My mom has been diagnosed with cognitive impairment. I was told this is not the same as dementia. She has very poor short term memory. Cannot be trusted to take medication or remember routines or appointments. She has not driven in almost a year but wants to. What does the future hold for her compared to a dementia diagnosis?
Is she currently seeing a neurologist?
I'm sorry this is being communicated to you so poorly. The broad subjects of cognitive impairment and its numerous causes on the one hand, and dementia and its many, many forms on the other, overlap and intertwine so that people end up trying to put simple labels on very very complex conditions.
But cognitive impairment doesn't just crop up on its own; so I should go back to the beginning and ask your mother's primary physician to explain your mother's situation to you with as much clarity as possible. You are looking for information about:
underlying disease. Alzheimer's Disease is one form of dementia, but there are many other types of dementia which generally have their roots in other causes. These might include for example heart or respiratory disease, diabetes, or many other physical conditions which can lead to problems with brain function.
memory issues and cognitive function. What tests have been done to assess your mother's current abilities? These tests should flag up any areas of brain function which might present challenges in your mother's day to day life. Memory loss is a blanket term, often used too loosely to cover the huge range of skills we rely on our healthy brains to exercise every day. Not remembering the name of the president doesn't actually matter most of the time, but not remembering your own address does. Not being able to solve a crossword puzzle in your usual time doesn't matter; but getting lost on the way to your own bedroom does.
You might find it more helpful to do an individual list of your mother's typical activities of daily living, and see if you can spot where she's having difficulties. Focus on what is normal and what is important for *her.*
Once you have a clearer picture of exactly what issues she is encountering, you have a better chance of understanding what factors are or might be affecting her, and from there you can potentially anticipate what her needs are likely to be in the future.
Thanks, CM for your wonderful response!
UTIs are extremely common in the elderly, especially women. They can get them no matter how good their hygiene is or even if they're not wearing adult incontinence undies. It can come on sudden and drastically change their behaviors and personalities. But a test can diagnose it and some antibiotics can clear it up. Left untreated, it can turn into sepsis and be life-threatening.
My own MIL developed short-term memory loss to the point where she could make general chit-chat with you or others and you'd never suspect anything was amiss, yet she wasn't remembering to eat or take her meds accurately, among other things. She needed to go into a care community where she would be watched over and protected because, like you, my husband and I had 3 kids in school, a grandchild and were working full-time running our business.
Your profile says, "I still work full time - trying to take care of my elderly parents and still maintain my busy life with my husband kids and grandkids. Wanting to make good decisions for them without all the knowledge I feel I need."
I think you will find this forum an invaluable wealth of information, especially reading the posts by people who have become burnt out from caring. Respectfully, at this point you are not able to imagine how intense and draining it will become, especially for 2 parents. It is more than just "making good decisions for them" as the decline. And it sounds like they are both declining at the same time. Please go into this with your eyes wide open, understanding that what you have been assuming about their sunset care may not be a viable plan for anyone. I wish you much wisdom and peace in your heart as you begin this journey with your parents.
Was brain imaging done?
On my mom's MRI, there was an old stroke that previous imaging had not picked up. It was responsible for her MCI and a later stroke was to blame for her progressive Vascular Dementia.
Think of it as a symptom, such as "leg pain" with the specific cause (broken leg) yet to be determined.