Alzheimer’s or Dementia is a disease that occurs with the progress of age. The cause is unknown. A trauma in your brain, a lot of fatigue or sadness in your brain, growth and negative environmental conditions, genetic factors, and many other factors can cause this disease. Dementia is also known as forgetfulness or dotage. After elderly ages, Alzheimer’s begins to manifest itself more effectively as “mild cognitive impairment” in people, and most people have paranoia symptoms. This can often be used as a way of filling in the missing information. Even depressive symptoms can be a sign of progressive cognitive decline. A number of studies have shown that older people are more likely to have a combination of mood swings and memory loss, with a higher risk of “non-recurrent dementia”.

It is possible to define Alzheimer’s disease by dividing it into seven stages according to the symptoms and the way it occurs. Every stage is a bit heavier than the previous one. In one stage, it is expected from the patient to countdown from 100 to 0 by deducting 7, and it is expected to countdown from 100 by deducting 2 in further stages. A similar situation arises in word and memory structure. Someone who speaks fluently like an orator in their healthy days, has difficulty in remembering words during his speech. This situation causes the patient to refrain from going into society.

One of the methods used to diagnose the patient is to give him a few unrelated words while chatting with the patient. It is said to remember. You may ask to the patient if he could remember the words you said to him in the course of the conversation and you can support the situation with other field suppression. A definite diagnosis is made after the evaluation of the specialist physician. It is not a correct approach to diagnose Alzheimer’s who can not remember every word. However, this method may lead us to diagnose correctly.

When the chemistry of the brain deteriorates, one only sees the negative sides and the way he thinks becomes distorted. In dementia, the plaques and bumps in the brain are eating and shrinking the brain day by day. Thus, the brain is damaged and the person sees the events as negative.

In addition, it can be seen that according to the tests the disease could lower the intelligence level of the patient. This affects the social life of the patient. So much so that the patient forgets where he puts an object, forgets his appointment, especially forgets recent events, has difficulty remembering persons, he can not remember names.

Alzheimer’s disease is a more advanced and detailed diagnosis of dementia. Dementia is a name commonly given to forgetfulness and is also known as “dementia” among the people. People who get caught in this disease do not want to accept the precedence. In the same way, patient relatives are also difficult to accept. However, over time, patients are forced to accept the behavior as they are observed, and it is necessary to go to the treatment stage.

Patient with Alzheimer’s thinks that “When we are so far away from who we are so far away from who gets serious,” or “I struggle to stay as a person we are once,” or “Everything I have tried to achieve has gone away”. These thoughts cause anxiety, depression and desperation in the patient. Psychological support is required at this point in the professional sense of the patient.

The helplessness of being caught up in a disease that has not recovered after dementia has emerged is both old and difficult for its relatives. In USA, especially in Alzheimer’s and dementia diseases, Prof. Garry Small describes the treatment he applied to his Alzheimer’s patient in his book, The Secret Book of a Psychiatrist. “… I started the anti-Alzheimer’s medicine named Aricept. It is not only the cognitive symptoms of the drug but also the mood and personality changes associated with the disease. I also added a medicine called Namenda. Namenda also has similar effects and the combination works well as part of the treatment. I also took precautions to prevent harm to the treatment; We could switch to Exelon Patch if he saw it. “With this treatment, the patient’s paranoia decreased and the complaints of the patient remained for six months. However, these drugs are effective for a maximum of one year. The patient is getting worse. Because the hippocampus in the brain is getting smaller and communication with neurotransmitters is weakening. In other words, amyloid plaques are shrinking. However, it is known that the concrete measures of “tau balls”, which are very small and insoluble abnormal protein deposits, are also smaller. It is possible to detect this situation with current medical methods.


I had a good communication with an Alzheimer’s patient I knew at the beginning of my illness. We were even exchanging ideas with each other. From time to time, the patient became unaware of me. He even stared at me as he entered the room. The lie is near. He hit the fountain on the table and turned to me and said, “Look at me, you do not get paid to work and do not pay. How does this work? I want you to pay the debt right now. “He said and walked over. This patient was a good furniture master when young. He has done a lot of work for a lot of people and he has not gotten it from many people. He looked like one of the people he could not take me. I said I could pay my debt right away. We came out of the oven together. I took the bag in the back and told him I was going to be there in the future. A few minutes later he forgot about it. One characteristic of such patients is that they have difficulty remembering recent events.

Another characteristic of dementia patients is that they do not recognize themselves when they see in mirror. This is particularly evident in the later stages of the disease. For example, one patient saw his own image on the wall, he stretched out his hand and asked himself who he was, and then he saw his hand stretched out and said, “Wow is a wicked man. He shows me his hand. What a disrespect!” He said, and he made the right move. When he saw the picture on the inside, he was pissed off, trying to break the mirror. Later, he grabbed himself and took his backwards and saw that he was back at the same time and calmed down.

Past experiences, experiences and personality traits of Alzheimer’s patients play an important role in the treatment of the disease. For example, those who have high social reputation in society can ask for respect and esteem with the influence of that profession. They are happy when the respect and prestige they deserve are shown. I have appointed a patient who is fit for this situation as a self-counselor. Was even present at the staff meetings, presenting the attendees as “consultants”. He tells you that he is very satisfied with it in different settings. He was telling me the ideas from my mind that he was a consultant, so I was taking notes of them. He even asked for consulting fees in the course of time. I told him that he was deposited into a bank account, and that his wife used the account. Of course, I informed my wife of this. He said he was very happy. However, the disease was progressing day by day, and some meetings came to forget.

Sometimes, at the onset of Alzheimer’s disease, the patient misses out on their social relationships, showing distraction. This reminds me of the characteristics of the autism, asperger syndrome. He most distinctive feature of Asperger’s syndrome is that it can not read normal but subtle details of social interaction.

Some patients hang out and stay in some part of their past lives. His father died years ago, an Alzheimer’s patient who was himself in his nineties, thinks that his father had not graduated from college graduation years before, and that he wanted to get his first trendy ticket to his hometown and inform his father about the graduation note. So he thinks his father will be happy. He thinks his father is alive and busy with his work. He remembers the life he spent with his parents and siblings and thinks those days are still going on. After a while, this will not be the case.

When people with high intelligence are seen with Alzheimer’s, they may experience emotional disorder, sometimes even with anger and agitation, leading to personality changes. Personality changes affect social communication negatively.

As in all patients, smile, love, compassion and tolerance are the most effective methods in the treatment of Alzheimer’s patients. Love is universal. It is not getting on in years. It affects all ages and has a positive effect on treatment. Yunus Emre’s famous saying, “Love has come, all the evils are gone”.

The patient needs professional care when it comes to the latest stages of the disease. Patients living together with healthy people in the family are negatively affecting the lives of other individuals in the family. Especially if there are small children at home, they are more affected by this situation. Preservation of the health of other individuals within the family is the right solution for the person or institution with a professional care experience and infrastructure to ensure that the patient receives more professional care in the advanced stage of Alzheimer’s. Because the patient will get worse. It will be in a situation where it can not afford to eat, toilets and other needs. In time, he will not be able to recognize anyone, control his behavior. A powerful person you know, whom you know, walks a little more each day and disappears in front of your eyes. Your memories will remain.


Responsible Director of Şişli Asude Nursing Home and Aged Care Center,

Social Worker, Expert Psychological Counselor, Instructor of Üsküdar University and Senior Colonel (E).