Home Menu

Arthritis


Help with Arthritis in later life.

Arthritis is an inflammation of the joints. The term “arthritis” is often used to refer to osteoarthritis, which is the most common form of joint disease and affects many people in some form as they get older. There are other causes of arthritis, such as rheumatoid arthritis: a highly destructive inflammatory joint disease. Osteoarthritis is often described as ‘wear and tear’ of the joints, although this is not the whole picture. It is rarely found in people under 45 but gets increasingly common in older age.

Find out more about Arthritis

How will it affect me?

Osteoarthritis can cause:

  • progressive pain and stiffness in joints, commonly in the knees and spine
  • redness or tenderness
  • bony protrusions called osteophytes

What causes it?
Over time, damage to joints begins to build up and can outstrip the body’s ability to repair itself, or can be repaired poorly, leading to further damage. Some people are more prone to developing osteoarthritis than others. Being overweight seems to be a risk factor, while regular moderate exercise may help to prevent it.

How common is it?

More than half of over 65s have symptoms, and even more will have some evidence of it on X-Rays.

How is it diagnosed?

It is usually diagnosed clinically based on history and examination. Sometimes X-Rays or MRI scans are helpful, especially if surgery is being considered.

How is it treated?

Treatment depends on the severity, but the main focus is on maintaining function and mobility. Except after an injury, rest is not helpful, and remaining mobile seems to be the best thing to keep joints healthy. Weight loss can help if you are overweight by reducing the load on the joint. Sometimes the pain or stiffness can limit activity, and careful use of painkillers can help progressive increases in movement and flexibility. In severe cases, knee or hip surgery may be effective.

We’re Red & Yellow Care, the
health experts for later life.

At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

Meet some of our consultants.

Dr Colin Mitchell

Consultant Geriatrician

Geriatrics



How we can help.

Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

Clear and simple pricing.


First appointment up to 90 minutes, priced at £450.

Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

Home visit supplements starting from £100.

Get started now

Smarter, faster, easier and
more thorough healthcare.

Expert

We have the best consultants and other specialists dedicated to the health of older people.

Fast

We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

Flexible

We fit our service around you. Planning your appointments where and when suits you best.

Comprehensive

We are committed to giving you the most thorough assessment, treatment and care.

Want to hear more? Speak with our team now.

prev next
  • The service pre appointment was excellent and the appointment was also very good.
    Daniel – husband and carer
  • We are indeed very pleased with the attention and excellent service we have received for my wife, with the health issues that currently concern us.
    Richard – husband and carer
  • The nurse was extremely informative, with a sensitive approach, which was delightful.
    Edita – daughter and carer
  • The meeting on Wednesday evening eased my sore heart and deep anxiety about George, as I know how fortunate we are to have found you all.
    Teresa – sister and carer

    Depression

    Help with depression in later life.

    We all feel a bit down from time to time, but we can usually shrug off a low mood after a few days and it does not stop us working or living life.

    But if that mood persists and gets so bad that you cannot see anything positive about the future; if feelings of prolonged sadness and guilt sap your energy and concentration, affecting your sleep and appetite; if you even start to think life is not worth living, you may have depression.

    Because it is an illness, just like pneumonia or a broken leg, and is NOT due to a personality defect or lack of “moral fibre”, depression is also treatable. Talking therapy or antidepressants can often resolve even a serious depression in a few weeks.

    Find out more about depression

    What are the symptoms?

    No two people with depression are the same. There are many symptoms of depression including:

    • feelings of sadness or low mood that won’t go away
    • feeling anxious
    • lack of energy and a feeling of exhaustion
    • loss of interest in day-to-day activities and hobbies
    • a feeling of physically slowing up, or sometimes feeling restless
    • loss of concentration and memory
    • thoughts of self-harm or suicide

    Some of the symptoms also occur in other conditions, like anxiety disorder, thyroid disease or dementia, so it is important for it to be diagnosed by a doctor with the appropriate skills.

    What are the causes?

    Depression can come on after a life event such as retirement or bereavement, but often there is no clear trigger. People who have some physical illnesses (such as stroke or Parkinson’s disease) or are socially isolated are more prone to depression. It is thought that changes of a chemical in the brain called serotonin may be linked to depression.

