Doctor Barry Reisberg is a Psychiatry Provider with extensive participation in the analysis of data collected in the treatment of Alzheimer's Geriatric Memory Changes. Doctor Barry Reisberg is a director with the Fisher Alzheimer's Education and Resources Program at New York University Langone Medical Center.
The 7 stages of Alzheimer's Disease were documented as a portion of the work of Doctor Barry Reisberg and the Alzheimer's Association has distributed the stages to improve provider understanding of how the disease progresses within the elder's experience.
The stages essentially describe:
Stage one elder can self manage
Stage two elder can self manage
Stage three performance changes first start to show on MD implemented memory testing
Stage four elder needs help with instrumental activities of daily living
Stage 5 elder needs help with both instrumental activities of daily living and activities of daily living
Stage 6 elder no longer recognizes home as own - wander safety
Stage 7 difficulty swallowing- near death
This is a brief summary of the actual 7 stages and readers are encouraged to review the 7 stages available online in their entirety. The stages 1 and 2 do indicate changes are occurring on the cellular level and do not show up as memory difficulties during a medical clinic visit until progressing to stage 3. Medication and supplements are primarily used to lengthen time within a detected stage as if to stall off the worsening of symptoms for the elder.
The prescribing provider is dependent upon an accurate assessment and diagnosis to get the family the medications needed to best manage undesired behavioral changes. An important part of improving the communities ability to effectively manage the predictable undesired behavioral symptoms of Alzheimer's Dementia is to standardize the prescribing algorithm. The hope lies within the National recognition of Alzheimer's Dementia as requiring a planned for and organized approach.
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