain

Jon..You are a good man! It's refreshing to see a man stating how they feel another's sorrow..Did you know Empathic people...those who have the ability to connecxst with another's feelings and walk in their shoes have a special gift from God?

@@jockoharpo2622 Empathty is something that is taught from birth and is not a gift from anything or anyone other than humanity. We all can empathise with each other unless impaired in some way.

She isnt an animal, its her human right to be treated the best. Anything less is unacceptable...

Maybe they groomed her because they knew she was being filmed that day

That's true

My dad is talking in third person in front of me, about me. He sliced me into 3 persons. All with same name. But he looks, everyday, how George Clooney will look in cupple of years, on that Oscar night.

@@joskojansa1235 Buy him a bottle of Tequila.

Yea, that was sad to hear.

aww I am gonna cry

My gma had dementia. Her awareness of time was moving backwards. She had forgotten her children and the death of her son. She thought she was staying in a hotel and was ready to go home. Home was her home 80 years ago.

No, its horrible only to those that still have kids, and are thinking of such predicament. For those that outlived their children, they dealt with it already. Them beeing alive is proof.

@@joskojansa1235 That makes no sense. Continuing to live does not mean that you've come to terms with your children dying and it's all okay now.

Yes

Yes

The patient needs them more.

Oh ok

Absolutely and the family needs help even if they don't ask.

szqsk8 it's hard I know my grandpas going though it I've been learning into this thing and he's got a quite a lot of them same things going on with him, the choking on liquids bugs me the most. But yeah fuck these trolls.

It is a horrific disease and family members who never come around suffer shame then BLaME the ONE person who saw him daily and provided food and supplies to him.

I am sorry to hear what you and your sister went through.. I am struggling with a very elderly person and deciphering whether her issues are just old age or dementia or indeed, Alzheimers ... I would like to get her whatever help there is but she needs to be assessed first and her family just think she is looking for attention.... I do not think this

szqsk8 22 years ago went through with my mother-in-law now I'm going through with my wife it's very hard on them but it's also hard on the person who's taking care of them I feel sorry for every patient that has to go through that disease.

You are absolutely right!

My father talks in front of me, about me, in third person. Took me a week, and a help from my neighbour, that I figured he sliced me into 3 persons. He even said it himself. They all have the same name. I'm one of these 3, the other is my friend taxi driver mixed with other neighbour. And third, as far as i could figure, is his childhood friend, or his brother that died age 5. And only last one is his child, but he has no contact with him... Eh...

That’s like something out of “Requiem for a dream” where an old woman had a similar experience to the one you described to to overdose of weight loss pills...

That’s what I thought. Every time my dad left the room my grandma thought he was dead. She also thought robbers were on her roof and would drive to my mom’s work, a bank, everyday and tell them my mom was stealing money. I don’t know how my parents did it if I were in their shoes I might have considered killing myself.

God love her

Hol shit, this is a awful combination. Wish you and her all the best

You’re a sweetheart. I also care for my mum with dementia and lymphoma

I am a CNA from Iowa. Music therapy is used in nursing homes all over the state. The residents love to participate.

I 100% agree and recommend it to everyone! 😊🎶

My grandmother really enjoyed music all her life and lit up when she heard it even in the later stages of dementia. People would come in to play music for the patients and she loved it

I delivered furniture into a few old folks homes and 2 of the nicer ones in my county would play 50-60s music over the intercom and everyone there seemed lively, like they didnt remember seeing you a few minutes ago but they all looked happy, jolly and well dressed.

I play gene Kelly goodmorning every day for my Dad

But she won’t honey. The medical ppl in the US target these folks to fill the beds in the nursing homes. 😞

@@syorich1403 _Someone_ needs to look after people with dementia.

@@syorich1403 I just hope no one abuses me when I get dementia and am helpless.

They remind me of some autistic kids and a profound special needs man that we look after , he has no idea of dates or what day it is and thinks he is 7 , he's 29 . Suppose it's just that parts of the brain just don't work properly . I feel so sorry for the families , my mum died at 95 and had slight dementia . Lack of stimulation l think , she was such an active lady , she needleworker knitted , painted , and was a fabulous cook , .she broke her hip and because of lack of muscle she didn't walk again and was bedridden . Have good diet ,high in protein low carbs and NO SUGAR . WALK !

Old TV’s had knobs

Fern Settle My precious Mama’s 12+ year battle with Alzheimer’s ended Christmas Eve 2014. I was with her all the time😢. She did grow sweeter every day. 🙏🏼

@@cubbylevi1764 It breaks your heart to see the person, Your Person, who taught you everything as a child, may not know who you are or may believe you are someone else. I am sorry you have that sadness to carry around. It teaches us to not take anyone for granted and to spend time with our elders while we can.