    Key facts about depression

    • It affects 1 in 3 people at some point in their lives.
    • According to the World Health Organisation, it is the leading cause of disability in the world, affecting about one in 20 people at any one time.
    • Up to 10% of people with depression will attempt suicide
    • Depression can be effectively treated

    How will it affect me?

    Depression can affect all aspects of your life. You may notice that you are not able to work as efficiently. You may withdraw from friends and social activities and not enjoy life as much. You may notice that you lack energy to do even simple things like mowing the lawn or walking the dog. Some people with depression cry for no reason or get more irritable.

    How is it diagnosed?

    The only way to diagnose depression is for a doctor who is experienced in making the diagnosis to assess your mood. They will take a full account of your symptoms, background, current circumstances, and medical history. There are no blood tests or scans that will aid the diagnosis, but a doctor may order these to rule out medical problems that mimic the symptoms of depression.

    What is the treatment for depression?

    A lot can be done to help people with depression. Firstly, just talking through your symptoms with an experienced professional can help. You realise you are not alone and that help is at hand.

    A course of antidepressant tablets can be very effective. They usually take a couple of weeks to begin to work so it is important to persevere. The doctor will advise on the best tablets for you (there are many different types of antidepressants) and will monitor any side effects.

    Talking therapy such as cognitive behavioural therapy (CBT) is also effective. This consists of meeting with a therapist every week for about 12 weeks. The good thing about CBT is that it may protect you from future relapse of depression. Quite often a doctor will advise having antidepressants and CBT at the same time.

    Just as important as medical treatment for depression is making sure that you have enough, and the right kind of, social support. It may be you need help with some daily tasks for a few weeks while you recover, or have someone to help you pay bills so you have one less thing to worry about.

    If you have any medical conditions (such as diabetes and high blood pressure) these may have an impact on your depression, and your depression may affect the treatment for these conditions! For this reason, holistic management , looking after all your medical and psychological needs in a joined up way is really important.

    We’re Red & Yellow Care, the
    health experts for later life.

    At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

    Meet some of our consultants.

    Dr James Warner

    Consultant Psychiatrist

    Psychiatry

    Dr Hema Ananth

    Consultant Psychiatrist

    Psychiatry

    Dr Brian Parsons

    Consultant Psychiatrist

    Psychiatry

    How we can help

    Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

    We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

    Clear and simple pricing.


    First appointment up to 90 minutes, priced at £450.

    Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

    Home visit supplements starting from £100.

    Get started now

    Smarter, faster, easier and
    more thorough healthcare.

    Expert

    We have the best consultants and other specialists dedicated to the health of older people.

    Fast

    We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

    Flexible

    We fit our service around you. Planning your appointments where and when suits you best.

    Comprehensive

    We are committed to
    giving you the most thorough assessment, treatment and care.

    Request an appointment today – call us on 0203 7000 163

    prev next
    • I have got my dad back. We’ve seen massive improvements – his morning confusion is gone, he’s not forgetful or perplexed, and his motivation has improved.

      Natalie – daughter and carer
    • The fact that you promised to tailor your service around my mother and give full and constant support was very attractive and not something we had come across previously.

      Philip – person with depression
    • Dr Warner was amazing, we found him fantastic, and not just because the diagnosis was what we wanted. My father doesn’t always respond well to people but he responded to Dr Warner and we would all very much like to see him again.

      Anita – daughter and carer
    • Your team have been amazing. I’m happy again; laughing, walking, talking, playing the piano, and have no worry.

      Harry – person with mild cognitive impairment

      Dementia


      Help with Dementia in later life.

      The simplest of actions, things we do apparently without thinking, still require many functions of the brain. Just making a phone call, for example, involves multiple functions, including things like choosing to make the call (motivation), remembering the number (long term memory), remembering the conversation as it progresses (short term memory), and deciding when to end the call (decision making).

      We all forget a phone number from time to time, but forgetting how to use the phone entirely, or problems with the many steps and functions involved could suggest the early stages of dementia. This is a deterioration of brain function that starts slowly before progressing over time. With an early diagnosis, people with dementia can still lead a good and fulfilling life.

      Find out more about Dementia

      What are the symptoms?

