Analysis of Alzheimer’s Disease Based on the D.N. Case Study.
D.N. developed Alzheimer’s disease at age 50. Early signs were vague and included
occasional errors in judgment and increased criticism of others, noted only in retrospect.
Several years later, following several episodes of extreme anger, a diagnosis of
Alzheimer was made. At this time, it was suspected that his father also had AD but had
died from an unrelated cause before the diagnosis was could be made […]
The neurologist prescribed gelantamine, an anticholinesterase inhibitors and regular
attendance at a group center offering appropriate activities […] The degeneration
progresses rapidly over the next 2 years. The maximum dose of galantamine …show more content…
Despite years of active research there is no known specific cause of the
neurodegenerative process that results in AD, however “some factors, such as genetic
abnormalities, accelerate the onset of the illness” and can result in the early onset of AD
(characterized by the disease manifested before the age of 65 – as with our case of Mr. D.
N who had his first sign of mental changes at the age of 50). Studies have found that
several genes have been associated with an early onset of AD leading to a conclusion
that, Alzheimer’s Disease is at least partially a hereditary condition. Gene mutations on
chromosomes 1, 14 and 21 have been identified to influence onset of presenile dementia
of Alzheimer’s type. With that in mind, presence of AD in families is less random than
previously thought and familial factors can be additional clue in identifying risks for AD
(this is why in our case Mr. D.N’s condition is very likely linked to the condition of his
deceased father) (Gould, Dyer, 2010) (Miyoshi, K. (2009).
Familial history can be especially useful with diagnosis of early stages of AD as
the initial neurological changes are very vague and minimal and difficult to spot. Mood
swings and irritability are the most common behavioral changes observed but are often
missed especially if affected people live by themselves. Forgetfulness and