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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?

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I'd assume "cognitive decline" refers to the symptom, not the cause (dementia, UTI, tumor, etc.).

Think of it as a symptom, such as "leg pain" with the specific cause (broken leg) yet to be determined.
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"Moderate Cognitive Decline" (if that is what the doctor is telling you) is pretty noticeable to all concerned. But there is often no "why".

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.
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No but I plan on changing that now. I feel I need a reason for her decline and I just keep getting cognitive decline to a moderate proportion.
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Your mom's medication and appointment issue certainly are indicative of some cognitive decline. But as CM states, memory decline is a blanket term that could mean most anything. If I forget an appointment do I show cognitive decline? Not necessarily. Cognitive decline refers to diminished brain function where someone may be slow responding to a question, or may not immediately recall recent events or discussions. Aging itself can bring on cognitive decline. We're not a “sharp” as we used to be, we process things more slowly. Cognitive decline can advance into mild cognitive impairment, MCI, which is more than typical aging issues and may be more noticeable. Neither of these are diagnoses. MCI may or may not progress into dementia. The difference between MCI and dementia is that dementia affects one's daily living routines and activities, MCI does not. Neither is normal aging. Someone with dementia may have a change in personality, or become lethargic or exhibit other unusual behaviors. They may have difficulty paying bills or be confused about where they are or even get lost. There are a multitude of reasons for dementia, some treatable and even reversible and some not. With progressive dementia a person continues to get worse in their day to day living which is normally indicative of an underlying disease like Alzheimer's . Dementia refers only to symptoms, it is not a clinical diagnosis. One needs to determine the cause of dementia the same as one needs to determine the reason for a headache- stress, a bad cold, a tumor? Without a specific diagnosis by a neurologist or gerontologist, you don't know what you're dealing with. There is no one indicator of any of these cognitive issues and many symptoms overlap.
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Abell01 Feb 2021
Thank you. I need to start with why before asking where we are going with this.
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[mutter mutter rhubarb grumble...]

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.
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NeedHelpWithMom Feb 2021
I agree that the OP deserves an explanation for specific behavior.

Thanks, CM for your wonderful response!
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What type of testing has your mom done?

Is she currently seeing a neurologist?
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