      Dementia usually starts slowly and progresses over a number of years. In the early stages, people may not realise anything is wrong. Different types of dementia exhibit different symptoms, and even two people with the same type of dementia can contrast markedly. However at some point most people will experience:

      • memory loss, especially of recent events
      • difficulty with finding the right words and following conversations
      • changes in behaviour or personality
      • problems carrying out everyday tasks like cooking and driving

      Some of the symptoms also occur in other conditions (like depression, anxiety or stroke), so it is important to be diagnosed by a doctor with the appropriate skills.

      What are the causes?

      The most common causes of dementia are:

      • Alzheimer’s disease (60% of all dementia) – caused by a protein in the brain resulting in slowly progressive deterioration
      • vascular dementia (25% of all dementia, sometimes also occurring with Alzheimer’s disease) – due to problems with blood supply to the brain
      • Lewy body dementia (5%) – visual hallucinations and symptoms of Parkinson’s disease (shaking and stiffness) are common in this condition
      • fronto-temporal dementia (2%) – which often causes changes in behaviour (irritability, disinhibition, impulsiveness), poor judgement, language problems and changes in mood before memory is affected

      Key facts about dementia

      • There are over 750,000 people with dementia in the UK
      • Over 1/3 never get a diagnosis
      • Six people in 10 living in care homes have dementia
      • People live on average 8 years after diagnosis
      • Some causes of dementia are treatable

      How will it affect me?

      The effects of Dementia vary widely between people and it progresses differently in individual cases. You may notice very little to begin with, but as the condition progresses you, or people around you, may notice that changes in memory, thinking and behaviour affect work and social activities, driving, and domestic activities such as cooking and dressing. There is also an increased risk of depression and anxiety.

      How is it diagnosed?

      There are no simple tests for dementia. Doctors will want to hear how symptoms have progressed over time, ideally from the person concerned and a relative. The doctor will also check various aspects of brain function such as memory, use of language and recognition. They will probably organise some blood tests and a brain scan. Sometimes the doctor will ask for a further assessment by a psychologist or occupational therapist. After diagnosis it is best to have regular reviews, as the challenges and difficulties that dementia causes will change over time.

      What is the treatment for dementia?

      For some types of dementia (e.g. Alzheimer’s disease) a medicine, known as a cholinesterase inhibitor, increases a chemical in the brain that can help improve memory and reduce confusion. Activities that stimulate the brain are also very helpful in improving memory for some people.

      Depression, anxiety, hallucinations and changes in behaviour may also improve with treatment. People with dementia need advice and help to stay fit and healthy and extra monitoring of their general health such as blood pressure and heart health.

      Many people with dementia benefit from help, advice and support to plan for the future and to live a good life with the condition.

      As the years pass, eventually people may need homecare to help with daily tasks such as washing and cooking.

      What do I do now?

      If you are worried that you or someone close to you may have dementia, it is important to have a medical assessment to confirm the diagnosis and the type of dementia, and to discuss treatment options.

      We’re Red & Yellow Care, the
      health experts for later life.

      At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

      Meet some of our consultants.

      Dr James Warner

      Consultant Psychiatrist

      Psychiatry

      Dr Hema Ananth

      Consultant Psychiatrist

      Psychiatry

      Dr Alex Bailey

      Consultant Psychiatrist

      Psychiatry

      Dr Alan Smith

      Consultant Psychiatrist

      Psychiatry

      Dr Giovanna Zamboni

      Consultant Neurologist

      Neurology

      How we can help.

      Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

      We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

      Clear and simple pricing.


      First appointment up to 90 minutes, priced at £450.

      Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

      Home visit supplements starting from £100.

      Get started now

      Smarter, faster, easier and
      more thorough healthcare.

      Expert

      We have the best consultants and other specialists dedicated to the health of older people.

      Fast

      We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

      Flexible

      We fit our service around you. Planning your appointments where and when suits you best.

      Comprehensive

      We are committed to
      giving you the most thorough assessment, treatment and care.

      Request an appointment today.

      prev next
      • My decisions, greatly helped by my wife, family and friends, were also sustained by the team from Red & Yellow Care.
        Bernard – person with dementia
      • The fact that you promised to tailor your service around my mother and give full and constant support was very attractive and not something we had come across previously.
        Matt – son and carer
      • Red & Yellow’s open discussions and the advice given to me and my wife were professional, friendly, patient, clear and supportive without didacticism or jargon. At all times I felt that I was part of a team, even if I was a little slow.
        Robert – person with dementia
      • I have got my dad back. We’ve seen massive improvements – his morning confusion is gone, he’s not forgetful or perplexed, and his motivation has improved.
        Natalie – daughter and carer
      • The meeting on Wednesday evening eased my sore heart and deep anxiety about George, as I know how fortunate we are to have found you all.
        Teresa – sister and carer

        Download a free PDF - A Good Life with Dementia

        Enter your email address below to receive your free copy of ‘A Good Life with Dementia’. The PDF will be delivered to your email.

