ppa

primary progressive aphasia

Primary Progressive Aphasia

Primary progressive aphasia is caused by degeneration in the areas of the brain that control speech and language. This type of aphasia begins gradually, with speech or language symptoms that will vary depending on the brain areas affected by the disease.

What is primary progressive aphasia (PPA)?

Practical Tips for Daily Life

Activities of daily living are divided into two major categories. The first, often called instrumental activities, includes more complex types of activities such as paying bills, shopping, managing medications, working and driving. The second category is activities related to personal care and include eating, bathing, dressing, getting in or out of bed or a chair and using the toilet. In the beginning of the disease, the patient will have trouble completing the instrumental, complex activities. As the disease progresses, the person will have difficulty managing the more basic functions and will need help from caregivers.

General tips

Remember to:

  • Facilitate their performance
  • Keep the patient as active as possible
  • Focus on their abilities
  • Avoid distress between you and the patient
  • If a lack of motivation is the barrier to performing a task, consider offering a reward for desired behaviors
  • Give yourself a break from time to time

Bathing

If the patient becomes difficult to bathe, try this:

  1. A sponge bath in the tub or on a chair instead of a shower

Alleviating Symptoms

Living with the symptoms of neurodegenerative disease can be frustrating, difficult and even scary. The first step is to recognize that these behaviors are part of the changes in the brain. The person has little or no control over them and isn't behaving this way on purpose. Often times, behavioral and environmental changes can help prevent or stop these behaviors. For some symptoms, medication may be helpful.

Aggression

Aggressive behavior may become more common in some forms of dementia due to the brain’s inability to control impulsive actions.

Tips for preventing aggression

  1. Ensure the person does not have pain and see the person's regular doctor for any illness. A change in behavioral symptoms may be triggered by even minor illnesses such as a cold or by pain such as arthritis.
  2. When talking to the person, do not use sarcasm or abstract thinking. Instead, be concrete.
  3. Reduce external distractions when talking, e.g., TV, radio, busy places.

Overview

Dementia can be caused by a number of different conditions; it is a symptom of neurodegenerative diseases like Alzheimer's, frontotemporal dementia or corticobasal degeneration. The term "dementia" describes a progressive, degenerative decline in cognitive function that gradually destroys memory and the ability to learn, reason, make judgments, communicate and carry out daily activities. While it often includes memory loss, memory loss by itself does not mean that a person has dementia. Dementia affects 17–25 million people worldwide.

Dementia is not a specific disease; it is a collection of symptoms that can be caused by a number of disorders, including neurodegenerative disease. The term "dementia" describes a progressive decline in memory or other cognitive functions that interferes in the ability to perform your usual daily activities (driving, shopping, balancing a checkbook, working, communicating, etc.). The deterioration is more than might be expected from normal aging and is due to damage or disease.

Teresa Wu

Research Coordinator

Teresa Wu graduated from Stanford University with a BA degree in human biology in 2010. At Stanford, Teresa did research in molecular neurobiology and completed an honors thesis studying the genetic mechanisms underlying neuron development. During her undergraduate years, she volunteered as a health educator addressing the issues of teen relationship abuse and spent time in rural Japan working with children suffering from emotional disturbances.

Teresa joined the Memory and Aging Center in June 2010. She is the research coordinator for the study, Frontotemporal Dementia: Genes, Imaging and Emotions. This observational study aims to better characterize neurodegenerative diseases such as frontotemporal dementia with the goal of developing better diagnostic tools for the diseases.

When she has the chance, Teresa enjoys horseback riding in fresh morning air and hiking under the stars in the peace of night.

Marissa Urbano

Research Coordinator

Marissa Urbano graduated from Stanford University in 2005 with a bachelor of arts degree in human biology. While at Stanford, Marissa aided studies on both Fragile X syndrome and deep brain stimulation in idiopathic Parkinson's disease at the Stanford Medical Center. Upon graduating, she volunteered with AmeriCorps to start and manage a mentoring program for at-risk youth, as well as provided emergency medical response as an Emergency Medical Technician in Fresno County.

Marissa joined the Memory and Aging Center in 2009. She coordinates both the Alzheimer's Disease Neuroimaging Initiative (ADNI) and the Neuroimaging in Frontotemporal Dementia study. Both longitudinal studies are aimed at determining which imaging modalities and biomarkers help predict the onset and monitor the progression of neurodegenerative disease.

When she is not furthering her exploration of the human mind, Marissa enjoys hiking and backpacking in the California wilderness.

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