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Int. Rev. Allergol. Clin. Immunol. Family Med., 2019, XXV/2: 069-074 Maximize

Int. Rev. Allergol. Clin. Immunol. Family Med., 2019, XXV/2: 069-074

Title: The influence of dementia and depressive disorders in communication with elderly patients

Author: Witkowska-Płusa U. 

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05-02-2019

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN POLISH.

The influence of dementia and depressive disorders in communication with elderly patients

Witkowska-Płusa U.

Center of Alzheimer Disease, Warsaw, Poland

 International Review of Medical Practice, 2019; Vol. 25, No. 2, 069

Mental and behavioral disorders in people with senile age significantly affect their behavior and ability to communicate with them. The aging process itself is caused by the fact that human somatic cells have limited possibilities of division, which causes them to reach the replication phase of aging. It depends on the length of distal segments of chromosomes – telomeres, which due to the inability of DNA polymerase to completely replicate, lose the ability to divide. Among the causes of age-related dementia, in the first place after the age of 65, Alzheimer’s disease is mentioned. From 2019, dementia changes were associated with the presence of TPD-43 protein and a new clinical unit was defined with an image similar to Alzheimer’s disease, but with a different pathogenetic basis – LATE – limbic-predominant age-related TPD- 43 encephalopathy. In turn, depression in the elderly causes a reduction in physical fitness, as well as brain damage as a result of lowering the folic acid concentration. These processes cause a deterioration of communication with the patient.

Key words: dementia, Alzheimer’s disease, depression, communication with the patient