Senior Resources: Alzheimer’s & Dementia Eugene-Springfield, Oregon
Ronit is wonderful! Not only does she have a wealth of information to share about facilities in the area, she is also knowledgable about the many nuances of memory care. She never seems to be in a hurry and gives you as much time as you need. She is happy to help even long after placing someone in a facility. Ronit is an amazing resource when considering placing a loved one in memory care!
Helen Liu
Understanding The Different Types Of Dementia Or ‘Neurocognitive Disorder’
The conversation about Alzheimer’s needs to start with the understanding of the terminology that is used by professionals. These terms will help in your communications with doctors to be your own or a loved one’s best advocate.
Dementia
Dementia is an umbrella name for many conditions involving memory loss. The newest term used by professionals is Neurocognitive Disorder (NCD).
It is important to understand the differences between each type of Dementia as, in addition to the memory loss, they are different in their causes, symptoms and prognosis. As a result, each will respond to disease-modifying agents, pharmacological intervention and behavior approach differently. In spite of the differences, one can have multiple types of Dementia.
When a person shows early signs of memory loss prior to the full signs of Dementia, he or she may be diagnosed with Mild Cognitive Impairment (MCI), which may or may not progress to a diagnosis of Dementia.
How is Dementia diagnosed?
Regardless of the type of Dementia one may have, in order to diagnose Dementia, one must show significant cognitive decline in two or more neurocognitive domains with associated functional decline in the following:
Attention (able to maintain focus on tasks), language (word finding), executive function (follow daily schedule and instruction sequences), learning and memory, social cognition (appropriate social interaction), perceptual-motor coordination (fine motor skills).
What needs to be ruled out?
There are several conditions that can affect memory or increase confusion and need to be ruled out as part of the process of diagnosing Dementia:
- constipation
- decreased level of oxygen in the blood
- poor nutrition
- low fluid intake
- urinary retention
- bladder infection
- sleep deprivation
- infection
- medications (opioids)
- depression
- anxiety
- stress
- thyroid malfunction
Alzheimer’s Disease (AD)
One of the hallmarks of Alzheimer’s disease is the accumulation of amyloid plaques between nerve cells (neurons) in the brain.
Amyloid is a general term for protein fragments that the body normally produces. Beta amyloid is a fragment of a protein snipped from another protein called amyloid precursor protein (APP). In a healthy brain, these protein fragments would break down and be eliminated. In Alzheimer’s disease, the fragments accumulate to form hard, insoluble plaques.
Neurofibrillary tangles are insoluble twisted fibers found inside the brain’s nerve cells. They primarily consist of a protein called tau.
Typical symptoms of Alzheimer’s include:
- 60% of all people with Dementia have Alzheimer’s Disease.
- Very active and busy: move around and burn a lot of energy.
- Poor short-term memory: will ask the same question again and again, forget they already ate.
- Visually triggered: they see a door, they’ll walk through it.
- Early loss of verbal skills, attention and concentration: word finding, don’t stay on task.
- Social awkwardness and personality change.
- In late stage: incontinent and loss of mobility.
When memory loss begins changing daily life, we help families explore care options and find the right level of support.
Vascular Dementia
Vascular Dementia is associated with stroke (not every stroke causes Dementia), mini strokes or heart disease. Vascular dementia can also result from other conditions that damage blood vessels and reduce circulation, depriving the brain of vital oxygen and nutrients.
Typical symptoms of Vascular Dementia include:
- Decreased mobility: becoming a ‘couch potato,’ obesity
- Depressed and less engaged
- Poor executive function
- Memory is easily prompted: when reminded, memories can easily be retrieved
- Early loss of ability for personal care: incontinence, dressing, showering
- Maintain verbal skills through late stage: ability to converse intact
Lewy Body Dementia (LBD)
This Dementia is associated with Parkinson’s and with abnormal deposits of a protein called alpha-synuclein in the brain. These deposits, called Lewy bodies, affect chemicals in the brain whose changes, in turn, can lead to problems with thinking, movement, behavior, and mood.