        Download our free report - A Good Life with Dementia

        Parkinson’s Disease


        Help with Parkinson’s Disease in later life.

        Parkinson’s Disease affects the brain, damaging nerve cells that help control movement. It typically causes a tremor of the hands as well as general stiffness and slowing of movement.

        There are various treatment options, generally involving careful adjustment of medications to counter the symptoms, but there is no outright cure. Other movement disorders, which can look like Parkinson’s disease but may progress differently, have different causes and treatment.

        Find out more about Parkinson’s Disease

        Parkinson’s disease causes stiffness, slowness and tremor. It tends to start on one side of the body, and then progresses to affect the other side too. The tremor can affect how you use your hands, but it is typically the slowness and stiffness that cause more problems. It can also affect memory, vision and mood.

        How will it affect me?

        Parkinson’s can cause a number of problems including

        • Affecting social activities and hobbies such as gardening and golf
        • Affecting ability to work
        • Difficulty in writing
        • Difficulties with daily activities such as dressing

        What causes it?

        The exact cause isn’t fully understood, but it relates to damage of specific areas of the brain that control movement. The nerves in these areas use a chemical called dopamine to signal information about movement, and when they are damaged, there is a reduction in dopamine transmission in the brain. Other conditions that look like Parkinson’s disease are caused in different ways – including medication side effects or small strokes.

        How common is it?

        There are over a hundred thousand people in the UK with Parkinson’s disease, although some cases are never diagnosed. It gets more common as people age, with few cases among under 65s.

        How is it diagnosed?

        Experts in movement disorders clinically diagnose the disease. Brain scans can be helpful to rule out other problems or clarify the diagnosis in unclear cases, but may not give a definitive answer.

        How is it treated?

        Parkinson’s disease is usually treated with medicines to increase dopamine levels – either by increasing the brain’s own levels or supplementing them. This requires careful adjustment, and treatment plans may change as the disease progresses and depending on which symptoms are more troubling for you.

        We’re Red & Yellow Care, the
        health experts for later life.

        At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

        Meet some of our consultants.

        Dr Giovanna Zamboni

        Consultant Neurologist

        Neurology

        Dr Colin Mitchell

        Consultant Geriatrician

        Geriatrics

        How we can help

        Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

        We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

        Clear and simple pricing.


        First appointment up to 90 minutes, priced at £450.

        Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

        Home visit supplements starting from £100.

        Get started now

        Smarter, faster, easier and
        more thorough healthcare.

        Expert

        We have the best consultants and other specialists dedicated to the health of older people.

        Fast

        We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

        Flexible

        We fit our service around you. Planning your appointments where and when suits you best.

        Comprehensive

        We are committed to giving you the most thorough assessment, treatment and care.

        Request an appointment today.

        prev next
        • My father has seen a lot of Consultants with his health and Dr Warner was the nicest person we have seen. It’s been quite an exhausting process for my dad and it was lovely to have someone who put him so much at ease.
          Julia – daughter and carer
        • We are indeed very pleased with the attention and excellent service we have received for my wife, with the health issues that currently concern us.
          Richard – husband and carer
        • Gwyn Grout has been very helpful and supportive of my mother & family and has co-ordinated her care very well. She has been objective and listens well to the difficulties we have experienced.
          Michael – son and carer

          Lewy body dementia


          Help with Lewy body dementia in later life.

          You are sitting watching TV when you notice a cat on the chair next to you, which bursts into flames. You glance away, then back – it has gone. This could be a symptom of Lewy Body Dementia. This relatively rare form of dementia can cause visual hallucinations, as well as confusion and memory loss that fluctuate dramatically from day to day. Stiffness and shaking, similar to Parkinson’s Disease, can also be symptoms.

          Lewy Body Dementia develops slowly over the years. With an early and accurate diagnosis, help can be given so that those with the condition can have a good and fulfilling life.

           

          Find out more about Lewy body dementia

          What are the symptoms?

          Common symptoms of Lewy Body Dementia include:

          • memory loss, particularly of recent events
          • confusion which fluctuates day to day
          • visual hallucinations
          • shaking or feeling stiff
          • increased falls
          • feelings of anxiousness or depression
          • changes in personality and behaviour

          What causes it?

          The cause of Lewy Body Dementia is not known. People with this condition have microscopic particles in their brains called Lewy bodies. These contain clumps of a naturally occurring brain chemical called alpha synuclein but scientists have not yet worked out why this chemical is deposited in the brain.

          Key facts about Lewy body dementia

          • Of the 750,000 people with dementia in the UK, around 30,000 will have Lewy Body Dementia.
          • The risk of developing Lewy Body Dementia increases with age
          • The condition is very similar to dementia caused by Parkinson’s disease.
          • Some medicines should not be given to people with Lewy Body Dementia, so an early and accurate diagnosis is important.

          How will it affect me?

          People with Lewy body dementia may not be aware of any problems and may not want help, it is others around them who notice changes. The problems with movement such as stiffness and tremor may affect day-to-day tasks such as walking, writing and dressing. The confusion and changes in concentration and alertness (which tend to come and go in severity) can also affect daily living and place a strain on relatives and friends. As the illness progresses over years people may need more and more help.

          How is it diagnosed?

          Some of the symptoms also occur in other conditions (like depression, anxiety or Parkinson’s Disease), so it is important to be diagnosed by a doctor with the appropriate skills.

          Assessment involves taking an account of your symptoms and how they developed, your background and current circumstances and the results of brain-function tests and a brain scan such as an MRI. A specialist brain scan called a PET scan can also help in some instances.

          How is it treated?

          There are drug treatments available for Lewy Body Dementia called cholinesterase inhibitors. These may help improve memory and reduce confusion but do not stop the illness progressing. They do not work for everyone but for some people the effects are very good. The doctor will want to monitor how you are responding to the treatment.

          Most people with Lewy Body Dementia will have additional symptoms such as visual hallucinations or feeling anxious. Changes in behaviour such as losing motivation, or becoming excitable, especially at night during sleep, also need specialist assessment and treatment.

          People with Lewy Body Dementia and their families and friends need a lot of support, practical help and education to help them understand the diagnosis, how the illness will progress, how to plan for the future and how to get help now. A specialist should be able to help put you in touch with people that can help.

          We’re Red & Yellow Care, the
          health experts for later life.

          At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

          Meet some of our consultants.

          Dr James Warner

          Consultant Psychiatrist

          Psychiatry

          Dr Hema Ananth

          Consultant Psychiatrist

          Psychiatry

          Dr Brian Parsons

          Consultant Psychiatrist

          Psychiatry

          Dr Giovanna Zamboni

          Consultant Neurologist

          Neurology

          How we can help.

          Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

          We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

          Clear and simple pricing.


          First appointment up to 90 minutes, priced at £450.

          Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

          Home visit supplements starting from £100.

          Get started now

          Smarter, faster, easier and
          more thorough healthcare.

          Expert

          We have the best consultants and other specialists dedicated to the health of older people.

          Fast

          We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

          Flexible

          We fit our service around you. Planning your appointments where and when suits you best.

          Comprehensive

          We are committed to giving you the most thorough assessment, treatment and care.

          prev next
          • Red & Yellow have made a huge difference to my life. I no longer feel I am fighting a battle alone. They have given me help, guidance and the strength to support my husband.

            Rebecca – wife and carer
          • I have got my dad back. We’ve seen massive improvements – his morning confusion is gone, he’s not forgetful or perplexed, and his motivation has improved.

            Natalie – daughter and carer
          • The meeting on Wednesday evening eased my sore heart and deep anxiety about George, as I know how fortunate we are to have found you all.

            Teresa – sister and carer

            Request an appointment today.

            Fronto-temporal dementia


            Help with Fronto-temporal dementia in later life.

            Suppose you are alone at night and the electricity cuts out. You’d find a torch, check the fuse box and ring the electricity supplier. This is not a solution you’d have learned – your brain would easily be able to come up with it there and then. But in the case of someone with fronto-temporal Dementia, creating solutions to unexpected or new experiences may be a struggle.

            This form of dementia, affecting the front parts of the brain, is relatively rare. Your memory may remain normal, but your behaviour or personality may change. Because it develops very slowly, early diagnosis is important to help people adapt to and live with the changes they are experiencing.

            Find out more about Fronto-temporal dementia

            What are the symptoms?

            Symptoms usually start very slowly and develop over time. Common symptoms of Fronto-Temporal Dementia include:

            • inability to think flexibly or cope with new situations
            • impulsiveness
            • argumentativeness and aggression
            • sexual inappropriateness and loss of inhibitions
            • obsessiveness
            • disorganisation and inability to care for oneself
            • speech problems

            What are the causes?

            The cause is not known, but there are probably a number of them. In some cases a protein called tau accumulates in the brain. Some (but by no means all) are inherited through faulty genes. Picks Disease is a subtype of Fronto-Temporal Dementia.

            Key facts about Fronto-Temporal Dementia

            • It is a relatively rare cause of dementia; affecting around 18,000 people in the UK
            • It affects younger people compared to most other types of dementia – usually starting when people are in their 50s or 60s.
            • The early symptoms are subtle and may be put down to “mid-life crisis”
            • It is genetically inherited in about 10% of cases
            • There are three subtypes: Behavioural Variant; Aphasic and Semantic Dementia

            How will it affect me?

            People with Fronto-Temporal Dementia are unlikely to be aware of the problems they face and may not be keen to seek help. However those around them will notice problems with work, especially when this involves concentrating or making decisions; problems with social interactions (often with family and friends being alienated because of rudeness or irritability) and difficulty with doing day-to-day tasks. The problems will be subtle in the first few years. The effects will vary depending on the condition; the Behavioural Subtype may result in impulsive or disinhibited behaviour or apathy; Aphasic Subtype means people have problems speaking fluently and in the Semantic Subtype people lose understanding for words.

            How is it diagnosed?

             Some of the symptoms of Fronto-Temporal Dementia also occur in other conditions (like depression, mania, or anxiety) so it is important to see a doctor experienced in diagnosing dementia.

            The doctor will take a full account of how the symptoms started and progressed and will want to do some brain function (cognitive) tests. It is also important to get the views of someone who knows the patient well. An MRI brain scan can be very helpful in many cases, and sometimes a special scan (SPECT or PET) of blood flow in the brain can help.

            What is the treatment for Fronto-Temporal Dementia?

            People with Fronto-Temporal Dementia need a team of specialists to help them. At the moment there are no drug treatments (although some are in the pipeline) specifically for this type of dementia.

            A main part of treatment is helping the person, and their family, understand what the diagnosis is and how it will affect them. Psychological effects (such as behaviour change) can benefit from the help of a psychologist or psychiatrist. A speech and language therapist can provide practical advice if speech is affected, and an occupational therapist can help, for example by making sure the home is safe and providing adaptations for daily tasks. Occasionally, medication such as antidepressants or tranquillisers may be needed.

            People with FTD and their families will need counselling and advice about planning for the future; for example, how to set up a Lasting Power of Attorney.

            We’re Red & Yellow Care, the
            health experts for later life.

            At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

            Meet some of our consultants.

            Dr James Warner

            Consultant Psychiatrist

            Psychiatry

            Dr Hema Ananth

            Consultant Psychiatrist

            Psychiatry

            Dr Alex Bailey

            Consultant Psychiatrist

            Psychiatry

            Dr Alan Smith

            Consultant Psychiatrist

            Psychiatry

            Dr Giovanna Zamboni

            Consultant Neurologist

            Neurology

            How we can help.

            Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

            We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

            Clear and simple pricing.


            First appointment up to 90 minutes, priced at £450.

            Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

            Home visit supplements starting from £100.

            Get started now

            Smarter, faster, easier and
            more thorough healthcare.

            Expert

            We have the best consultants and other specialists dedicated to the health of older people.

            Fast

            We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

            Flexible

            We fit our service around you. Planning your appointments where and when suits you best.

            Comprehensive

            We are committed to
            giving you the most thorough assessment, treatment and care.
            prev next
            • Had a wonderful appointment with my mum. Amazed at the thoroughness and delicacy which Dr Zamboni afforded her.
              Laura – daughter and carer
            • I have got my dad back. We’ve seen massive improvements – his morning confusion is gone, he’s not forgetful or perplexed, and his motivation has improved.
              Natalie – daughter and carer
            • Gwyn Grout has been very helpful and supportive of my mother & family and has co-ordinated her care very well. She has been objective and listens well to the difficulties we have experienced.
              Michael – son and carer

              Request an appointment today.

              Vascular dementia


              Help with Vascular dementia in later life.

              Out at lunch with a friend, you suddenly can’t find the right words to say. You also find yourself fumbling with your fork. After a few minutes you’re back to normal but, over time, you notice your memory is not as sharp as it used to be. The sudden, brief loss of speech and weakness in the arm could be a sign of a mini-stroke, and this can sometimes lead to a type of dementia called vascular dementia.

              Vascular dementia is the second most common form of dementia. It is due to poor blood supply to the brain, sometimes caused by a single large stroke, sometimes by lots of mini strokes. It can even develop with no history of stroke at all.

              With well-coordinated care, people with vascular dementia can be greatly helped, and the symptoms controlled.

              Find out more about Vascular dementia

              What are the symptoms?

              There are a wide variety of symptoms depending on which parts of the brain are affected. The common symptoms are:

              • memory loss, particularly of recent events
              • difficulty finding the right words and following conversations
              • trouble with recognising people or places
              • changes in personality and behaviour
              • problems carrying out everyday tasks like cooking or driving

              What causes it?

              The brain stays healthy by receiving up to one third of the blood pumped from the heart. Reduction to the blood supply to the brain, caused by narrowing of the arteries to the brain, stroke or other reasons may result in vascular dementia.

              Key facts about vascular dementia

              • Vascular dementia is common; up to 200,000 people in the UK have it
              • It can often occur alongside Alzheimer’s disease
              • The symptoms may not progress for a long time and then get suddenly worse- known as step-wise progression
              • Looking after your heart (eg by not smoking and keeping fit) may reduce the risk of vascular dementia

              How will it affect me?

              Unlike Alzheimer’s disease, vascular dementia can begin quite suddenly. Vascular dementia can affect your memory, your ability to recognise people or objects, and your use of language. It can also lead to changes in personality and behaviour. You may notice changes yourself more than in other types of dementia. The confusion and memory problems may fluctuate over time so you may notice you have good days and bad days. 

              How is it diagnosed?

              Some of the symptoms of vascular dementia may also occur in other conditions (like depression, anxiety or Parkinson’s disease), so it is important to be diagnosed by a doctor with the appropriate skills.

              The doctor will begin by taking a full account of your symptoms and how they developed, how they have affected your life day-to-day and will also want to know about any medical conditions you have. In addition the doctor will want to organise some brain-function tests (called cognitive tests) and probably want you to have a brain scan. 

              How is it treated?

              Although there are no specific drug treatments recommended for vascular dementia a lot can be done to help. Sometimes the doctor may prescribe drugs normally used for Alzheimer’s disease.

              Maintaining heart health is really important. If you are a smoker, you should receive help to stop. Your blood pressure and heart rhythm should be checked. You may be advised to lose weight or exercise more. People with vascular dementia usually have other long-term medical conditions (such as type-2 diabetes, hypertension) and making sure these are carefully treated is an important part of medical management.

              Cognitive stimulation therapy is often helpful – this helps keep your brain active.

              Vascular dementia may also cause depression, anxiety, loss of motivation and sometimes hallucinations. It is important to look out for and treat these symptoms.

              For these reasons people with vascular dementia really benefit from carefully coordinated care.

              We’re Red & Yellow Care, the
              health experts for later life.

              At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

              Meet some of our consultants.

              Dr James Warner

              Consultant Psychiatrist

              Psychiatry

              Dr Hema Ananth

              Consultant Psychiatrist

              Psychiatry

              Dr Brian Parsons

              Consultant Psychiatrist

              Psychiatry

              Dr Giovanna Zamboni

              Consultant Neurologist

              Neurology

              Dr Colin Mitchell

              Consultant Geriatrician

              Geriatrics

              Dr Ioana Popescu

              Consultant Psychiatrist

              Psychiatry

              How we can help.

              Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

              We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

              Clear and simple pricing.


              First appointment up to 90 minutes, priced at £450.

              Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

              Home visit supplements starting from £100.

              Get started now

              Smarter, faster, easier and
              more thorough healthcare.

              Expert

              We have the best consultants and other specialists dedicated to the health of older people.

