Saturday, July 12, 2025

Bob's Alzheimer's Disease Diagnosis ~ A Case Study

 




The Harvard University Dementia Comprehensive Update from May 28-31 in Boston was exhilarating! It was a gathering of the most innovative and prestigious clinicians and researchers in geriatric and brain health. The authoritative update focused on common clinical problems associated with brain injuries, dementia, problem behaviors, caregiving, and the challenges and recommendations associated with obtaining a definitive diagnosis.

Dedicated researchers and committed, ethical clinicians gathered to disseminate the latest in dementia research. The intensive course was designed for an informed audience of professionals, but it is my intent to present the material to my readers, who are comprised of informed and general readers. We are making strides to understand the brain but there is so much we do not know, and that is humbling. Therefore, I have created the following case study to illuminate some of the material without being too technical.

Bob, who is a 77-year-old widow and retired structural engineer, was invited to spend Christmas at his sister Gertrude’s home. Their other sister, Lucy, was also invited. They had not seen Bob in two years. The sisters picked him up at the airport and they knew right away that something was off. Lucy told Gertrude, “His face looks a little flat. Expressionless. And he is answering yes and no instead of using complete sentences!”

First, Bob slept all day and wandered around at night, blaring the television and roaming all over the house. He had developed abnormal eating habits. Bob only ate corn flakes with milk, refusing to eat or drink anything else including the special Christmas meal. He even refused to eat his favorite side dish, oyster dressing, although Gertrude prepared it especially for him. The sisters also discussed Bob’s hygiene. A snappy dresser and always well-groomed, Bob arrived disheveled, wore the same clothes, and never bathed during his seven-day visit. Finally, they noticed that Bob had difficulty with word finding and sentence structure.

They contacted his daughter, Ashley, and the three of them discussed Bob’s observable changes and next steps. Ashley, who resides ten miles away from her dad, denied that there was anything wrong. “He’s just getting old. He’s just turning into a curmudgeon, that’s all. Leave him alone!” Ashley promised her aunts that she would arrange for follow-up with his primary care provider. Although Bob was offended that his sisters and daughter think he is “senile,” he reluctantly agreed to see his physician, and he protested, “You are all blowing it out of proportion.”

Familiar scenario, right? Most of us have had a similar encounter and moral dilemma with a family member or friend. We do not want to interfere, but we know that something is off and requires follow-up. Bob’s physician listened to Ashley’s concerns (this is known as an “informant report”) and performed a medical exam and cognitive assessment. He explained to Ashley and Bob that he needed to make a referral to a neurologist, Dr. Sharp, who specializes in dementia.

Dr. Sharp used the DETeCD-ADRD CPG and the Northwestern CARE-D Model to evaluate Bob’s condition. Nicknamed the CPG, the Clinical Practice Guideline (CPG) for the Diagnostic Evaluation, Testing, Counseling, and Disclosure of Suspected Alzheimer's Disease and Related Disorders (DETeCD-ADRD) is a structured and patient-centered tool for evaluation of Alzheimer’s disease or dementia.

Below is a more detailed breakdown. The CPG is a seven-step model that is tailored to each individual. The core elements are:

1.      Establish shared goals with care partner and patient.

2.      Medical history from patient and care partner.

3.      Structured multi-domain systems review including cognition, ADLs, behavior, and sensorimotor evaluation.

4.      Biopsychosocial history and risk factors.

5.      Exams include medical, mental status assessment, psychiatric, and neurological.

6.      Three-step diagnostic steps and formulation require evaluation and integration of the data.

a.      Determine cognitive-functional status

b.      Characterize cognitive-behavioral syndrome

c.      Determine likely cause

7.      Communicate findings to patient and care partners. Develop a shared care plan and path forward (Atri et al., 2024).

The CARE-D Model, used in conjunction with other diagnostic tools in clinical practice, divides dementia into five categories by gathering details from both patient and family. They are memory, visuospatial, behavior/emotion, executive/attention, and language (Morhardt et al., 2015).

Finally, Dr. Sharp ordered a non-contrast brain MRI to evaluate atrophy patterns, neurodegeneration, cerebrovascular disease burden, hydrocephalus, and micro-hemorrhages. Although the radiologist read Bob’s MRI, Dr. Sharp followed best practices and evaluated the brain MRI himself for clinical staging and interpretation of the results.

Bob’s condition was diagnosed as Alzheimer’s Disease and Dr. Sharp advised that Bob should immediately start taking Aricept and Namenda. Both Bob and his daughter, Ashley, balked about taking the prescriptions, but Dr. Sharp said, “These are not a cure, but disease-modifying drugs. It is important to start these drugs now. Giving the right drug at the right time is essential, as it slows the progression of the disease.” He also told Ashley that the drugs would help with problem behaviors. He added, “Learn to redirect, tell white lies, and diffuse.” Dr. Sharp’s staff provided Bob and Ashley with resources to help them navigate caregiving and long-term care services, and community support. Ashley joined a support group for families of Alzheimer’s and dementia patients.

Resources:

Atri, A., Dickerson, B.C., Clevenger, C., Karlawish, J., Knopmen, D., Lin, P., Norman, M., Onyike, C., Sano, M., Scanland, S., Carillo, M. (2024). Alzheimer's Association clinical practice guideline for the Diagnostic Evaluation, Testing, Counseling, and Disclosure of Suspected Alzheimer's Disease and Related Disorders (DETeCD-ADRD): Executive summary of recommendations for primary care. Journal of the Alzheimer’s Association. First published: 23 December 2024.  https://doi.org/10.1002/alz.14333

 

Morhardt, D., Weintraub, S., Khayum, B., Robinson, J., Medina, J., O'Hara, M., Mesulam, M., & Rogalski, E. J. (2015). The CARE pathway model for dementia: psychosocial and rehabilitative strategies for care in young-onset dementias. The Psychiatric clinics of North America38(2), 333–352. https://doi.org/10.1016/j.psc.2015.01.005

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Bob's Alzheimer's Disease Diagnosis ~ A Case Study

  The Harvard University Dementia Comprehensive Update from May 28-31 in Boston was exhilarating! It was a gathering of the most innovative ...