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His short term memory is very affected as is his ability to make decisions. He gets confused on directions. He has sudden bouts of depression and anxiety. Does anyone else have more cognitive issues than physical issues when caring for a Parkinson’s patient?

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Parkinson's dementia is a possibility, or it might be that (like a relative of mine) the parkinson's like symptoms are a result of Lewy body dementia and not Parkinson's at all, or he may have mixed dementia - I think you need to ask his doctors for a cognitive assessment and some further investigation.
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Yes - Parkinson's dementia possibility due to PD in itself. The physical symptoms of PD gets easier compared to the cognitive/ dementia. Everything gets more challenging with it. Work closely with the doctors for any changes, they can suggest and work more with it, my dad still is a work in progress, Stay strong PD family.
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As cwillie said I'd have another assessment done my gma was originally diagnosed Parkinsons but as her symptoms progressed she was actually classic Lewey Bodies, we had to bring this to the Docs attention as he wasnt very familiar with Lewey Bodies...
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The multi diagnosed Parkinson's patient is not unheard of, however, it's best to get a second opinion to make sure he is not having a change in his mental status.
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He has had a cognitive assessment......3 hours worth.
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Most cognitive problems are medication related.I was on 4 times the meds i really needed,resulting in many problems,forgetfulness,sudden sleep attacks,memory failure.Now just 3 25/10 and 1- 200 mg comtan better than before pd.
Old saying ifyoudont use it,you can lose it,lol
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cwillie Feb 2019
If only that were true, although I agree that SOME cognitive problems are the result of medication. And yeah, use it or lose it is good advice for average folks but it doesn't prevent alzheimer's, you can akin to trying to exercise an amputated limb.
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