Memory Problems Common Early On in Parkinson's Disease, Study Suggests

A new study published in the journal "Neurology: Clinical Practice" challenges the perception that cognitive decline only occurs in later stages of Parkinson's disease (PD).

Researchers found that cognitive problems, particularly those affecting memory, language, and concentration, are often present soon after diagnosis.

The study analyzed data from over 25,000 Parkinson's patients. Significantly, around a third (32%) reported experiencing at least one bothersome cognitive symptom within a few years of diagnosis. Memory issues (13%), difficulty finding words (12%), and problems focusing (9%) were the most frequently mentioned challenges.

These findings suggest that cognitive decline may be an earlier and more frequent feature of Parkinson's disease than previously recognized. This emphasizes the need for incorporating cognitive assessments into routine Parkinson's care from the outset.

The study also found a link between depression and the severity of reported cognitive problems in all areas except visuospatial abilities. This data suggests depression might worsen the cognitive experience of Parkinson's patients.

Parkinson's Projected to Impact More People in Future

Parkinson's disease is more widespread than many realize, affecting over 10 million people globally. In the United States alone, nearly one million people have Parkinson's, with that number projected to rise in the coming years, according to the Parkinson's Foundation.

While typically diagnosed after age 60, Parkinson's can develop in younger adults as well.

Early Management of All Symptoms Crucial

Parkinson's disease is a neurodegenerative disorder primarily affecting movement, but cognitive decline is a common non-motor symptom. Early diagnosis and management of both the motor and cognitive aspects are essential for optimizing patients' quality of life.

Parkinson's Disease: Tremors, Stiffness, and More

Parkinson's disease is a brain disorder affecting movement that worsens over time. The National Institute of Neurological Disorders and Stroke says damaged nerve cells lead to tremors, stiffness, balance problems, and difficulty walking or talking. Medications and surgery can manage symptoms, but there's no cure.

Key PD Symptoms

• Tremor: Often starts in a hand, with a characteristic "pill-rolling" motion.
• Rigidity: Muscle stiffness makes movement difficult and feels like constant tension.
• Slowed Movement: Simple tasks become slow and frustrating.
• Balance Problems: Increased risk of falls.

Progression and Variation

• PD affects everyone differently, with symptoms varying in severity and starting on one side of the body.
• Over time, both sides are affected, though usually unevenly.
• People with PD often develop a shuffling gait with small steps and reduced arm swing.

While these are the main features of Parkinson's disease, it's important to consult a doctor for a proper diagnosis.

It was already known that some people with PD develop memory problems and slow thinking. These dementia symptoms become more severe in the late stages of PD. Memory, social judgment, language, reasoning, or other mental skills can be affected.

Hope for New Treatments and Management Strategies

According to Dr. Rohit Dhall of the University of Arkansas for Medical Sciences (UAMS), Parkinson's disease patients have reason to be optimistic.

At a recent Parkinson's symposium, Dr. Dhall, who leads the UAMS Clinical Trials Innovation Unit, predicted that new treatments, including drugs his team has been researching for years, would be available in pharmacies by the end of 2024.

Most of these novel therapies aim to improve control of motor symptoms.

However, Dhall added that UAMS neurologists are also actively seeking treatments that slow disease progression. He highlighted ongoing research into another drug, lixisenatide, which shows promise in slowing Parkinson's progression. He encouraged Parkinson's patients to participate in clinical trials, calling their involvement "critical" for future advancements.

Managing Beyond Medication

Other UAMS physicians, including Dr. Hillary Williams and Dr. Stephen Docherty, addressed the importance of managing cognitive changes often accompanying Parkinson's. They emphasized exercise, diet, sleep, and hydration as crucial to controlling symptoms.

Dr. D. Micah Hester, a bioethicist at UAMS, stressed the importance of planning for future needs as the disease progresses. He encouraged patients to have open conversations with healthcare providers, family, and friends.

"Start having conversations now," Dr. Hester urged patients. He highlighted the challenges families face when making critical decisions on behalf of loved ones with advanced Parkinson's.

Long-Term Care Considerations for Parkinson's Patients

While research provides a more hopeful outlook on new treatments and management strategies, it's important to acknowledge the long-term care needs that arise as the disease progresses.

Parkinson's symptoms can worsen over time, impacting mobility, coordination, and even cognitive function. Daily tasks like bathing, dressing, and preparing meals may become increasingly difficult.

Additionally, the risk of falls and injuries can rise significantly.

For many patients, long-term care support becomes essential. Depending on individual needs, long-term care options involve in-home care services, assisted living facilities, or even skilled nursing care.

However, stressed family members often don't realize that health insurance and Medicare only pay for short-term skilled care. While Medicaid will pay for long-term care for those with very limited financial resources, families are on their own unless they already have Long-Term Care Insurance.

"Working with families to process long-term care insurance claims, whether for Parkinson's disease or other age-related health issues, is very rewarding," says Matt McCann, a long-term care planning specialist.

Families express immense gratitude for the tax-free benefits that can pay for the high-quality care their loved ones need. These benefits can be a lifesaver for the entire family.

LTC NEWS helps families with a loved one with an LTC Insurance policy process the claim at no charge, making the transition to quality care much easier - Filing a Long-Term Care Insurance Claim.

LTC NEWS also helps you find the quality long-term care services your loved one deserves. The LTC NEWS Caregiver Directory is the most comprehensive database of caregivers, senior communities, and long-term care facilities in the country. With a few clicks, you will have the quality care options to review - Long-Term Care Providers Near You.

Whether your loved one needs long-term senior care in Las Vegas, NV, or home care services in Birmingham, AL, the LTC NEWS Caregiver Directory will help no matter where you or a loved one lives.

Early planning and open communication with family members and healthcare professionals can ensure a smooth transition to appropriate care as the disease progresses.