Severe Cognitive-Communicative Impairment In The Clinical Phase Of Moderately Severe Alzheimer's Disease

Abstract

This is case study research aimed at determining the Alzheimer's disease-ASD progress deterioration in a 74-year-old male patient with a diagnosis of dementia and bipolar affective disorder with an evolutionary clinical picture of 9 years. For this, a linear comprehensive assessment plan was designed and implemented for six years in the period from 2017 to 2021 with biennial periodic evaluations of global cognitive-communicative functioning. It is made through standardized neuropsychological methods administration to assess the impact state on basic, instrumental, and advanced activities of daily living. The Barthel index, Lawton and Brody scale, Katz index, FAST functional scale, and Yesavage geriatric depression were applied. Likewise, the mini-mental state examination test, global deterioration scale, adult intelligence scale, and Neuropsi were used to establish the cognitive level. A descriptive profile of the linguistic-communicative skills profile was performed to identify expressive, comprehension and reading-writing language disorders in the severe stage of AD, language skills, rectifications, turn-taking, and thematic domain were evaluated. The results indicated the presence of severe cognitive-communicative impairment in the clinical phase of moderately severe Alzheimer's disease. This requires a specialized interdisciplinary medical and neuro-rehabilitation approach to contribute to the life quality of the patient and his family.