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By Barry Reisberg, Jeffrey Borenstein, Emile Franssen, Stacy Salob, Gertrude Steinberg (auth.), Harvey J. Altman Ph.D. (eds.)

Alzheimer's sickness is a main neurodegenerative disorder whose prevalence and occurrence is quickly forthcoming epidemic proportions. a huge cause of this can be that guy resides longer than he has ever lived sooner than and the chance of contracting the affliction is considerably larger in the aged section of the inhabitants. the matter turns into much more acute within the gentle of modern estimates which expect that the variety of humans dwelling past the age of sixty five is anticipated to proceed to extend. The impression of those records at the kin and the future health care by way of time, attempt and price are stunning. a contemporary file issued via the Michigan activity strength on Alzheimer's ailment and similar stipulations (1987) successfully underscores this final element. "Each individual with a dementing affliction calls for an ordinary of 7 years of care, both at domestic or in a residential care facility. Care supplied at house is anticipated to price approximately $12,000 every year, for a complete of $84,000 according to individual. this can be a conservative determine, despite the fact that, simply because many folks with dementia spend their previous couple of years in a nursing domestic at a normal 'cost of $22,000 in keeping with yr, and a few spend from 10 to fifteen years in a nursing domestic, for a complete expense of $220,000 to $330,000.

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Extra resources for Alzheimer’s Disease: Problems, Prospects, and Perspectives

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Devanand, D. , and Nelson, J. , 1985, Concurrent depression and dementia: Implications for diagnosis and treatment. J. Clin. Psychiatry, 46:389-396. , 1981, "The Psychopathology of Aging," Upj ohn Company. , 1984, "Affective illness, dementia, and . pseudodementia," Finlayson, R. , and Martin, L. M•• 1982, Recognition and management of depression in the elderly, Mayo Clin. , 57:115. Folstein, M. , Folstein, S. , and McHugh, P. , 1975, "Minimental state": A practical method for grading the cognitive state, ~ Psychiatr.

N I A Task Force, 1980, Senility reconsidered: Treatment possibilities for mental impairment in, JAMA, 244:259. Nott, P. , and Fleminger, J. ~1975, Presenile dementia: the difficulties of early diagnosis, Acta Psychiatr. , 51:210. OTA, 1985 "Technology and Aging in America," U. S. Government Printing Office, Washington, D. C. , 1962, "The Significance of Affective Symptoms in old Age," Oxford University Press. Rabins, P. , 1981, The prevalence of reversible dementia in a psychiatric hospital, Hosp.

1976, "'Down's anomaly,'· Churchill Livingstone, New York. , 1957, The use of dermal configurations in the diagnosiS of mongolism, J. , 50:19-26. , 42:50-54. , 1985, Occurrence of neuropathological changes and dementia of Alzheimer's disease in Down's syndrome, Ann. , 17:278-82. 28 DEMENTIA, DEPRESSION, AND PSEUDODEMENTIA Barry Siegel 1 and Samuel Gershon 2 lDepartment of Geriatrics Lafayette Clinic Detroit, Michigan 2professor and Chairman Department of Psychiatry School of Medicine Wayne State University Director, Lafayette Clinic INTRODUCTION There has been an increasing interest in the varieties of dementia and particularly their differentiation from pseudodementia (Terry and Katzman, 1983; Bulbena and Berrios, 1985).

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