Typical symptoms of Lewy Body Dementia include:
- Problems with balance and gait coordination along with memory loss: looks like Parkinson’s disease
- Competencies fluctuate: have good days and bad days
- Scary hallucinations and delusions: 70-80% will suffer
- REM sleep disorder
Frontotemporal Lobe Dementia (FTD)
Caused by degeneration of the frontal and/or temporal lobe of the brain (Pick’s disease). It most commonly occurs between the ages of 45 and 64.
Typical symptoms of Frontotemporal Lobe Dementia include:
- Disinhibition, compulsive, perseveration: may be sexually inappropriate, aggressive, say what comes to mind (may be insulting, rude or mean)
- Loss of empathy and personality change
- Difficulty changing tracks
- Socially awkward
Substance/Medication Induced Dementia
Dementia as a result of prolonged use of substances such as alcohol (for example, Korsakoff Syndrome) or drugs.
If there is no other underlying type of Dementia, it can be reversible with treatment in the early and moderate stages.
When Caring For a Person Living With Dementia
Step into their world, rather than trying to orient them into yours.
- AGREE, never argue
- DIVERT, never reason
- DISTRACT, never shame
- REASSURE, never lecture
- REMINISCE, never say “remember”
- REPEAT, never say “I told you”
- DO what they can do, never say “you can’t”
- ASK, never demand
- ENCOURAGE, never condescend
- REINFORCE, never force
Common questions families ask about Alzheimer’s & Dementia Care
What is Alzheimer’s disease and how is it different from other types of dementia?
This is one of the first questions families ask me, and it’s an important one. What is Alzheimer’s disease? Alzheimer’s is the most common type of dementia, but not all dementia is Alzheimer’s. Dementia is an umbrella term that describes changes in memory, thinking, and behavior that interfere with daily life. Alzheimer’s is a specific disease that causes those changes.
Families also ask me, is dementia curable? At this time, there is no cure for Alzheimer’s or other dementias. But there are ways to slow progression, support quality of life, and plan thoughtfully, and that’s where guidance really matters.
Understanding the difference helps you make better decisions about care, safety, and what to expect. If you’re feeling unsure about what diagnosis really means for your loved one, I’m happy to talk it through with you.
What are the early signs of Alzheimer’s or dementia in seniors?
The signs of dementia in elderly adults often start subtly, and families frequently tell me, “I wasn’t sure if I was overreacting.” Early signs may include memory loss that disrupts daily life, repeating questions, difficulty managing finances, changes in mood or judgment, or withdrawing from activities they once enjoyed.
What matters most is not just noticing changes, but noticing patterns. When those changes begin to affect safety, independence, or relationships, it’s time to pause and take a closer look.
If something feels off and you’re wondering whether it’s normal aging or something more, that’s a conversation worth having. You don’t need to wait for a crisis to reach out.
What are the stages of Alzheimer’s or dementia, and what happens in each stage?
Families often want a roadmap, and while no two journeys are exactly the same, understanding the stages of Alzheimer’s can help you feel less blindsided.
In the early stage, people may still live independently but need reminders and support. The middle stage often brings increased confusion, behavioral changes, and the need for daily assistance. In the later stages, individuals usually require hands-on care, help with mobility, and full support for daily activities.
I always remind families: knowing the stages isn’t about fear, it’s about planning with compassion. If you want help thinking through what stage your loved one may be in and what support makes sense next, I’m here.
How do I handle agitation, aggression, or yelling in Alzheimer’s or dementia?
It is important to know that not every person living with dementia will exhibit behavioral problems.
Alzheimer’s behavior problems, like agitation, aggression, or yelling, are often expressions of fear, discomfort, or unmet needs. This can be incredibly hard on families, especially when the person you love doesn’t feel like themselves anymore.
Learning how to handle aggression in dementia starts with understanding triggers, simplifying communication, and focusing on reassurance rather than correction. It’s not about “fixing” the behavior, it’s about responding in a way that keeps everyone safe and supported.
If behaviors are escalating or leaving you exhausted and overwhelmed, you don’t have to manage this alone. Reaching out early can make a real difference.
What is the best way to communicate with someone who has Alzheimer’s or dementia?
