The word anosognosia is derived from Greek roots meaning ‘without knowledge of disease’. Many seniors suffering from dementia and/or Alzheimer's disease are unaware that they need assistance or that they have any cognitive decline. This can be very difficult for caregivers, especially when the senior refuses appropriate care, medication or assistance with basic care and hygiene.
Changes in the brain can cause these individuals to truly believe that there is nothing wrong with them. The decline in mental function affects one's ability to understand and acknowledge the extent of any impairment. Many seniors in this situation insist that they can continue driving, refuse in-home care and demand to live independently. Many also believe that they are fully capable of performing daily activities independently despite clear evidence to the contrary. Many even react angrily when confronted about any mental impairment because they are fully convinced that such a decline does not exist. When this occurs, it is evidence of anosognosia.
When confronted with this type of situation, many caregivers and family members get to a point where they must stage an intervention. Prior to staging the intervention, take notes including dates and occurrences that demonstrate cognitive decline that cause concern for safety. Make sure that all family members are aware of the issues and have a plan in place to protect the senior. At the intervention, try to include a neutral friend or religious leader to keep the conversation on track and peaceful. Outline the steps that are about to take place whether they are simply to get a neurological examination or whether you have already made arrangements for a new living situation.
At Stouffer Legal, we care about our seniors and we know that dealing with dementia-related illnesses and the anosognosia that often accompanies the diagnosis can be very difficult for all involved. For more information on Elder Law issues such as long-term care planning please contact Stouffer Legal in the greater Baltimore area for a consultation.
