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I agree with other posters about not taking your mom to a neurologist. What are you going to do with that info? She’s 95! It is expected that most ppl at her age would be forgetful. Heck, I am only 50 and I have memory issues. 😎

HOWEVER, you may want to get her to agree now to make you her PoA for financial and medical matters. Without that power, you will not be able to make decisions for her if she is incapacitated.
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If your mom has only had memory issues in the last year, I wonder if it's the abnormal memory loss of dementia, or instead the normal memory loss of aging. I agree with those who say, don't bother. How would a label (vascular dementia, Lewy Body, Frontal Temporal, Alzheimer's, etc.) really help your mom? And why put her through tests that might at the very least have a degree of physical discomfort for her, and possibly be emotionally distressing? Take her out for a nice ride and an ice cream instead of to the lab. And continue to keep her meds free!
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I suggest it IS important to see a specialist to have dementia diagnosed, and the earlier the better. In fact any cognitive issues should be investigated early. It provides a base line from which to measure deterioration, it gives both carers and care receivers a window to plan for the difficult and rocky road ahead. The earlier dementia or MCI is diagnosed the earlier counter measures can be introduced to try to stave off progress of the disease. There is very little available to help at this stage but research is going in the right direction and it is best to be open to trying new approaches as they come along than still be in the is she/isnt he suffering from dementia phase.
I suggest learning the reason for dementia IS just as important, equally so if there is, or is not, any family history. It allows other family members to come to terms with the possibility/likelihood of them contracting the disease, not to mention planning their own futures, and taking advantage of every research development as it comes along.
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thepianist Feb 2020
A diagnosis might be important in a younger person, but this woman is 95. Let her be. Yes, knowing your family's health history is important. But what is more important is this woman's comfort. I would not put here through any testing that might be either physically or emotionally distressing for her. There are probably many other family members whose cognitive health can provide clues to the likely issues other family members might have down the line.
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Just had my step mother diagnosed including a MRI. The only reason we did it was because my brother & I are going for guardianship. The Neurologist was a waste of time, such silly questions, the MRI did determine that she Front Temporal Dementia.

If it were not for the guardianship we wouldn't have done this. There is no cure, nothing to help her.
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disgustedtoo Feb 2020
There are reasons for pursuing these kinds of tests, but in general are of no help really. Often from the symptoms and/or early progression they (or we) might be able to determine what type it is. The only use there is to be more prepared because different types lead to different symptoms, progressions. Plain old vanilla dementia is very different from Frontal Temporal and Lewy Body. Also, some medications are contraindicated in some forms of dementia.

If anything is tested, it should be non-dementia tests to rule out other medical issues, such as UTIs, which can cause dementia-like symptoms and are most often treatable!

I wouldn't go to a neurologist just to determine the type, unless regular testing can't determine if it is something like Frontal Temporal, Lewy Body OR as in your case you need it for guardianship or perhaps some medication is needed to help calm a person who has hallucinations, sun-downing, etc and it is bad enough that it needs some control. Otherwise, it is what it is, testing won't change anything, but getting informed about dementia, the various types, what you might expect and a sample progression WILL help those caring for or advocating for a LO will be better prepared to do what needs to be done! Keep in mind that each person's journey is unique - they have similar symptoms and progressions, but progress at their own rate and experience things differently.
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I would first discount a UTI, which is treatable and can cause confusion and other behavior symptoms (and is very very common in the elderly with no other symptoms). I think knowing what exactly she has *may* help in knowing the trajectory of her illness, and may help in knowing what to expect and understand her changes better. But you need to balance this knowledge out with the rigors and expense of the testing. There's no right or wrong answer here. May you have peace in your decisions.
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Dementia isn't an inevitable part of aging.
My mom's mental and physical health changed very abruptly in her early 90's and I was left trying to make sense of it all on my own, that's how I found AgingCare. I never did get any help from any of mom's doctors; her GP had previously sent us to a neurologist who was only focused on stroke prevention, despite brain scans neither of them ever discussed any potential for dementia. The ER docs couldn't see beyond her age and more or less told me she was end of life and the nurse who was in charge of her home care told me the same, nevertheless she lived years beyond that point. I'm pretty sure a diagnosis wouldn't have changed anything but it certainly would have helped ME to understand and make plans.
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Rabanette Feb 2020
I just Googled it.

"Dementia mostly affects older people, and the risk of dementia increases with increasing age. ... Nearly 1 in 4 people aged 85-89 have dementia. It is rare for someone under 65 to have dementia, but it does occur at younger ages and we call this 'younger onset dementia'."

With dementia effecting the elderly at almost 25% of the population, doesn't it seem that it IS an inevitable part of aging?
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You don't need a REASON for her dementia. You might want to rule out other causes of memory loss: brain tumor, normal pressure hydrocephalus, vitamin deficiency and other treatable causes.
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