ABSTRACT

A 75-year-old well-appearing widowed woman presents to a Memory Disorders Clinic. She is well-kempt and accompanied by her daughter and son-in-law, who report a 1-2 year history of gradual memory decline with insidious onset. The daughter has more recent concerns regarding her mother’s handling of her own financial and medical affairs and these led to a concern regarding her mother’s ability to continue driving and living independently. The daughter reports that her mother is repeating questions and forgetting conversations and appointments. These concerns prompted the clinic evaluation today. The patient denies any medical problems, and reports no difficulties in handling her own affairs; she wishes to continue driving and living in her home of many years, and agreed reluctantly to neurologic evaluation. This is the first time in her life she has consulted with a neurologist. She reports that she does forget at times, but this is “normal for her age,” and “all my friends have the same problem-senior moments.”