General Practice 2022

Ráfast Alzheimer's test: what is your risk?

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Ráfast Alzheimer's test: what is your risk?
Ráfast Alzheimer's test: what is your risk?

The test to identify the risk of Alzheimer's was developed by the American neurologist James E Galvin and by the New York University Langone Medical Center [1] and aims to evaluate some factors such as memory, orientation, as well as changes in mood and language from the answer to 10 questions. The test can be done by the person himself or by a family member, when Alzheimer's is suspected.

Although it does not provide enough data to make the diagnosis of Alzheimer's, this questionnaire may indicate that the person needs to go to the doctor because there is a suspicion that the disease is developing. However, only the doctor, based on exams, can diagnose and indicate the treatment of Alzheimer's.

Take the following test to identify your Alzheimer's risk:

Evaluate your risk of developing Alzheimer's

Illustrative image of the questionnaire
  • I have a good memory, although there are small forgettings that do not interfere with my day-to-day.
  • Sometimes I forget things like the question I was asked, I forget appointments or where I left my keys.
  • I often forget what I was doing in the kitchen, living room, or bedroom and also what I was doing.
  • I can't remember simple, recent information like the name of someone I just met, even if I try very hard.
  • It's impossible to remember where I am and who the people around me are.
  • Yes! I also find it easy to recognize people and places.
  • I don't remember very well what day it is and I have a slight difficulty saving dates.
  • I'm not sure what month it is, but I can recognize familiar locations. However, I get a little confused in new places and can get lost.
  • I don't know. I also don't remember exactly who my family members are, where I live and I don't remember anything about my past.
  • All I know is my name, but sometimes I remember the names of my children, grandchildren or other relatives
  • I am fully capable of solving day-to-day problems and dealing well with personal and financial issues.
  • I have some difficulty understanding some abstract concepts (such as why a person is sad).
  • I'm feeling a little insecure and afraid to make decisions. That's why I prefer that others decide for me.
  • I don't feel capable of solving any problem and the only decision I make is what I want to eat.
  • I am unable to make any decisions and am totally dependent on other people for help.
  • Yes, I can work normally, I shop, I am involved with the community, church and other social groups.
  • Yes, but I'm starting to have some trouble driving. Still, I feel safe and know how to handle emergency or unplanned situations.
  • Yes, but I am unable to be alone in important situations and need someone to accompany me on social engagements.
  • No, I don't leave the house alone because I don't have the capacity and I always need help.
  • No, I am unable to leave the house alone and I am too sick for it.
  • Great. I still have chores around the house, I have hobbies and personal interests.
  • I no longer feel like doing anything indoors, but if you insist, I can try to do something.
  • I completely abandoned my activities, as well as more complex hobbies and interests.
  • All I know is showering alone, getting dressed and watching TV and I am not able to do any other chores around the house.
  • I can't do anything on my own and I need help with everything.
  • I am fully capable of taking care of myself, dressing, washing, showering and using the bathroom.
  • I'm starting to have some trouble taking care of my own personal hygiene.
  • I need others to remind me that I have to go to the bathroom, but I manage to relieve myself.
  • I need help dressing and cleaning and sometimes I pee on my clothes.
  • I can't do anything myself and I need someone else to take care of my personal hygiene.
  • I have normal social behavior and there are no changes in my personality.
  • I have small changes in my behavior, personality and emotional control.
  • My personality is slowly changing, before I was very nice and now I'm a little grumpy.
  • They say I've changed a lot and I'm not the same person anymore and I'm already shunned by my old friends, neighbors and distant relatives.
  • My behavior has changed a lot and I have become a difficult and unpleasant person.
  • I have no difficulty speaking or writing.
  • I'm starting to have some trouble finding the right words and it takes me longer to complete my reasoning.
  • It is getting harder and harder to find the right words and I have been having trouble naming objects and I notice that I have less vocabulary.
  • It's very difficult to communicate, I have difficulty with words, understanding what they say and I don't know how to read or write.
  • I just can't communicate, I don't say much, I don't write and I don't understand very well what they say to me.
  • Normal, I don't notice any change in my mood, interest or motivation.
  • Sometimes I get sad, nervous, anxious or depressed, but I don't have any major worries in life.
  • I get sad, nervous or anxious every day and this has become more and more frequent.
  • Every day I feel sad, nervous, anxious or depressed and have no interest or motivation to do any task.
  • Sadness, depression, anxiety and nervousness are my daily companions and I totally lost my interest in things and I have no motivation for anything anymore.
  • I have perfect attention, good concentration and great interaction with everything around me.
  • I'm starting to have trouble paying attention to something and get sleepy during the day.
  • I have some attention difficulties and poor concentration, so I can stare at a point or with my eyes closed for some time, even without sleeping.
  • I spend a good part of the day sleeping, I don't pay attention to anything and when I talk I say things without logic or that have no relation to the topic of conversation.
  • I can't pay attention to anything and I'm completely unfocused.

Who is most at risk of developing Alzheimer's

Although Alzheimer's is usually identified from the age of 60, the disease can begin to manifest some symptoms in younger people, this is because the disease is more likely to happen in people who have a family history of Alzheimer's, starting to disease to be known as early Alzheimer's. Learn how to identify the signs and symptoms of early Alzheimer's.

In addition to being more frequent in people who have family members diagnosed with the disease, due to the genetic factor, the risk of developing Alzheimer's is also greater in people who smoke frequently, in people who have an unhe althy diet, do not practice physical activity, who have been exposed to heavy metals due to professional activity, or who have suffered a brain injury.This is because these situations can promote changes in the activity of the nervous system over time, favoring the development of Alzheimer's. See more about the causes of Alzheimer's.

How the diagnosis is made

The diagnosis of Alzheimer's is made, in most cases, by the neurologist through the performance of several behavioral tests that allow evaluating the activity of the nervous system, in addition to taking into account the Alzheimer's risk test and the assessment of signs and symptoms presented by the person over time.

Furthermore, the doctor may indicate the performance of some blood tests, to make the differential diagnosis of other diseases, and imaging tests, such as magnetic resonance imaging of the brain, for example.

In some cases the doctor may also request the analysis of the cerebrospinal fluid to check the levels of beta-amyloid and Tau proteins, which are normally in greater amounts in case of Alzheimer's.However, this exam is not routinely requested and is not always available.

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