Dementia
Definition
Dementia is characterized by a progressive decline in cognitive function, memory, and the ability to perform daily activities. It is caused by damage to brain cells, which affects their ability to communicate with each other. Dementia can be a result of various underlying diseases, such as Alzheimer's disease, vascular dementia, or Lewy body dementia.
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Memory Disorders & Cognitive Neurology
So many of us understand the challenges of caring for a loved one who has a neurodegenerative disease such as Alzheimer’s disease, Parkinson’s disease, or frontotemporal dementia. At our Dorothy Adler Geriatric Assessment Center, our team of experts meets with the patient, family members, or caregivers to determine how medical, psychological, cognitive, or social problems are impeding function or threatening independent living. After assessment, our physicians focus on minimizing the progressive loss of neuron function and repairing neural damage, helping people with these conditions live with as much peace and stability as possible.Neuropsychology
We are dedicated to excellence in patient care through the study of the cognitive and behavioral changes that can result from medical and brain injuries. We are experts in identifying a patient’s pattern of cognitive and emotional functioning and how this relates to expected brain function. A neuropsychological evaluation combines tests of cognition, behavior, and emotional functioning. This comprehensive evaluation will help to determine whether cognitive changes are related to symptoms of a medical or neurological illness, a psychological condition, or a normal part of aging. This evaluation is also part of the gold-standard workup for neurosurgery candidates. We provide neuropsychological evaluations for a wide array of medical and neurological disorders, as well as neurosurgery-specific candidacy evaluations. In addition, our bilingual neuropsychologists are able to provide evaluations in Spanish. We have expertise in the following areas. Epilepsy Memory disorders & dementia Multiple Sclerosis Oncology Parkinson’s disease Stroke Traumatic brain injury What to expect at your appointment A neuropsychological evaluation consists of an interview and testing, and lasts approximately three to six hours. During the interview, you will be asked about your cognitive and emotional symptoms, health history and medications, and other important background information. Neuropsychological Testing : Cognitive testing is designed to assess domains of thinking including attention, processing speed, memory, language, visual spatial abilities, and problem solving. Tests include paper-and-pencil as well as computerized methods. Emotional functioning is evaluated during the clinical interview and supplemented with self-report measures. We often request information from a close relation (family member or caregiver) about the individual’s functioning in daily life. The results from testing will aid your providers in diagnosis, treatment planning, and recommendations to improve your overall well-being. The neuropsychological evaluation typically includes administration of standardized tests to determine cognitive functioning in the following areas: General/baseline intellectual ability Attention Processing speed Visuospatial abilities Language Memory Executive functioning (problem solving) Motor skills Behavioral and emotional functioning What to bring to your appointment We are very attentive to our patients’ needs. We work with each patient so that they feel as comfortable as possible. We encourage patents to get a good night’s sleep and eat a good breakfast before the appointment. Please bring the following: Glasses and hearing aids Water and a small snack, if needed Reports from any prior neuropsychological testing previously completed A family member, friend, or caregiver so they can provide insights into your abilities Please call us at 203-785-4085 if you have any questions about your appointment.Geriatrics
We are internationally known for the care we provide for older people, helping them maintain their independence and quality of life, and manage multiple complex health conditions. Our team of geriatricians, geriatric psychiatrists, nurse case managers, patient care assistants, physical therapists, and neuropsychologists works closely with patients, their families, primary care providers, and other care providers to assess and develop a comprehensive plan for their care. Yale physicians have developed widely used interventions and support families facing such challenges as functional decline, disability, decision-making, and driving problems. Inpatient and outpatient geriatric consultations at the VA Connecticut Healthcare System in West Haven Syncope and Falls Assessment Program A prevention initiative for seniors at risk for falls, which has reduced falls and related injuries in many Connecticut The development of the Confusion Assessment Method, used internationally to diagnose delirium An Acute Care for the Elderly Unit at Yale New Haven Hospital, which aids with maintenance of function during acute hospitalization Outpatient consultations at the Dorothy Adler Geriatric Assessment Center