When Memory is Normal and When it is Not-So-Normal (Cleveland Clinic)

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Memory loss is abnormal in people with mild cognitive impairment or dementia (a loss of intellectual functions severe enough to interfere with everyday social or occupational functioning).

Mild cognitive impairment

  • Important memory impairments occur without loss of independent functioning.
  • Forgetfulness and struggling to perform self-care tasks (for example, taking medications, paying bills) but still able to do so without the direct help of another person.

Dementia: Memory, language, and cognition are so impaired that self-care tasks can no longer be performed without assistance from another person.

Not-so-normal memory

Condition

Symptoms

Mild cognitive impairment

  • Aging
  • Pre-Alzheimer’s
  • Silent "strokes" (infarcts)
  • Head injury
  • Forgetfulness or amnesia for recent events
  • Need to write reminders to do things or else will forget
  • Struggles but is able to perform daily chores and tasks
  • Sometimes needs a reminder or prompt to remember

Dementia

  • Alzheimer’s
  • Vascular (stroke)
  • Others: Pick’s, hydrocephalus, drugs/alcohol, etc.
  • Unable to perform complex daily tasks (for example, paying bills, taking medications, shopping, driving)
  • Loss of insight or awareness of memory loss
  • Poor judgment
  • Behavioral symptoms (for example, irritability worrying, anger, agitation, suspiciousness)

Can normal memory be preserved in aging?
Research has shown the following:

  • More education helps preserve "cognitive reserve" and delays the onset of dementia.
  • A healthy diet--one high in antioxidants and olive oil--lowers the risk of dementia.
  • Cognitive training (memory training, reasoning training, speed-of-process training) improves cognition.
  • Playing board games (chess, checkers, cards, learning a second language) and musical instrument delays the onset of dementia.
  • Engaging in social activities slows cognitive decline.
  • Reducing cardiovascular risks (for example, treating hypertension) delays the onset of dementia.

References:
American Psychological Association. Memory and Aging. www.apa.org Accessed 7/1/2011

National Institute on Aging. Understanding Memory Loss. www.nia.nih.gov Accessed 7/1/2011

National Institutes of Health. NIH: News In Health: Things Forgotten: Simple Lapse or Serious Problem? newsinhealth.nih.gov Accessed 7/10/2011

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Last Updated: 6/27/2011

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