As the Bengaluru twilight took on the shade of a dark grey, her memories grew even darker and
The 36-year familiar streets now lay unknown before her eyes. The park on her left, where her
grandson had taken his first steps grew blurry and the bougainvillea covered house on the right,
which she often envied, looked equally mysterious.
She tried with all her might to remember where she was, but only darkness danced in her mind.
Tired, confused and helpless, she clutched her unevenly buttoned sweater and wandered away
Meanwhile, frenzy and sheer agony filled the Gowda household, for no one knew where Nima
Ajji had gone away. All they knew was that the 67-year-old woman used to often forget things.
But why would she forget to leave the house without informing others? Why would she forget
to wear her slippers? And why would she not return home on time?
The truth was, they had failed to realise that Alzheimer’s—a close comrade of old age was
taking a toll on Ajji’s memory and a little extra care would have helped her to find her way
However, Nima is not the only grandma, whose old age is scarred by forgetfulness.
In India, more than a million old people have some form of dementia. While the forgetfulness
can’t be dealt away with completely, geriatrics— an exclusive healthcare focusing on old
people— helps them age actively and healthily.
The Geriatrics department at PEOPLE TREE Hospitals understands and treats various ailments of
an elderly person like blood pressure, diabetes, heart failure issues, arthritis, kidney
and even complex disorders like Parkinson’s disease, strokes, balance problems, falls,
osteoporosis and Alzheimer’s.
Dr. Dinesh Kumar has explained in a meticulous manner about the disease and its stages.
Alzheimer’s disease is the most common forms of dementia and usually affects older people. The
of the disease still not clearly understood. The most common and often earliest clinical
Alzheimer’s is selective memory impairment, although there are exceptions.
Alzheimer's disease typically progresses slowly. For our understanding we divide Alzheimer’s
disease into three general stages, mild (early stage), moderate (middle stage), and severe (late
affects each individual in a different way. The timing and severity of dementia symptoms varies
person. On average, a person with Alzheimer's lives four to eight years after diagnosis, but can
long as 20 years, depending on other factors.
Ab Alzheimer's inflicted person function independently in the initial stages. He or she may
still work and
be part of social activities. However the person may feel as if he or she is having memory
lapses, such as
forgetting familiar words or the location of everyday objects. At this stage, doctors may be
able to detect
problems in memory or concentration.
Moderate Alzheimer's is typically the longest stage and can go on for many years. As the disease
advancess, the person with Alzheimer's will require a greater level of care.
During the moderate stage of Alzheimer’s, the dementia symptoms are more eminent. A person may
have greater difficulty performing tasks, such as paying bills, but they may still remember
details about their past life.
During the latter part of moderate disease person might get frustrated or angry, or may act in
unexpected ways, such as refusing to bathe. Damage to nerve cells in the brain can make it
express thoughts and perform routine tasks. Person can also become moody or withdrawn,
when put in socially or mentally challenging situations. A few Alzheimer’s patients may also
controlling bladder and bowels, changes in sleep patterns, such as sleeping during the day and
restless at night an increased risk of wandering and becoming lost. Personality and behavioural
including suspiciousness and delusions may also streak in.
In the final stage of this disease, dementia symptoms are severe. Individuals not only lose the
respond to their environment, but also find it difficult to carry on a conversation and,
control movement. They may still say words or phrases, but communication is highly hindered. As
memory and cognitive skills continue to worsen, significant personality changes may take place
individuals need extensive help with daily activities. At this stage, individuals might need
vigilance and assistance with daily activities and personal care. Physically person becomes very
unable to walk or sit and eventually swallowing will be lost. At this stage they are vulnerable
infections, especially pneumonia.
While treatments are available to improve some symptoms, currently there is no cure available,
disease inevitably progresses in all patients.
According to Geriatrician Dr. Dinesh Kumar, while most Alzheimer’s patients tend to experience
a similar trajectory from the beginning of the illness to its end, every person experiences the
Hence, our team is highly specialised in understanding the various needs of the elderly people
who have been begun facing memory loss and helps both the patients and their families to cope
with the ailment as the disorder aggravates.
If we identify the disease early, we can prescribe certain special medications to slow down the
disease and enhance the memory and concentration. During moderate stages we can put both
medical and social strategies to help to maintain the independence of the person and can
prescribe certain medications to reduce the behavioural problems.
During the final stages of the disease we can make sure that the person who is suffering from
advance Alzheimer’s disease can be given appropriate palliative measures to control his or her
symptoms and make sure that unnecessary interventions can be avoided. We can make sure the
final journey of a person should be as less traumatic as possible. We can also address the care
giver’s burden as the loved ones who are looking after the persons with Alzheimer’s also need
“At PEOPLE TREE Hospitals, we have excellent physiotherapist to address the mobility issues,
speech and language along with dieticians, who ensure a correct intake of nutrition and
excellent psychogeriatric team along with psychologists can provide appropriate interventions
to both patient and to their relatives. As a geriatrician, I will be supervising and
the care required at specific time of the disease,” assured Dr. Kumar, who has 20 years of
experience in senior care.
Apart from Alzheimer’s, the Geriatric department of PEOPLE TREE Hospitals also specialises in
several other Psycho geriatric ailments. We strive to make your Sweet 60+ pleasant by helping
you assess and manage other neurocognitive disorders like Vascular dementia, Frontotemporal
dementia, Lewy Body Dementia, Parkinson’s disease dementia, alcohol related brain damage,
post head injury cognitive impairment and thus stay younger and healthy.