Identificación y diferenciación de demencias tipo "Alzheimer" en base al análisis comportamental y la funcionalidad de los reconocimientos sensoriales en la atención inicial de servicios públicos

  1. Luis María Sánchez 1
  2. Juan Gómez Salgado 2
  3. Diego Molina Ruiz 3
  4. María Agustina Leites 4
  5. Gisela Anahí Martínez 4
  6. María Alejandra Jalife 4
  1. 1 Biólogo. Especialista en Neurobiología. Catedrático de Metodología. Director del Proyecto "Alzheimer" Argentina. Facultad de Ciencia y Tecnología, Universidad Autónoma de Entre Ríos
  2. 2 Licenciado en Enfermería. Doctorando en Salud Pública. Departamento de Enfermería y Fisioterapia de la Universidad de las Islas Baleares, España
  3. 3 Licenciado en Enfermería. Doctorando en Salud Pública. Departamento de Enfermería de la Universidad de Huelva, España
  4. 4 Diplomada en Acompañamiento Terapéutico. Proyecto Alzheimer. Facultad de Ciencia y Tecnología, Universidad Autónoma de Entre Ríos, Argentina.
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Journal:
Presencia: Salud mental, investigación y humanidades

ISSN: 1885-0219

Year of publication: 2007

Volume: 3

Issue: 6

Type: Article

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More publications in: Presencia: Salud mental, investigación y humanidades

Abstract

Introduction and Objectives: On the basis of the psycho-social theory generally in this type of dementia the personal losses with coping deficit mark a point of inflexion towards an auto isolation, producing failures in the mechanism of recognition associated with the senses and in consequence abnormal behaviors and memory problems. Its expected to detect early theses cases and to distinguish them from normal cases, registering behaviors and carrying out simple tests of functionality of the recognitions. Subjects and methods: Patients who accessed to public health centers, residential homes and hospital�s emergency departments and of whom their relative refers with problems of behavior and recent memory. Psychosocial anamnesis, recognition assessment related with sight, hearing, sense of smell, sense of touch, taste, equilibrium and corporal perception tests were carried out in two different moments. Results: 158 patients, 107(68%) female were taken care of. 69(38%) were categorized as normal aging, with occasional alterations. In relation to the first control 73 patients were considered as in Phase I, 17 in Phase II, five in Phase III , two between Phase I and II, one between II and III, and neither of them in the others. In relation to the second control 74 of them were considered as Phase I, 18 in Phase II, three in Phase III, two between I and II, two between II and III and neither of them in the other. Discussion: The more affected recognition systems were the olfactory, visual, spatial orientation and body perception channels. 92% of cases described as normal aging were confirmed with the second control, and 71% of the described ones in some phase had between 12 to 20 months later some medical diagnosis of dementia. Conclusions: To diagnose on the basis of behaviors and tests of recognition is a good way to detect and distinguish these type of cases and avoids to suppose collaboration with the professional, and then a greater trustworthiness grants is obtain.

Bibliographic References

  • Sánchez LM. Teoría de la articulación de factores psicosociales y sensoriales deficientes en la desintegración cerebral en casos de Alzheimer. Geriatrianet.com 2006; Vol. 8 (2).
  • Sanchez LM. Progressive to acute social and psychosocial introversion features and behaviors toward Alzheimer´s process. I J of World Health and Societal Politics 2005; Vol. 2 (1).
  • Sanchez LM. Introversión social, déficit de afrontamiento de pérdidas personales, desmotivación y bloqueo perceptivo precursores de la desintegración de las funciones cerebrales (Alzheimer). Revista Española de Geriatría y Gerontología, 2004. 39(6):353-404.
  • Conde-Sala JL. Eventos vitales precoces y enfermedad de Alzheimer. Geriatrianet.com 2005, Vol 7(2).
  • Rapoport, SI. Coupled reductions in brain oxidative phosphorilation and synaptic function can be quantified and staged in the course of Alzheimer Disease. Neurotoxicity Research 2003, 5(6):385-390.
  • Galinotti G, Marra C, Villa G. A double dissociation between accuracy and time of executin on attentional tasks in Alzheimer´s disease and multi/infarct dementia. Brain 2001; 124(4):731-8.
  • Pignatti R, Rabuffetti M, Imbornone E, Mantovani F, Alberoni M, Farina E, Canal N. Specific impairments of selective attention in mild Alzheimer's disease. J Clin Exp Neuropsychol. 2005 May;27(4):436-48.
  • Gorus E, De Raedt R, Lambert M, Lemper JC, Mets T. Attentional processes discriminate between patients with mild Alzheimer's disease and cognitively healthy elderly. Int Psychogeriatr. 2006; 18(3):539-49.
  • Levinoff EJ, Saumier D, Chertkow H. Focused attention deficits in patients with Alzheimer's disease and mild cognitive impairment. Brain Cogn. 2005; 57(2):127-30.
  • Ballard C, O'Brien J, Gray A, Cormack F, Ayre G, Rowan E, Thompson P, Bucks R, McKeith I, Walker M, Tovee M. Attention and fluctuating attention in patients with dementia with Lewy bodies and Alzheimer disease.Arch Neurol. 2001;58(6):977-82.
  • Weissman DH, Roberts KC, Visscher KM, Woldorff MG. The neural bases of momentary lapses in attention. Nat Neurosci. 2006; 9(7):971-8.
  • Diccionario de la Real Academia Española, XXI edición. Madrid: Espasa Calpe, 1992.
  • Ferrari ED, Martínez GA, Santa Cruz NE, Sastre SR, Portillo LA, Leites MªA, Jaliffe AMª, Delmonte LB, Gómez Salgado J, Molina Ruiz D, López I y Sánchez LM. Proyecto Alzheimer Colón: reportando tres de meses de intervenciones profesionales en la recuperación de casos de Demenciaciones crónicas progresivas (alzheimer), agosto-noviembre 2006. Revista de Psicogerontología 19, dic.2006.
  • Gates GA, Karzon RK, García P, Peterein J, Storandt M, Morris JC et al. Auditory dysfunction in aging and senile dementia of the Alzheimer´s type. Arch Neurol 1995; 52: 626-634.
  • Kawas CH, Corrada MM, Brookmeyer R, Morrison A, Resnik SM, Zonderman AB et al. Visual memory predicts Alzheimer´s disease more than a decade before diagnosis. Neurology 2003; 60(1, 2): 1089-1093.
  • Zonderman AB, Kawas CH, Giambra LM, Arenberg D, Costa PT. Changes in immediate visual memory predict cognitive impairment. Arch Clin Neuropsychol 1995;10: 111-123.
  • Kaskie B and Storandt M. Visuospatial deficit in dementia of the Alzheimer type. Arch Neurol 1995; 52: 422-425.
  • Schiffman SS, Graham BG, Sattely-Miller EA, Zervakis J, Welsh-Buhmer K. Taste, smell and neuropsychological performance of individuals at familial risk for Alzheimer´s disease. Neurobiology of Aging 2002; 23: 397-404.
  • Coumeau D, Forquet S et Chunlier JA. Etude de le perte gustative des sujets âges à domicile et en institution. L´Année Gérontologique 2004; 18.
  • Kurylo DD, Corkin S, Allard T, Zatorre RJ, Growdon JH. Auditory function in Alzheimer´s disease. Neurology 1993; 43: 1893-1899.
  • Devanand DP, Michaels-Marston KS, Liu X, Pelton GH, Padilla M, Marder K et al. Olfactory deficits in patients with mild cognitive impairment predict Alzheimer´s disease at follow up. Am J Psychiatry 2000; 157: 1399-1405.
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