Skip to main content
SpringerLink
Log in

Alzheimer’s Disease and Dementia

  • Chapter
  • First Online:
Urological Care for Patients with Progressive Neurological Conditions

  • 454 Accesses

Abstract

Dementia is not a single disease, but instead represents a progressive loss of ability in more than one domain of cognition severe enough to result in decline in an individual’s ability to perform daily activities. Urinary incontinence, along with other lower urinary tract symptoms and conditions, is common among older adults with dementia and may result from either functional incontinence or from other conditions related to both aging and disease process itself. Management of lower urinary tract symptoms in this population is challenging and should take into consideration the degree of botheration experienced by both the patient and the caregiver. Treatment strategies may differ from the typical medical model and should address both medical and psychosocial issues aspects of care.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Association; As. Alzheimer’s disease facts and figures. Alzheimers Dement. 2016;2016(14):367–429.

    Google Scholar 

  2. Matthews KA, Xu W, Gaglioti AH, et al. Racial and ethnic estimates of Alzheimer’s disease and related dementias in the United States (2015–2060) in adults aged >/=65 years. Alzheimers Dement. 2019;15(1):17–24.

    Article  PubMed  Google Scholar 

  3. Corrada MM, Brookmeyer R, Paganini-Hill A, Berlau D, Kawas CH. Dementia incidence continues to increase with age in the oldest old: the 90+ study. Ann Neurol. 2010;67(1):114–21.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Koller D, Bynum JP. Dementia in the USA: state variation in prevalence. J Public Health (Oxf). 2015;37(4):597–604.

    CAS  Google Scholar 

  5. Evans DA, Funkenstein HH, Albert MS, et al. Prevalence of Alzheimer’s disease in a community population of older persons. Higher than previously reported. JAMA. 1989;262(18):2551–6.

    Article  CAS  PubMed  Google Scholar 

  6. Magalingam KB, Radhakrishnan A, Ping NS, Haleagrahara N. Current concepts of neurodegenerative mechanisms in Alzheimer’s disease. Biomed Res Int. 2018;2018:3740461.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Theofilas P, Ehrenberg AJ, Nguy A, et al. Probing the correlation of neuronal loss, neurofibrillary tangles, and cell death markers across the Alzheimer’s disease Braak stages: a quantitative study in humans. Neurobiol Aging. 2018;61:1–12.

    Article  PubMed  Google Scholar 

  8. Minami A, Nakanishi A, Matsuda S, Kitagishi Y, Ogura Y. Function of alpha-synuclein and PINK1 in Lewy body dementia (Review). Int J Mol Med. 2015;35(1):3–9.

    Article  CAS  PubMed  Google Scholar 

  9. Hernandez I, Fernandez MV, Tarraga L, Boada M, Ruiz A. Frontotemporal lobar degeneration (FTLD): review and update for clinical neurologists. Curr Alzheimer Res. 2018;15(6):511–30.

    Article  CAS  PubMed  Google Scholar 

  10. Borson S, Scanlan JM, Chen P, Ganguli M. The Mini-Cog as a screen for dementia: validation in a population-based sample. J Am Geriatr Soc. 2003;51(10):1451–4.

    Article  PubMed  Google Scholar 

  11. Nasreddine ZS, Phillips NA, Bedirian V, et al. The montreal cognitive assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53(4):695–9.

    Article  PubMed  Google Scholar 

  12. Knopman DS, DeKosky ST, Cummings JL, et al. Practice parameter: diagnosis of dementia (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2001;56(9):1143–53.

    Article  CAS  PubMed  Google Scholar 

  13. Reisberg B, Ferris SH, de Leon MJ, Crook T. The global deterioration scale for assessment of primary degenerative dementia. Am J Psychiatry. 1982;139(9):1136–9.

    Article  CAS  PubMed  Google Scholar 

  14. Kassahun WT. The effects of pre-existing dementia on surgical outcomes in emergent and nonemergent general surgical procedures: assessing differences in surgical risk with dementia. BMC Geriatr. 2018;18(1):153.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Marcantonio ER, Goldman L, Mangione CM, et al. A clinical prediction rule for delirium after elective noncardiac surgery. JAMA. 1994;271(2):134–9.

