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Overview
Introduction
History Description
Impact
Etiology Risk Factors Prevention
What is Dementia?
History
Dementia Literally means without mind Referred to a variety of mental illness Senile/Senility Literally means old age Developed negative connotation due to cognitive decline associated with the elderly
History
Age related cognitive decline first recorded by
History
Plato and Aristotle (3rd century B.C.)
Mental failure in old age inevitable Elderly are useless in roles requiring high ability,
History
Cicero (2nd century B.C.)
Senile debility is not characteristic of all elderly The weak minded affected more An active mental life can prevent or postpone
History
Galen (150-200, A.D.)
Mental deterioration with age inevitable, and due
to reduced number of animal spirits and from coldness and humidity in the brain
Little progress for more than a millennium Roger Bacon (1214-1294) memory is a function of the brain cognitive decline is due to injury to the brain occurring in old age.
(Birchtold & Cottman, 1998; Boller & Forbes, 1998)
History
Dementia described by Shakespeare in literary
madness Commented on both affective and cognitive changes that occur with dementia
History
Human dissection becomes popular/acceptable
in the 1700s
Brain atrophy first observed Senile dementia classified as medical condition
(neuroses) resulting from disturbed nervous system function Senile dementia defined as decay of perception and memory in old age Cullen
History
Suspected causes for senile-dementia in the
(Esquirol, 1838)
History
In the 1860s decreased brain weight linked to
lesions caused by neurovascular events (strokes), cutting off the blood supply to the brain
1898 senile dementia differentiated from
History
1907 Alois Alzheimer using advancing cellular
staining techniques discovered neurofibril tangles, and plaques throughout the brain of a deceased 51 year old with pre-senile dementia
Auguste D. is first observed case of Alzheimers
disease
5 cases of Alzheimers Disease discovered by
1910
(Jellinger, 2006)
domains: memory, language, visuospatial skills, personality or behavior, and executive functioning
Common symptoms include forgetfulness,
Celebrities w/ Dementia
Charles Bronson
Celebrities w/ Dementia
James Doohan
Celebrities w/ Dementia
Charlton Heston
Celebrities w/ Dementia
Ronald Reagan
Dementia Pandemic
2005 24 million people with dementia globally
A new case every 7 seconds
age 65
Over 100$ billion a year for care (US)
(Mandell & Green, 2011)
Dementia Pandemic
(ASC, 2010)
Dementia Pandemic
(ASC, 2010)
Dementia Pandemic
Prognosis
2005 24 million people with dementia
A new case every 7 seconds
the U.S.