Fern Settle So sorry that you had to go through that. My father had Alzheimer's but he was in a facility and was cared for quit well. We searched many facilities before we chose the facility that he was in. I fed him lunch everyday.

I work as a care aide in the dementia unit of a LTC facility & everyday, just before I start, I ask myself how would I like to be treated & how would my family want me to be treated. Then I dig in for the next 12 hours & marvel that they actually pay me to feel the joy of caring for these amazing humans.

Cynthia Burrus LLC.qqa1aaaa

My grandmother was like that before her passing. A sense of pride devolved into flat-out screaming when other people had a conversation and she couldn't join in. Hope you will all get through this alright

Well you need to remind her to be polite. Just because you don't remember does not mean you can be rude. Remind her she is the one who si forgotting. She needs to aknowledge it.

Actually there is reasoning behind the 3 words. They address the short term memory and functionality of the person's cognitive ability. I perform MMSE's as part of my job as well as screen for dementia. It is quite interesting and very sad when I have pt's on the moderate to severe scale of a dementia rating.

My clinic uses the same 3 words every year. 😆🤣

@Hello there, how are you doing this blessed day?

I'm a fresh brain 18 year old, and I didn't even remember the 3 words

@@quantumpuddles7591 same

I can see why. It would be scary to be forced to realize your own cognitive decline.

@@quantumpuddles7591 I’m a fucking retard I thought the cannon was a wagon wheel 💀

32 here I'm pretty sure my brain is dead or at least social skills.. I can do labour work and physical activities and react to social situations but this battery of questions would have me responding the same way as Doris.. That's probably not even her name I bet

Most people wouldn’t remember the three words even young people nowadays

Apple, Penny, Table

Yea, he's good. This is would be only one of hundreds of cases he's done, some probably really sad ones. I think many people just see this small snippet and kind of jump on him because they feel an emotional attatchement to the patient, which is good but they're not seeing the big picture. He's trying to get an accurate assesment of how far along her dementia is so that she receieves the correct treatment. Pandering isn't going to help her. I think he's got an excellent bedside manner.

I agree. People are so quick to judge and criticize when they know jack shit !

I dont see any negative comments about the doctor

I do think he is good. Also 2 of my grandmas had to go through all of this in stages and they were my best friends and a very close friend of the family did too. It was very hard but they needed me and I never abandoned them. Now my mom is showing the signs. And I won't abandon her but getting my sister to admit there are problems with my mom's mind is nearly impossable to do.she sees her about once a month. I see her multiple times a week. It won't be long and mom will loose her driving skills. She already does some strange things be hind the wheel She is 78 years now. I feel like I need help from my sister with some of the difficulties that are coming. My sister lives out of state . I didn't have to make difficult choices with my 2 grandma's. My aunt's took care of them. But my mom only has my sister and I.

@@CaptApril123 What treatment? It's a degenerative brain disease that is incurable. From everything I've read all there is are drugs that might or might not slow it down but they don't stop the progression. Some people take supplements but there really aren't enough clinical trials to know for sure if they do anything. Same with brain training exercises. I don't see anything wrong with what the doctor was doing in this context, but he's really just staging the disease; not "treating" it. "Pandering" or not, it is what it is. If it had progressed even further no amount of reminding her and then quizzing her would have made any difference because gray matter is destroyed permanently. All they can really do is document it in the chart. I had a friend who developed dementia. She went from being a very nice person with lots of interests to a very cranky person who didn't want to do anything together anymore, became irritated at the mere suggestion, and ended up ending the friendship for a ridiculous reason that had nothing to do with her. At the time I had no idea why she was behaving that way. Unlike the woman in the video she really didn't show memory problems during the first year of her change. I ran into her at the grocery store about at the 2 year mark and that was when she told me she was having memory issues. She told me she had stopped all her usual activities, even getting on her computer and only went to a senior day program and that was the extent of her life. Then the previous year all made sense. She probably didn't know what was happening to make her in such a bad mood all the time either until it reached the point, developed more symptoms, and she got a proper assessment. When I knew her she used to talk to her mother by phone frequently who had Alzheimers and who was very paranoid. They got in arguments often. It is highly genetic, so I'm not really surprised that this happened to her too.

Let me tell you about my own frustration. Just when I get a handle on the date and the day of the week, unseen forces go and change them on me, sometimes overnight!

Yes absolutely not a good marker l think x

Yes or the change of month

Well I experienced a similar thing when I graduated from high school I didn’t go to college and my focus wasn’t on dates anymore…so I’d forget the day occasionally.

Exactly. You finally are not in the rat race anymore. You can enjoy your life without being tied down to a schedule. At 75 I misplace things at times. 99% of the time I back track and find it. I love picking and choosing when I feel like doing something. But I have a sister in law that is losing her memory and it breaks my heart. And she knows she is. Her adult children want her to sell her home and go into assisted living. If that was my mom I would take care of her. But they prefer her in a home. But that is not her choice. And they don't want my help. She is 84. I am almost 76. It's a very sad situation.

I've been a CNA for 15 years. That's still the hardest part of the job for me. I just love some of the characters l've taken care of over the years. One lady always called me Shirley even though she knew my name was Carrie. She said well l like Shirley better. 😆😆

Thank you for the care you give

I've worked in health care for 20 years, but my first (and favorite) health care job was as a CNA in a memory care facility. Don't stop caring. Don't stop getting attached. It's heart-breaking, but only because you care. If you didn't care, their deaths wouldn't bother you, and that would be infinitely worse. You're probably very good at what you do, and your residents probably benefit a great deal from you. Keep doing what you're doing. Keep caring. Keep loving them. They need you.

God bless you. You are a very special person!

I worked at an 49 bed SNF for two years and it was so wonderful🥰 yeah you love the clients🥰 the patient's it was wonderful 💜it was so much fun and just working with them you know and getting to know them👍💜👍

I caught that also..

I can't find it now, but there was a nursing home (or adult daycare) that designed its facility to look like a home in the 1940s/50s. It appeared more familiar to the residents, and they felt more "at home" there.

I think you may be on to something there...

@@nunyabizness3890 we should have something like this for every generation

Maybe she still has a TV like that at home?

I am SO sorry. Can they do anything?

Im here if you need a friend

I'm so sorry 😔

God bless honey

I'm so sorry to hear that.

Debbie, who’s winning?

Good question. I am, because I take care of myself, whereas my mom isn't. I have the common sense, where she doesn't. And that's why she's in the bad predicament she's in now.

Me too Debbie, its horrible

@@debbie3218 I’m sorry Debbie 😭

Hello Dear How are you doing today?

Such common sense and caring advice! My brother has bipolar and Alzheimer’s. I’m amazed and so grateful at the way my sister-in-law treats him with both kindness and patience. Since I am experiencing my own memory issues, and worry that I may to have dementia, I wonder what my future holds. My husband is very impatient and critical at times. I worry that like to need to live somewhere with memory care. I’ll just wait and see …

Same...it's super scary. Keep working that brain !

Puzzle games help keep your mind sharp. Especially ones that challenge you to find hidden things.

I read somewhere that dementia is not so much forgetting where are your keys, but what is a key. Good will to all those caring for sufferers🐈‍⬛🙏

The guy didn't ask her to remember "apple, penny, table", but then he claimed that he did ask her to remember them.

He also falsely claims to have previously mentioned he was going to be annoying lol

Carlos Alcazar i

@@lonelyquark The point is that in the span of time of one minute a normally functioning brain should have remembered. I was a RN for many years and have seen docs give as many as eight words which is a stretch without dementia especially when you throw the math in between. The goal is to learn how cognitively impaired that person is and whether that person is capable of taking care of their daily needs. If not, a plan can be put in place for the help they need.

@@towyn2060 He did say he would be annoying and they laughed about that.

Really useful comment!

Mood.

😁was just saying that Delsa. Add in living in south FL and you’ll have problems w the year, and the time of year too! As an Intern in the 90s I had to ask patients who the president was. One man said to me, “I’ve no idea. The last president I voted for was Kennedy.” He did, however, know who won the World Series that year, and the scores of the games!

Lol.... How are you and the weather there?

Lovely weather in Georgia. I just feel sorry for the lady under scrutiny by the doctor. I am a retired Caregiver in Fl. I've work with demented patients . Surely they are clever to cover their lack of memory. I miss my job. I am retired now. Hoping my memory is as sharp as my knife in the kitchen. Lol!

@@delsakelly1456 Aww, I felt so sorry for her too.... I'm from Houston Texas but currently working in Dublin Ireland with Eni oil and gas

He was a little arrogant to say "Dr Higher will do". His job is a doctor that isn't his name.I have met many doctors in my day and so many think they are above everyone else because they studied medicine.Some of them are just so rude and egotistic.They too put their pants on one leg at a time.

Slimeball ay Has dementia now

@pyrotechnic5254 Well if our own are less than stellar (I'm in the US) & the Indian ones are exceptionally smarter, I think we should hire the Indian ones.

@@janefriel6895 that is his last name- Heyer is pronounced “higher”

@@janefriel6895 his name isn't mister, but that's how you address someone.

I was trying to remember 2and 3 myself!!!!

Same here! I don't think I have alzheimer

Apple. Penny. Table.

just first 2 :)))

Apple, penny table... I get what you're saying though. We all have memory lapses and get especially anxious when it's a test.

as have i, truly heartbreaking

Oh my. She does resemble a female version of the old man. Wow!

