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Understanding dementia

Understanding dementia

At this stage of our lives, we have more opportunity to devote time to ourselves and the things we like to do. With much of the responsibilities of caring for our families and/or our busy working lives behind us, we can enjoy life at a more leisurely pace.

We would also begin to experience normal age-related memory changes such as occasionally misplacing things. However, if the bouts of forgetfulness are persistent and other cognitive declines appear (e.g. forgetting how to go home despite taking the same routes for years), they may be signs of dementia.

As dementia can affect our lives greatly, it is important to learn more about this topic.

What is dementia?

What is dementia

Slight changes in memory may occur naturally as we age, be it simple forgetfulness or delay in recalling names, dates, and events. Experiencing small memory lapses and becoming forgetful does not necessarily mean that we have dementia.

Let’s learn about the common misconceptions about dementia:

But did you know?
Dementia is not a part of normal ageing. It is an illness that affects the brain, leading to progressive memory loss, decline in cognitive abilities (relating to the processes of thinking and reasoning), and personality changes.
In normal ageing, a person may still be able to:
  • Go about their daily activities and function independently, despite occasional forgetfulness
  • Make decisions
  • Recall and describe significant events
  • Engage in conversations with others
On the other hand, a person living with dementia may find it challenging to carry out these activities.
Dementia is a natural part of ageing.
But did you know?
There are different types of dementia, each with different causes and symptoms.
Alzheimer’s Disease is one type of dementia.
The different types of dementia have something in common, i.e. changes happening in the brain.
Dementia is the same as Alzheimer’s Disease.
But did you know?
There are things we can do to lower the risk, or to delay the onset of dementia:
  • Be physically active and exercise regularly
  • Keep blood pressure at a healthy level
  • Monitor blood glucose if we have diabetes
  • Eat a balanced diet
  • Quit smoking
  • Go for regular health screening
  • Refrain from heavy alcohol intake
  • Be socially engaged
  • Sleep well
  • Stimulate our minds by playing strategy games and puzzles or learning something new such as:
    • playing a musical instrument
    • trying to eat with the hand we don’t usually use
    • taking a new route home
    • breaking an old habit
There is nothing we can do to prevent dementia.

How does dementia affect us?

Dementia is the name for a group of brain disorders that result in the loss of intellectual abilities such as memory and reasoning. It is a syndrome with a group of symptoms that doesn’t have a definitive diagnosis. Adults of any age can be affected by dementia.

Based on the Well-being of the Singapore Elderly (WiSE) nationwide study by the Institute of Mental Health (IMH), 1 in 10 people aged 60 years and above has dementia. Those with dementia may gradually find the following challenging:

Thinking and reasoning

Thinking and reasoning

Problem-solving and making judgements/reasoning

Problem-solving and making judgements/reasoning

Remembering new information or recalling recent events

Remembering new information or recalling recent events

Learning new information and skills

Learning new information and skills

Recognising familiar faces and items

Recognising familiar faces and items

Finding the right words to communicate

Finding the right words to communicate

There are different types of dementia, some common ones include:

Different type of dementia

Signs and Symptoms

Look out for the common signs and symptoms of dementia in these areas:
Activities of daily living

Activities of daily living

Behaviours

Behaviours

Cognition

Cognition

Disorientation

Disorientation

Diagnosis

For those who have noticed signs of dementia and are unsure where to get a diagnosis, watch this video to learn more.


To address our concerns, the first person we can go to is our family doctor at the polyclinics or nearby general practitioner (GP) clinics. He or she may then refer us to the relevant specialists:

  • Neurologists: Specialising in disorders of the brain and nervous system
  • Geriatricians: Specially trained in treating older adults, especially those aged 65 and above
  • Geriatric psychiatrists: Focusing on prevention, evaluation, diagnosis, and treatment of mental health disorders in the elderly
Treatment

Memory clinics

Get a diagnosis at one of the memory clinics listed below. A polyclinic or a CHAS GP referral is required for subsidised fees.

Treatment

There is currently no cure for dementia but there are medicines to help with dementia symptoms. Counselling, behavioural therapies, and education can also improve care for patients and their families. Learn about the medications that may be used to treat dementia:

Acetylcholinesterase inhibitors

Used to treat the mild to moderate stage of the disease, these inhibitors aim to maintain our ability to be mentally active. Possible side effects include vomiting, nausea, diarrhoea, and anorexia.

Memantine hydrochloride

Used to treat moderate to advanced stages of the disease, it generally has minimal side effects and can be used on its own or in combination with Acetylcholinesterase inhibitors. It is also used as an alternative for those who are less tolerant of Acetylcholinesterase inhibitors.

Supplementary resource

Find out more about dementia from DementiaHub.SG, the one-stop resource for persons living with dementia and their caregivers. It seeks to equip persons living with dementia, caregivers, care professionals, and members of the community and corporations, with the most relevant, comprehensive, and up-to-date information from evidence-based research to enhance the quality of life of persons living with dementia.

Supplementary resource
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