              Fast

              We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

              Flexible

              We fit our service around you. Planning your appointments where and when suits you best.

              Comprehensive

              We are committed to
              giving you the most thorough assessment, treatment and care.
              prev next
              • The meeting on Wednesday evening eased my sore heart and deep anxiety about George, as I know how fortunate we are to have found you all.

                Teresa – sister and carer
              • Had a wonderful appointment with my mum. Amazed at the thoroughness and delicacy which Dr Zamboni afforded her.

                Laura – daughter and carer
              • John was inspired by Dr Smith, it’s been a revelation. He’s not as scared about everything, not fearing the future as much and is feeling more positive.

                Deborah – wife and carer
              • I have got my dad back. We’ve seen massive improvements – his morning confusion is gone, he’s not forgetful or perplexed, and his motivation has improved.

                Natalie – daughter and carer

                Request an appointment today.

                Frailty


                Help with frailty in later life.

                Frailty is a common syndrome affecting older people but can be difficult to define. This is partly because there is no single test, cause, or defining characteristic of frailty, and partly because culturally we often accept common changes in ageing as ‘normal’ even if they are not necessarily part of healthy ageing. For example, memory loss, slow walking pace, weakness and tiredness are all frequently seen in older people – but they are not all inevitable. You may also see a 90-year old riding a pushbike!

                Find out more about frailty

                What are the symptoms?

                When changes in health are clearly related to a single disease (e.g. a heart attack) in a previously healthy person, this may result in a functional change such as reduced mobility, but this is not necessarily frailty. If the problem is self-limiting and recovery is complete it may not result in any further problems.

                However if recovery is incomplete or other problems occur, over time this reduced mobility may lead to progressively reduced strength and fitness, with resulting muscle loss, reduced cardiovascular vigour, and lowered appetite. This may be the beginnings of frailty, and if this process continues it becomes a cycle – worsened health leads to reduced activity, which causes reduced fitness, predisposing to further health problems. Sometimes the initial event causing the decline may not be so clear as a heart attack – gradually worsening arthritis, reduced social contacts leading to less outdoor mobility, low mood, loss of confidence after an accident or fall – all of these can trigger or contribute to a decline in fitness.

                How will it affect me?

                People with frailty are more likely to acquire new health problems and also have less ability to deal with those problems. This is called ‘reserve’. If a healthy person gets a viral infection, it may make them tired but they can still move around and look after themselves. However a frail person with exactly the same illness may become unable to get out of bed – they were already operating at 100% of capacity just to live their normal everyday life, and have no extra ‘reserve’ to bring to bear when unwell.

                If all this sounds somewhat fatalistic there is some good news at least: frailty may be difficult to reverse (although an acute decline can respond to good treatment and rehabilitation) but if it is spotted early, contributing problems are well managed, and particularly if you are able to progressively increase your activity levels then it can be delayed or stopped, preserving independence and quality of life.

                How is it treated?

                If you want help, please contact us and we can arrange a doctor to see you and assess for causes and effects of frailty. This is a complex process and may take more than one visit, and quite possibly more than one type of health professional. A geriatrician may make an overall assessment but may require input from other specialists, maintaining a holistic overview, and input from allied professionals (e.g. a physiotherapist) may also be important to evaluate frailty and execute a treatment plan.

                How we can help.

                Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

                We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

                Clear and simple pricing.


                First appointment up to 90 minutes, priced at £450.

                Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

                Home visit supplements starting from £100.

                Get started now

                Smarter, faster, easier and
                more thorough healthcare.

                Expert

                We have the best consultants and other specialists dedicated to the health of older people.

                Fast

                We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

                Flexible

                We fit our service around you. Planning your appointments where and when suits you best.

                Comprehensive

                We are committed to
                giving you the most thorough assessment, treatment and care.

                Request an appointment today.

                prev next
                • The service pre appointment was excellent and the appointment was also very good.
                  Daniel – husband and carer
                • Gwyn Grout has been very helpful and supportive of my mother & family and has co-ordinated her care very well. She has been objective and listens well to the difficulties we have experienced.
                  Michael – son and carer
                • My father has seen a lot of Consultants with his health and Dr Warner was the nicest person we have seen. It’s been quite an exhausting process for my dad and it was lovely to have someone who put him so much at ease.
                  Julia – daughter and carer