What's Happening in the Brain
Decision making is an essential part of executive function Executive function
Includes the behaviors associated with judgment, agitation and social behavior - not memory. These behaviors are affected in all dementias, but especially in frontotemporal dementia.. The front half of the cerebral hemispheres Cerebral hemispheres
The right and left halves of the brain. are called the frontal lobes. The back halves of the cerebral hemispheres collect and identify sensory Sensory
Relating to one of the five senses - sight, hearing, touch, taste, smell. information that is processed and then routed to the frontal lobes. The frontal lobes analyze this data in order to decide what action is most appropriate. Choosing one action (or response) over another is based on split second evaluation. This is called "executive function," or being able to plan and initiate a response.
The memory Memory
The ability to process information that requires attention, storage, and retrieval. loss which characterizes Alzheimer's disease Alzheimer's disease
A neurological disease that affects memory and behaviour. It is characterized by beta-amyloid plaques and neurofibrillary tangles in the brain. There is no known cause but genetics and lifestyle are thought to play a role. has a profound effect on executive function because the person you care for may not be able to mentally grasp and hold all of the elements of a scenario in memory long enough to interpret and evaluate them.
Alzheimer's patients with frontal lobe damage often lose the ability to sequence a task because they can no longer prioritize each segment of an activity like taking a shower. They can't organize the steps; remove clothes, turn on shower, adjust the temperature, step into shower, use the shampoo, wash the body, rinse off, turn off the water, dry off, and dress.
Loss of executive function can be noticed if a person becomes unable to do activities they used to be able to do, like crocheting, crafts, baking, woodworking or weeding the garden.