Early Diagnosis Crucial as Dementia Cases Surge in New Zealand

Dementia cases are increasing in New Zealand, yet stigma and fear continue to hinder early diagnosis. A recent report highlights the impact of Alzheimer’s disease and other forms of dementia on Northlanders, focusing on the importance of recognizing early warning signs and the support services available in the initial stages of the condition.

Cindy Faulkes, a lead community adviser at Dementia Tai Tokerau, acknowledges the significant role that prominent figures, such as actor Bruce Willis, have played in raising awareness about dementia. Willis’s public battle with frontotemporal dementia has particularly resonated with men, helping to dispel some of the stigma surrounding the condition. Faulkes points out that, while awareness is increasing, many still fear the diagnosis, with phrases like “going doolally” reflecting lingering societal concerns.

The Impact of Dementia mate wareware and Solutions for Equity in Aotearoa (Idea project) is currently underway, analyzing dementia among various ethnic groups, including Pākehā, Chinese, and Indian individuals over the age of 65 in Auckland and Christchurch. Lead researcher Professor Ngaire Kerse from the University of Auckland reports that about halfway through the three-year study, over 100 individuals have been identified with dementia symptoms, yet approximately a third to half of these individuals remain undiagnosed and without necessary support.

Professor Kerse emphasizes that the underdiagnosis of dementia is multifaceted. She notes that individuals may not recognize the symptoms or may be influenced by stigma that causes families to shield their loved ones from a diagnosis. “Some people feel they are managing fine,” she explains, “but our team has been connecting those identified with support services.”

A major challenge lies in the diagnostic process itself. According to Faulkes, general practitioners often struggle to pinpoint dementia due to the need to rule out other potential causes of memory issues, such as infections that can lead to delirium. Additionally, the intricacies of diagnosing a progressive brain condition complicate matters.

The reluctance to seek medical help can be compounded when family members suspect something is wrong but cannot persuade their loved one to see a doctor. Faulkes advises these individuals to suggest a general health check-up or to frame it as a personal need for support.

Despite the fear surrounding dementia, Faulkes urges individuals to pursue an early diagnosis, which can empower patients to make informed decisions about their care. An early diagnosis allows for the establishment of an enduring power of attorney and provides caregivers with vital support. She refutes the outdated belief that individuals diagnosed with dementia will inevitably be placed in care homes, noting that resources often prioritize keeping patients at home for as long as possible.

Support services include medication management and day programs, such as those offered by Dementia Tai Tokerau at Alz House in Tikipunga. In-home assistance is also available for daily tasks like medication administration, meal preparation, and personal care.

For those concerned about themselves or someone they know showing signs of dementia, consulting a general practitioner or primary healthcare provider for a comprehensive assessment is crucial. The ongoing efforts to confront stigma and promote early diagnosis can significantly improve lives and ensure that individuals receive the support they need as they navigate this challenging condition.

Denise Piper, a seasoned reporter with over 20 years of experience, emphasizes the importance of sharing these stories to create awareness and drive change in health care.