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Neurocognitive disorder is a basic deficits of cognitive functioning this cognitive

functioning basically shows the changes of an individual prior level of functioning.

Normally this neurocognitive disorder are not physically based but this caused

medical,drug abuse or withdrawal which can affect the functioning the brain. According

to Diagnostic and Statistical Manual of Mental Disorder, fourth edition, text revised 2000

has noted that cognitive disorders can be categories into delirium, dementia and

amnestic disorder.

There are few studies shows that no cure for the Alzheimer but there are some treatment

in term of drugs and non drugs. As i mentioned above there are few symptoms can be

highlighted as criteria for dementia of the Alzheimer type such as memory impairment,

one or more disturbance in cognitive in term of aphasia (language disturbance),apraxia

(impairment ability to carry out motor activities),agnosia (failure to recognize or identify

object), and distrubance in planning organizing,sequencing,abstracting. More over these

cognitive deficits causes major deficits in their social and occupational functioning.

Currently Alzheimer association 2015, as documented that there are few researches are

looking for the new treatment so that they can alter and improve the quality life of

dementia patient. First of the treatment as started with drugs. There are drugs been

invented and its cant be the cure for this type of dementia but its help to lessen the

symptoms for temporary. There are two types of medication such as cholinesterase

inhibitors such as Aricept Exelon and Razadyne. Other type of drug is Menantien which

known as Namenda. This drug's main effect is to delay progression of some of the
symptoms of moderate to severe Alzheimer's. It may allow patients to maintain certain

daily functions a little longer than they would without the medication. Namenda is

believed to work by regulating glutamate, an important brain chemical. When produced

in excessive amounts, glutamate may lead to brain cell death and because NMDA

antagonists work very differently from cholinesterase inhibitors, the two types of drugs

can be prescribed in combination.

Next will be non drug approach which means the behaviour symptoms can be alter and

and comfort the Alzheimer physically and emotionally. One of the best way that promote

by the Alzheimer association 2015, is coping skills. This skill is explained briefly below:

 Monitor personal comfort. Check for pain, hunger, thirst, constipation, full

bladder, fatigue, infections and skin irritation. Maintain a comfortable room

temperature.

 Avoid being confrontational or arguing about facts. For example, if a person

expresses a wish to go visit a parent who died years ago, don't point out that the

parent is dead. Instead, say, "Your mother is a wonderful person. I would like to

see her too."

 Redirect the person's attention. Try to remain flexible, patient and supportive by

responding to the emotion, not the behavior.

 Create a calm environment. Avoid noise, glare, insecure space and too much

background distraction, including television.

 Allow adequate rest between stimulating events.

 Provide a security object.


 Acknowledge requests, and respond to them.

 Look for reasons behind each behavior. Consult a physician to identify any

causes related to medications or illness.

 Explore various solutions.

 Don't take the behavior personally, and share your experiences with others.

References

1. http://www.alz.org/alzheimers_disease_treatments_for_behavior.asp

2. https://www.nia.nih.gov/alzheimers/publication/alzheimers-disease-medications-f

act-sheet

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