Alzheimer's Disease Care in Columbus, OH
Compassionate evaluation, medication management, and behavior strategies for memory changes—supporting patients and caregivers at every stage.
Provider: Joshua Ndematebem, PMHNP-BC — Psychiatric Nurse Practitioner
Contact & Location
Address: 3184 West Broad Street, Columbus, OH 43204
Phone: 614-655-4524
Email: info@arizonwellness.com
What Is Alzheimer's Disease?
Alzheimer's disease is the most common cause of dementia. It typically begins with subtle short-term memory loss and gradually affects language, problem-solving, judgment, and independence. Early identification and a supportive care plan can slow functional decline and reduce stress for families.
Common Symptoms by Stage
Early (Mild)
- Short-term memory lapses; repeating questions
- Word-finding difficulty, losing items, paying bills late
- More effort needed for planning or complex tasks
Middle (Moderate)
- Increasing confusion about time/place; getting lost
- Assistance needed with finances, medications, meals
- Behavior or mood changes (agitation, anxiety, apathy)
Late (Severe)
- Significant memory and communication difficulties
- Full assistance with daily activities and safety
- Increased medical vulnerability and caregiver needs
Causes & Risk Factors
- Age (risk increases after 65)
- Family history and genetics (e.g., APOE-ε4)
- Cardiovascular risks (hypertension, diabetes, smoking)
- Head injury history; limited cognitive/social activity
- Sleep problems (e.g., untreated sleep apnea)
Tip — Heart-healthy habits (movement, blood pressure control, not smoking, social/cognitive engagement) may support brain health.
Diagnosis: How We Evaluate Memory Changes
- Detailed history with patient and, when possible, a care partner
- Cognitive screening (e.g., MoCA or MMSE); mood assessment
- Medication and medical review; labs or imaging via PCP/neurology as indicated
- Safety review (driving, medications, cooking, wandering risk)
- Baseline care plan and resource recommendations
Early evaluation helps identify treatable contributors and establish supports that preserve quality of life.
Alzheimer's Care at Arizon Wellness
Medication Management
When appropriate, cholinesterase inhibitors (donepezil, rivastigmine, galantamine) or memantine may help cognition or daily function for some individuals. We individualize dosing, review benefits and risks, and monitor closely.
Behavior & Daily Routine Support
We coach families on structured routines, communication strategies, sleep hygiene, and approaches to agitation, anxiety, or sundowning—reducing crises and caregiver stress.
Caregiver Guidance & Resources
Education, support group referrals, community services, home safety planning, and respite options. We coordinate with primary care, neurology, and community agencies.
Planning Ahead
We can discuss advance care planning, driving safety, medication management systems, and fall/wandering prevention—tailored to your family’s needs.
Request an AppointmentWhen to Seek Help
- New or worsening memory problems affecting daily tasks
- Repeating questions, getting lost, or missing medications/bills
- Behavior or mood changes that strain relationships/safety
- Caregiver burnout or uncertainty about next steps
If there is sudden confusion, chest pain, shortness of breath, or immediate safety concerns, call 911 or go to the nearest emergency room.
Frequently Asked Questions
What is Alzheimer's disease?
A progressive brain condition and the most common cause of dementia, affecting memory, thinking, and behavior over time.
What are early signs of Alzheimer's?
Memory loss that disrupts daily life, trouble planning or problem-solving, difficulty completing familiar tasks, confusion with time/place, word-finding issues, and misplacing items.
How is Alzheimer's diagnosed?
Through history, cognitive screening (e.g., MoCA/MMSE), functional and mood assessment, and medical evaluation to rule out other causes.
Is there treatment?
While not curative, medications like cholinesterase inhibitors or memantine may help some symptoms. Routines, safety planning, caregiver education, and community resources also improve quality of life.
Do you support caregivers?
Yes—education, behavior strategies, resource referrals, and coordination with other providers to support the whole family.