    Article  CAS  PubMed  Google Scholar 

  16. Rudolph JL, Marcantonio ER. Review articles: postoperative delirium: acute change with long-term implications. Anesth Analg. 2011;112(5):1202–11.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Radtke FM, Franck M, Lendner J, Kruger S, Wernecke KD, Spies CD. Monitoring depth of anaesthesia in a randomized trial decreases the rate of postoperative delirium but not postoperative cognitive dysfunction. Br J Anaesth. 2013;110(Suppl 1):i98–105.

    Article  CAS  PubMed  Google Scholar 

  18. Sieber FE, Zakriya KJ, Gottschalk A, et al. Sedation depth during spinal anesthesia and the development of postoperative delirium in elderly patients undergoing hip fracture repair. Mayo Clin Proc. 2010;85(1):18–26.

    Article  PubMed  PubMed Central  Google Scholar 

  19. American Geriatrics Society Expert Panel on Postoperative Delirium in Older A. Postoperative delirium in older adults: best practice statement from the American Geriatrics Society. J Am Coll Surg. 2015;220(2):136–48. e131

    Article  Google Scholar 

  20. Alcorn G, Law E, Connelly PJ, Starr JM. Urinary incontinence in people with Alzheimer’s disease. Int J Geriatr Psychiatry. 2014;29(1):107–9.

    Article  PubMed  Google Scholar 

  21. Sakakibara R. Dementia and lower urinary tract dysfunction. In: Corcos J, Ginsberg DA, Karsenty G, editors. Textbook of the neurogenic bladder. 3rd ed. Boca Raton, FL: CRC Press; 2016.

    Google Scholar 

  22. Uren AD, Drake MJ. Definition and symptoms of underactive bladder. Investig Clin Urol. 2017;58(Suppl 2):S61–7.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61(1):37–49.

    Article  PubMed  Google Scholar 

  24. Abrams D, Rutland A, Cameron L. The development of subjective group dynamics: children’s judgments of normative and deviant in-group and out-group individuals. Child Dev. 2003;74(6):1840–56.

    Article  PubMed  Google Scholar 

  25. Ostaszkiewicz J, O’Connell B, Dunning T. Residents’ perspectives on urinary incontinence: a review of literature. Scand J Caring Sci. 2012;26(4):761–72.

    Article  PubMed  Google Scholar 

  26. Heggestad AK, Nortvedt P, Slettebo A. Dignity and care for people with dementia living in nursing homes. Dementia (London). 2015;14(6):825–41.

    Article  Google Scholar 

  27. Ostaszkiewicz J. Reframing continence care in care-dependence. Geriatr Nurs. 2017;38(6):520–6.

    Article  PubMed  Google Scholar 

  28. Winge K. Lower urinary tract dysfunction in patients with Parkinsonism and other neurodegenerative disorders. Handb Clin Neurol. 2015;130:335–56.

    Article  PubMed  Google Scholar 

  29. Orme S, Morris V, Gibson W, Wagg A. Managing urinary incontinence in patients with dementia: pharmacological treatment options and considerations. Drugs Aging. 2015;32(7):559–67.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Medicine, Division of Geriatrics, University of California, San Francisco, CA, USA

    Michael Harper

  2. Department of Urology, Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA, USA

    Anne M. Suskind

Authors
  1. Michael Harper
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Anne M. Suskind
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Anne M. Suskind .

Editor information

Editors and Affiliations

  1. Division of Neurourology and Pelvic Reconstruction, Department of Urology, University of Michigan Medical School, Ann Arbor, MI, USA

    John T. Stoffel

  2. Division of Urology, Department of Surgery, Greenville Health System, Greenville, SC, USA

    Elizabeth V. Dray

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Harper, M., Suskind, A.M. (2020). Alzheimer’s Disease and Dementia. In: Stoffel, J.T., Dray, E.V. (eds) Urological Care for Patients with Progressive Neurological Conditions. Springer, Cham. https://doi.org/10.1007/978-3-030-23277-1_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-23277-1_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-23276-4

  • Online ISBN: 978-3-030-23277-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation