The name of
the Ted Talk I watched for my fourth Neuro Note was titled “What You Can do to Prevent
Alzheimer's” by Lisa Genova. I chose this video because I have heard accolades
about the speaker. The title also caught my attention because I was unaware of
any strategies that might help prevent Alzheimer’s. While I was watching I took
detailed notes and tried to relate the information being discussed to what I have
learned in Neuro Aspects and to what I know about occupational therapy.
In the beginning
of the video, the speaker discussed how the risk of Alzheimer’s increases with
age and that there is no disease modifying medication or cure currently. She then
simplified how Alzheimer’s is caused in the brain by saying that amyloid beta
accumulates due to microglia not “cleaning up” like the typically do, which
then results in plaques that block synapses and prevent neurotransmitter communication.
Once the amyloid beta reaches a certain threshold, the microglia get turned
back on and sent into overdrive in efforts to try and clean up the plaques.
Despite their efforts, the microglia can actually then damage then synapses themselves,
which leads to further complications. One interesting thing that she mentioned
was that people can have evidence of plaques as early as 10 to 15 years before
they become symptomatic and get diagnosed. She then discussed that most
medications that have been or are being developed are preventative – meaning that
they aim to prevent amyloid beta plaques reaching that threshold. She then
proceeded to discuss alternative ways in which the plaques created with Alzheimer’s
can be worked around by increasing one’s cognitive reserve. A cognitive reserve
is about someone having more than one pathway to a given topic, this increases
the odds of that topic not being forgotten, or blocked by plaque, because there
are multiple routes to get to the given topic, rather than just one. In addition
to this, Lisa discussed criteria that places people at a higher risk for Alzheimer’s
like not getting enough sleep, obesity, cardiovascular problems and smoking.
By watching
this video and writing this Neuro Note, I gained a deeper understanding of what
Alzheimer’s is and how it is caused. In the future, it would be helpful to use
the information I learned in order to help explain things to potential client’s
and caregivers for people who have Alzheimer’s. In addition to this, my knowledge
can help me inform my potential clients about the preventative actions, they
can take to decrease their risk of getting the disease – like working on
creating a cognitive reserve, prioritizing sleep and improving cardiovascular health.
I would recommend this video because it is informative, interesting and the
speaker did a great job presenting!
Reference
Genova, L. (2017, May). What you can do to prevent
Alzheimer's [Video file].
Retrieved
from https://www.youtube.com/watch?v=twG4mr6Jov0
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