There’s currently no cure for Alzheimer’s disease, although medication is available that can temporarily reduce some symptoms or slow down the progression of the condition in some people.
Support is also available to help someone with the condition cope with everyday life.
If you’re diagnosed with Alzheimer’s disease, it’s helpful if your health and social care needs are assessed and plans made for the future.
A care plan is a way of ensuring you receive the right treatment for your needs. It involves identifying areas where you may need some assistance, such as:
Healthcare professionals (such as your GP or psychiatrist) and social care services (which is normally your local council working with the NHS), will usually both be involved in helping draw up and carry out care plans.
A number of medications may be prescribed for Alzheimer’s disease to help temporarily improve some symptoms and slow down the progression of the condition.
Donepezil, galantamine and rivastigmine (known as AChE inhibitors) can be prescribed for people with early to mid-stage Alzheimer’s disease. Memantine may be prescribed for people with mid-stage disease who cannot take AChE inhibitors, or for those with late-stage disease.
There’s no difference in how well each of the three different AChE inhibitors work, although some people respond better to certain types or have fewer side effects.
All of these medications can only be prescribed by specialists such as psychiatrists, neurologists and geriatricians. They may be prescribed by your GP on the advice of a specialist.
If you’re caring for someone with Alzheimer’s disease, your views should be taken into account when prescribing medication, as well as at regular assessments. These assessments take place to ensure the medication is having a worthwhile effect and to identify and monitor side effects.
Donepezil, galantamine and rivastigmine can cause side effects such as:
These side effects are more likely to occur at the beginning of therapy or when the dose is increased. Your doctor should review your medical history and your other medications to check the suitability and risk of interactions. Common side effects of memantine include:
For more information about the possible side effects of your specific medication, refer to the patient information leaflet that comes with it or speak to your doctor.
In addition to medication, treatment for Alzheimer’s disease involves a wide range of other measures and treatments to help people with dementia live as independently as possible.
For example, an occupational therapist can identify problems or unsafe areas in your everyday life and help you to develop strategies or use alternative tools to manage these. They may suggest:
Psychological treatments, such as cognitive stimulation, may be offered to help improve your memory, problem solving skills and language ability.
Medication, other psychological therapies, such as cognitive behavioural therapy, music and art therapy, reminiscence and relaxation therapies may also be offered. These may help with managing depression, anxiety, agitation, hallucinations, delusions and challenging behaviour that can occur with Alzheimer’s disease.
If you have Alzheimer’s disease, you may find it useful to:
People with dementia often live for many years after their diagnosis. However, as it’s a progressive condition, it can be helpful and reassuring for both you and your family if you make plans for the future.
Advance care planning means considering, discussing and possibly recording your wishes and decisions for future care. It’s about planning for a time when you may not be able to make some decisions for yourself.
In the earlier stages of the disease, you should have the opportunity to discuss with health professionals and your family about the future. This may involve the use of:
Although the outlook is variable, dementia is a life-limiting illness and can begin to affect multiple body systems in the later stages. End of life care, or palliative care, provides support for people with an incurable illness, so they’re able to live as well and as comfortably as possible until their death. It also involves support for family members. Care may be provided at home, a hospice, a care home or hospital.
For people nearing the end of life, their care team should assess their needs, make them feel comfortable and allow them to die with dignity in a place of their choosing.
Source: NHS UK