Communicating with a person living with dementia requires slowing down, using simple language, and letting go of the need to correct facts. Emotional connection matters more than accuracy.
I often tell families: your tone, facial expression, body language, and presence speak louder than words. When communication becomes difficult, it’s usually a sign that more support, not more effort, is needed.
If conversations are becoming stressful or heartbreaking, I can help you learn strategies that preserve dignity and connection.
When is it time to move from home care or assisted living into memory care?
Families often ask me, “When is it time for memory care?” Usually, it’s when supervision needs increase, behaviors become harder to manage, or safety is at risk despite home care or assisted living support.
This decision is rarely sudden; it builds over time. Knowing the difference between assisted living and memory care can help you choose proactively rather than reactively.
If you’re standing at this crossroads, I can help you evaluate options and timing with confidence and compassion.
Does my loved one need assisted living, memory care, or a nursing home?
This depends on medical needs, cognitive decline, and daily care requirements.
An assisted living community may be appropriate in the early stages of the disease.
A specialized Alzheimer’s care facility or memory care community may be appropriate when dementia is the primary concern.
Nursing homes are typically needed when medical needs are complex.
Families searching for dementia care near me often feel overwhelmed by choices. My role is to help narrow options and find the right fit, not just a bed.
If you’re unsure what level of care makes sense, let’s talk it through.
How much does memory care cost per month in the Eugene Springfield area?
Memory care costs vary based on location, level of care, and community. Memory care communities’ costs are typically higher than those of assisted living due to additional supervision and specialized staffing.
The fee is determined by two factors: room and board (which varies based on the size of the apartment/room) and the level of care, which is assessed and can vary from person to person. Those fees increase every year.
Families in Eugene and Springfield often ask about memory care near me and what’s realistic financially. Understanding costs early helps avoid surprises later.
If you’d like help comparing options or understanding local pricing, I’m happy to guide you.
How do families pay for Alzheimer’s or dementia care?
Paying for care often involves a combination of private funds, long-term care insurance, VA benefits, and other resources such as Medicaid. Planning ahead, even if a move isn’t immediate, can reduce stress later.
If finances feel confusing or overwhelming, you don’t have to figure it out alone. I can help you understand options and plan next steps.
How can I prevent caregiver burnout when caring for a loved one with Alzheimer’s or dementia?
Alzheimer’s caregiver support isn’t a luxury; it’s a necessity. Burnout happens when caregivers give everything and leave nothing for themselves.
Seeking help for dementia caregivers is not a failure; it’s an act of love. Support can look like respite care, guidance, or simply having someone who understands what you’re carrying.
If you’re exhausted, emotional, or feeling stuck, that’s your signal to reach out.
How do I plan for the later stages of Alzheimer’s or dementia?
Planning for late-stage Alzheimer’s or dementia is one of the most loving things you can do. It means asking the right questions about memory care, understanding future care needs, and preparing emotionally, not just practically.
You don’t have to do this all at once. Planning works best when it’s done gently, step by step, with someone who understands the full journey.
If you’re thinking ahead or worried about what’s coming, I’d be honored to help you navigate what’s next
Is my loved one still safe to live at home with dementia or Alzheimer’s?
Safety concerns such as wandering, medication management, cooking risks, and fall hazards often lead families to question whether home is still the safest environment. There is rarely a single moment when home becomes unsafe, but there are usually warning signs that additional support or supervision may be needed.
We contacted Ronit to help us find an appropriate place to live for my elderly Dad who was moving from a different town. She came to our home and interviewed us in depth. As a member of the medical profession myself (RN), I felt that she asked very appropriate questions in a manner that was respectful and thorough. My Dad had special, challenging needs because he was on Hospice and also required night time care. We preferred, if possible, to have him in a homelike setting. She visited the potential facilities with us and met with us afterwards to assess our response and answer questions. We were able to find the best fit that was available for my Dad, and his stay was as good as could be expected considering that he ultimately passed. He was comfortable in the foster home that we found and we were glad to have his needs met as well as they were. I have already recommended Ronit to others and will continue to do so.
Julie Lindros
If you’re wondering what the next step may look like for a loved one with memory loss, we’re here to help you sort through the options.
