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In treating Alzheimer's disease, three
areas must be considered in the treatment strategy. First, the decline
of cognition and progression of the disease should be slowed. There is
currently no therapy that will completely reverse AD, therefore the symptoms
are treated. Pharmacologic agents are available that have shown to improve
cognition, with several more agents currently under investigation.
Second, psychiatric and behavioral manifestations
of AD need to be addressed. This treatment is again for symptoms and cannot
reverse the disease. The treatment may be pharmacologic, but occasionally
nonpharmacologic therapy is successful. For example, the caregivers behavior
and control of the patient's environment may decrease the number of behavioral
problems in that patient.
Finally, the family and loved ones of
the patient need their own support. Many caregivers are under large amounts
of stress while caring for the patient, dealing with legal questions of
the patient's care, looking for help from home care agencies, or
deciding what type of long-term care facility to place the patient into.
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