They may not understand what is being said to them and are less likely to be able to respond verbally as they may have limited or no speech. Age-related hearing loss usually occurs in both ears, affecting them equally. 20 years experience Pediatric Urology. Signs of Dying in the Elderly with Dementia. No: Not unless that infection spreads, becomes very severe and affects the parts of the brain controlling speech. Aphasia is a communication disorder that occurs due to brain damage in one or more areas that control language. People with primary progressive aphasia eventually lose the ability to speak and write, and to understand written and spoken language. The major causes are a cerebral vascular accident or head trauma.Aphasia can also be the result of brain tumors, brain infections, or neurodegenerative diseases, but the latter are far less prevalent.. To be diagnosed with aphasia, a person's speech or language must be … Do most dementia patients lose the ability to speak, and though I know this varies a lot, about how long can they be silent before passing? Delirium . Alzheimer’s disease is the most common form of dementia, accounting for 60-80% of all cases of dementia. Three common problems are: Aphasia which is the loss of the ability to understand, process, or express language. Ringing in the Ears (Tinnitus) Tinnitus is also common in older people. In the later stages of dementia the person is likely to have more problems with verbal communication. It can interfere with your verbal communication, written communication, or both. Unfollow. Finally, Neurological problems can also adversely affect a person’s speech. Share My mom started a low dose of Depakote on top of a medium dose Lexapro and Remeron. The loss is gradual, so someone with presbycusis may not realize that he or she has lost some of his or her ability to hear. This would be incredibly rare. This is a diagnosable loss of cognitive ability. An acute confused state that usually resolves itself over time. It's more common in older adults, ... the person has a hard time speaking and understanding words. Dementia is a general term for a chronic or persistent decline in mental processes including memory loss, impaired reasoning, and personality changes. That inability can result in third-parties communicating less with the older adult, and he or she with them. Near the very end Follow. The patient will often be fearful and may refuse food thinking that someone is poisoning him. Dr. Patricio Gargollo answered. Some people develop substantial difficulty forming sounds to speak (a problem called apraxia of speech), even when their ability to write and comprehend are not significantly impaired. Aphasia is an inability to comprehend or formulate language because of damage to specific brain regions. Paranoia . 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