Patient: Female, 79 years old, previously in good health. Around 2007, she noticed that her memory had deteriorated significantly, firstly, she did not remember what she had said; after eating a meal, she did not know what she had eaten when asked; then she repeatedly bought the same food every day; now she does not know how to wear seasonal clothes; once she walked far away alone and did not know the way home, a passerby called to tell her. She had been to the hospital and had taken “Ducoxib” and “Biaxin”. She also took Chinese medicine. Both of them are not effective. How to treat? Doctor: The patient’s current condition is highly suspicious of the possibility of senile dementia. Alzheimer’s disease (senile dementia) is the most common type of dementia in old age. Patients often exhibit near-memory loss that affects their ability to work, lose things; have difficulty performing household chores; often cannot find the right words to express themselves and cannot even name the most familiar objects; have disorientation in time and place, often get lost, do not know where they are or how they got there, how to get home, and how to get back home. or how to get home, or simply do not know what season it is, nor do they know the year, month, date, etc.; poor or reduced judgment; difficulty in abstract thinking and calculation; often misplace things, or even put things in particularly inappropriate places, such as putting the iron in the refrigerator or the watch in the sugar bowl; mood or behavioral changes, very rapid mood swings, quiet times will have no The mood or behavior changes, with very rapid mood swings, crying for no reason at all during quiet times, or even extreme anger; very obvious temper changes, becoming extremely sensitive and suspicious or very fearful, becoming increasingly irritable and stubborn; loss of initiative, often doing nothing all day long, wandering around at home aimlessly. These manifestations often cause great distress to the patient and his or her family. Although the underlying causes of dementia are not yet well understood, proper care and proper medication may be required. However, proper care and the right medication will help patients to live a more comfortable life with less distress. According to international expert consensus, scientific and comprehensive “three-pronged” dementia treatment and health care is an important step to improve the quality of life of dementia patients and their families, including: (1) Standardized medication for dementia patients: Currently, China has approved cholinesterase inhibitors (donepezil, carboplatin and galantamine) and glutamatergic receptor antagonists (memantine). receptor antagonists (memantine) for the treatment of Alzheimer’s disease. (2) Provide patients with scientific psychosocial counseling and interventions: such as cognitive interventions (redirection; cues, clues, task sequencing or prompts), environmental modifications (modulating noise levels, providing familiar objects, reducing confusion or visual distractions, using pictures to provide cues), changes in activity requirements (completing daily activities or schedule plans, reducing the amount and complexity of activities), or interpersonal communication methods (simplifying language, using or avoiding touch, paying attention to the patient). , using or avoiding touch, paying attention to the patient’s wishes, interests, and concerns), etc. (3) Support and care for the caregiver: e.g., caregiver education, teaching problem-solving skills, emotional support, etc.