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Dementia, also known as cognitive impairment, is a chronic brain disorder caused by the degeneration of brain cells. It is common among the elderly, especially those aged 65 and above. Dementia not only affects memory but also impairs judgment, language ability, and daily self-care, posing major challenges for patients and their families.

 

 

The Relationship Between Dementia and Alzheimer’s Disease

Alzheimer’s disease is the most common form of dementia, accounting for the majority of dementia cases. Symptoms develop gradually and are often overlooked in the early stages. As the condition worsens, patients may experience memory loss, disorientation, language difficulties, and changes in behaviour and emotions.

 

Detailed Symptoms of Dementia

Typical symptoms of dementia include:

  • Memory decline: Forgetting familiar information like family phone numbers or daily appointments; missing stops when using public transport.
  • Disorientation: Difficulty recognizing locations or finding the way home.
  • Language difficulties: Trouble expressing thoughts and understanding abstract terms.
  • Decline in judgment: Poor decision-making and misplacing items.
  • Behavioural and emotional changes: Mood swings, irritability, anxiety, and loss of initiative.
  • Reduced ability in daily self-care: Needing reminders for hygiene and meals; in severe cases, incontinence.
  • Unsteady movement and increased risk of falls: Mobility declines as the condition progresses.

 

Genetic Factors in Dementia

The genetic risk of dementia varies depending on its cause. Alzheimer’s disease is a neurodegenerative condition with about one-third of patients having a family history, making genetic factors more prominent. In contrast, vascular dementia is more related to chronic conditions such as high blood pressure, diabetes, and high cholesterol, with less hereditary influence. While most patients are over 65, some cases of early-onset dementia can begin as early as age 30 to 50.

 

Early Warning Signs of Dementia

Recognising early signs helps enable timely intervention. Common warning signs include:

  • Noticeable recent memory decline.
  • Confusion about time and location.
  • Decreased ability to express and understand language.
  • Behavioural and emotional changes such as anxiety and irritability.
  • Decline in daily functioning and increased dependence.

 

Preventing Dementia

Preventing Dementia

While dementia is currently incurable, lifestyle adjustments can help slow its progression:

  • Keep the brain active: Engage in puzzles, reading, or learning new skills to stimulate brain activity.
  • Balanced diet: Follow a Mediterranean diet rich in vegetables, fruits, fish, and nuts while avoiding high-fat and high-salt foods to protect brain cells.
  • Regular exercise: Activities like walking, swimming, or yoga support cardiovascular health and reduce dementia risk.
  • Stay socially active: Maintaining close social ties and participating in leisure activities help preserve cognitive function.
  • Manage chronic conditions: Actively controlling blood pressure, diabetes, and cholesterol reduces the risk of vascular dementia.
  • Avoid harmful habits: Quit smoking, limit alcohol intake, prevent head injuries, and manage stress effectively.

 

Free Dementia Assessment Services

To promote early screening and prevention, The Chinese University of Hong Kong, in partnership with the Charles K. Kao Foundation, has launched the “Brain Health” Program. It offers free dementia screening for eligible seniors aged 60 to 80 who have not been diagnosed with dementia. The program includes an initial questionnaire, cognitive tests, and retinal scans. Those identified as high-risk will receive medical referrals and lifestyle counselling to help delay progression.

Dementia, especially Alzheimer’s disease, significantly impacts the quality of life in older adults. Understanding its symptoms, genetic risks, and early warning signs, along with adopting preventive measures and participating in early screening, can help slow its development and improve the lives of patients and their families. Free dementia assessments are an important community resource worth utilising.

 

 

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References
  • Dementia Mobile Clinic – No appointment needed, free preliminary assessment! Includes application method + April service schedule – stheadline
  • Health Assessment|Free Dementia Screening from CUHK and Charles K. Kao Foundation under “BrainCare” Programme – 656carer
  • Is Dementia Hereditary? Does It Only Affect the Elderly? – drshih

Dementia / Alzheimer's Disease: Early Signs, Symptoms, Prevention, and How to Book a Free Assessment

Daisy

02 May 2025

4 min read

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