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If your question has to do with getting help for your wife thru the VA, contact your County office to see what she maybe entitled to. If you were in the service during wartime, she maybe able to get Aid and Attendance.
For more information, see the page at Dementia Care section under Geriatrics and Extended Care at
https://www.va.gov/GERIATRICS/pages/Alzheimers_and_Dementia_Care.asp.
Best wishes,
For the initial steps of dementia diagnosis, we've always started with Primary Care, to Geriatric Specialist, to Neurologist. Again, it's a process. The imaging, MRI, etc, can be inconclusive-----it seems as if it's common to treat/observe symptoms & behaviors that are being presented.
The standard dementia test (it's online) is about 20 questions. Based upon the number of points scored, a level of dementia is determined. Again, this test has many variables. For us, it was close observation of symptoms with a notebook logging in behaviors on a daily basis, to review with physician. That method was the most helpful for our family.