Guest columnist Bonnie Loesch, MSN, APRN, FNP-C, is a nurse practitioner based in Springboro, Ohio.
Memory loss can be scary and stressful. Many people try to hide memory impairment, which can put them and their families in a position where treatment options are limited.
In the case of Alzheimer’s disease and dementia, early detection and diagnosis are vital and can unlock early treatment options.
I’ve been a nurse practitioner for five years, with a career in health care spanning two decades, and I am a fierce advocate for my patients. I want them to know how to prepare for what can often be an intimidating environment: acknowledging these issues with a doctor.
Here are my tips on advocating for yourself or your loved ones and working with your healthcare provider on evaluation, planning and treatment.
How to prepare for your appointment:
• Being organized will help you maximize time with your healthcare provider. If you’re prepared, you’ll be less likely to leave with unanswered questions.
• Ask a family member or close friend to join you. They can help provide history and details, and take notes that you can review later.
• Print and bring with you a full list of prescription and over-the-counter medications and a full family history -- it’s crucial to be honest.
• Record a detailed history of changes in your behavior or cognition. I can’t stress how important this is. While it’s difficult to discuss, this information is crucial for your doctor’s assessment.
Examples include increased forgetfulness, difficulty concentrating, trouble with speech/words, difficulty recalling new information, repeating stories, personality changes, irritability, social avoidance, sleep disturbances, getting lost in familiar places or trouble with daily activities.
Learn about the most common signs here.
Create a list of questions, including:
• Are these normal signs of aging or is it something more serious?
• Will diet, exercise or lifestyle changes help sharpen my memory?
• Could medical conditions or medications cause memory issues?
• What kind of testing can I expect? Physical exam? Q&A? Blood tests? Imaging?
• Will you communicate with my other doctors to proactively share updates?
If I am diagnosed with Alzheimer’s or dementia, is it reversible or curable?
• Do I need to see a specialist? What kind?
• What treatments are available, and are there any side effects?
• Am I a candidate for a clinical trial?
• What do I need to do to stay safe? Can I live at home? Can I continue driving?
• How can I prepare for the future regarding finances and decision making?
• Are there support groups I can join?
• How can my friends and family best support me?
Getting through the initial evaluation will set you on the path toward the best individualized treatment plan. It will also give you the opportunity to begin planning for future needs.
Please contact your doctor (or nurse) today to begin your evaluation process. You can also contact the Alzheimer’s Association at 800-272-3900 for local support.
You are not alone in this fight. We’re here for you on this journey.
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