Thanks. I was trying hard to figure out who she looks like

@@mariewheeler6522 me too until I read Andy Wasson's post.

Yes, but it is not a nice thing to say..

I thought the same thing as soon as I saw her!

margot I hope you act as a good neighbor to see that he gets someone in to do light house keeping and home care. Sometimes having someone check in can literally save their life. Maybe it's loneliness that is causing him to lose it. Depression can be a much overlooked mental illness that we are all capable of experiencing. Mental illness can come in many forms, and can often be alleviated with kindness!

How is he?

I wanted to protect her.

That’s the worst feeling to have someone you live not remember you

God bless.

+Momma Homemaker because he knows that she is impaired, he's trying to make her comfortable.

That can be because her function level is too low for her to elaborate well.

Exercise the brain to see how well it’s functioning. Whether it’s simple yes/no or longer answers it’s still making her brain work abit more.

He is asking proper questions for her level of understanding.

Yeah doctors lead the conversation and assume they have it because of what family say

Why is this part of her assessment? It's irrelevant.

.....and an attitude.

I bet it was apple you remembered!

Dood you need to go to Dr Higher right now

Joyleen Poortier Vitamin deficiency can cause that.

I have Fibromyalgia and memory loss is common but how then are we assessed!

Me too!

I have fibromyalgia & brain fog. Sometimes i get very confused, especially when im out doing things. In stores, paying bills, ect.

@@jadamills4082 how’s it going ?

#JanetFishwick. Perhaps she's decided to become that way, like a teenager.

It's possible it wasn't actually her current address.

Probably was inaccurate. Numbers are particularly hard for elderly people with brain issues.

They didn’t give the city.

HIPAA. lol It's also highly likely she signed a consent form for her information to be used for research and other educational purposes. Chances are though that the information she had given was incorrect (though obviously we don't know for sure).

@@karenmattson6750 pretty sure she says Newport

UTI's are not the same as what we are used to as younger adults. They can be deadly for them, for special needs young people as well.

It’s disorientating for the person who has dementia. They get confused and then angry, because they can’t access the information they had for decades. I’m going through it at 52. I can’t handle work or disruptions. I can’t sleep or focus.

Yes!!! The uti’s are debilitating for them.

Got it. Blessings on you. 😞

To be fair it is probably edited a fair bit to make it flow.

I was thinking the same thing, it's actually kind of upsetting. He acts very unempathetic

I'm a language interpreter .I'm called to assist with cognitive assessments fairly frequently and I have to say that I have come across doctors and nurses who sound exactly like that.I don't know if it's because they are rushed and just want to close another case but I always find it upsetting.So far I have only came across one nurse why was truly human.Most of the time is just like that clip.At least when I interpret I try to give them the dignity and respect they so deserve ..Even though I have to remain impartial I can make my voice sound caring and respectful.These types of tests are heart- breaking so it's my way of showing that I care.

@@melanie851 I perform these assessments as part of my job. The tests aren't designed to be cruel, they're designed to assess one's cognitive abilities. If they aren't done a certain way, the information obtained would not be useful. With all due respect, you are called in as a language interpreter, not as the physician/clinician assessing the patient. They are designed to be administered in a particular way to guarantee we get as much appropriate information as possible to make a proper assessment of their level of dementia (if any).

@@ajholt84 you’re missing @Zoe marsh ‘s point: assessment results are also affected by a client’s emotional state and reaction to the test. For example, when the test is given rapidly or without empathetic responses when they give an answer, right or wrong, the elder can feel embarrassed, shame or agitated. Some dementia patients have awareness of their condition and feel bad being a burden to their caregivers yet still can’t do ADL.

Hoping the best for you and your father 🙏🙏🙏

Hopefully he will never ever get it.. Think positive..say positive words to him.. If he says something like my dad had it at so may be I will get it too.. Strongly suggest that its not genetic.. Even if it is tell him a new research found that it isn't.. Give him hopes.. Make him convinced that he wont have it and he truely never get it.. Trust me!

:)

apart from genetics and lifestyle there is a third very important factor for health. luck. some people just have good or bad luck. its unfortunate but thats how it is. friend of mine is 92 , healthy and very sharp in his mind while his brother died 62 with dementia.

Try to eat a lot of red meat and exercise!!

I am sorry about your fibro, a friend has it; cannabis (illegal now legal) and hyperbaric oxygen helps.

Interesting. When you do think of it, there’s not a lot worth remembering in the entire course of life.

The same is happening with my Dad. I just recently moved back to him,to help him. He was recently diagnosed with Alzheimers, but I think it's been going on for a while now. It's sad and very trying.

Idk why he's treating the MMSE like a assessment battery.... it is a SCREENER.

Hey, how are you and the weather there?