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How severe is your Alzheimer's disease?

For how many years have you had Alzheimer's disease?

What limitations of activities of daily living (ADL) are you experiencing associated with your AD?

Are you suffering from any other diseases apart from Alzheimer's disease?

What medications are you taking?

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How severe is your Alzheimer’s disease?

Alzheimer’s disease causes dementia (the loss of intellectual and social abilities severe enough to interfere with daily functioning) and can arbitrarily be divided into “mild”, “moderate” and “severe” stages. This is a progressive disease effecting a patient’s functional status, cognitive status, and behavioral symptoms (see “limitations of activities of daily living” below).

For how many years have you had Alzheimer’s disease?

Although it may take decades for Alzheimer’s disease to develop, a tentative diagnosis can usually only be made during the mild and/or moderate stage of the disease. The progression from a moderate to a severe stage may take 4-6 years.

What limitations of activities of daily living (ADL) are you experiencing associated with your AD?

  • Functional status – feeding, bathing, dressing, mobility, toileting, continence, ability to manage finances and medications.
  • Cognitive status – orientation (person, place and time); long-term memory; short-term memory; attention and calculation; short-term verbal recall; naming; repetition; 3-step command; reading; writing; abstraction; visuospatial, acute confusional state.
  • Behavioral symptoms – anxiety, apathy, depression, agitation, aggressive behavior, psychotic symptoms.
  • Living arrangement – care needs.

Are you suffering from any other diseases apart from Alzheimer’s disease?

As with many elderly patients other comorbid medical conditions, such as heart failure, chronic obstructive pulmonary disease, osteoarthritis, and/or diabetes, may also be present.

What medications are you taking?

Razadyne® (galantime), Exelon® (rivastigmine), Aricept® (donepezil) are cholinesterase inhibitors are prescribed for mild to moderate AD to slow down AD-associated symptoms. Nameda® (mematine), a N-methyl D-asparate (NMDA) antagonist, is prescribed for moderate to severe AD to delay progression of the disease.

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