Increased Precautions We're Taking in Response to the Coronavirus
As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at Park Royal Hospital to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, on-site visitation is no longer allowed at Park Royal Hospital.

  • This restriction has been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • We are offering visitation through telehealth services so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services are being vetted and may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff has received infection prevention and control training.
  • Thorough disinfection and hygiene guidance has been provided.
  • Patient care supplies such as masks and hand sanitizer are being monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.
  • We are in communication with our local health department to receive important community-specific updates.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit

Dementia Symptoms, Causes, Signs & Side Effects

Dementia is the progressive decline of mental functions such as memory, the ability to reason, and the capacity to think. The symptoms of dementia are so extreme it affects all areas of a person’s life.

Understanding Dementia

Learn More About Dementia

Dementia itself is not a disease, but rather a group of symptoms that can be caused by illnesses, genetic diseases, medications, hormone imbalances, and other conditions. Alzheimer’s disease is the main cause of dementia and comprises 60-80% of all dementia cases. The second most common type of dementia is vascular dementia which is caused by a stroke. While historically dementia has been considered a part of the aging process, we now know that the serious mental decline associated with dementia is not a normal part of aging.

Dementia is caused by damage to the cells in the brain, which prevents the brain cells from properly communicating with one another. When damaged brain cells cannot communicate effectively this causes problems with behaviors, thinking, and emotions. Different regions in the brain carry out different functions and when certain brain cells are damaged functions are unable to be performed properly. Different types of dementia are correlated with the areas of the brain that are damaged.

Out of the large variety of different types of dementia approximately 20% of them can be partially treated or cured. This means that early detection and treatment is essential in order to be able to reverse this condition.


Statistics of Dementia

The overall prevalence of dementia varies by age and the type of dementia a person has been diagnosed with. The prevalence of dementia increases dramatically from age 60 onward. It’s estimated that between 1-2% of people at 65 years of age have some form of dementia, while at 85 years of age, the prevalence of dementia is closer to 30%.

Co-Occurring Disorders

Learn About Co-Occurring Disorders

There are a number of co-occurring disorders that can be present in individuals with dementia. While not an inclusive list, these disorders can include:

  • Alzheimer’s disease
  • Vascular disease
  • Cardiovascular disease
  • Alcohol abuse
  • Huntington’s disease
  • Traumatic brain injury
  • Normal Pressure hydrocephalus
  • Creutzfeldt-Jakob disease
  • Wernicke-Korsakoff syndrome


Causes of Dementia

There are over fifty different causes for dementia. Some of these causes can be reversed but a large number of them cannot be. Some of the causes for dementia include:

Genetic: Research has shown that dementia runs in families. Having a family history of dementia can put you at a greater risk for developing dementia. Other genetic causes for dementia include:

  • Alzheimer’s disease: The most common form of dementia, accounting for between 60 and 80 percent of all diagnosed cases of dementia. Alzheimer’s disease is marked by stages mild, moderate, severe – and symptoms may begin with an inability to remember names and recent events, followed by impaired judgment and behavioral changes, and finally challenges with walking and swallowing.
  • Huntington’s disease is a genetic, brain disorder that leads to abnormal involuntary movements, marked decline in reasoning and thinking skills, irritability, depression, and other behavioral changes.
  • Parkinson’s disease: as Parkinson’s disease is a progressive disorder, the later stages often result in progressive dementia.

Biological: There are a great number of biological reasons in which a person develops dementia. Some of the most widely seen are:

  • Vascular dementia: Cardiovascular problems, such as high cholesterol, can cause damage to blood vessels and deny the brain cells of oxygen causing dementia. Vascular dementia occurs after the brain has experienced a stroke, or a blood clot which cuts off the flow of blood to certain areas of the brain. Vascular dementia includes impaired judgment and the inability to plan for the events needed to finish a task. The location of the injury caused by the stroke affects the types of impairment a person may experience.
  • Nutritional deficiencies and hormone imbalances.
  • Normal Pressure Hydrocephalus: a build-up of fluid in the brain can lead to challenges with movement as well as memory loss.
  • Lewy-Body Dementia: This disease can include sleep disturbances, visual hallucinations, as well as muscular rigidity.
  • Mixed Dementia: this condition occurs when more than one type of dementia is present in the brain.
  • Frontotemporal dementia: this dementia involves the nerve cells in the front and side parts of the brain. This type of dementia can cause changes in personality, behavior, as well as challenges using language.
  • Hypoxia: Is caused when the brain is deprived of oxygen for a period of time which can be due to a heart attack, asthma attack, or allergic reaction. Dependent upon the length of time and area of the brain deprived of oxygen, hypoxic brain injury may be reversible.
  • Brain tumors: rarely, dementia is caused by damage from a tumor in the brain, and will cause symptoms related to the area of the brain that is affected.

Environmental: There are a number of environmental causes for dementia which can include:

  • Traumatic brain injuries: brain injuries, such as those associated with contact sports can cause dementia or dementia like symptoms.
  • Infections or diseases: certain infections or diseases can cause degeneration of the nerve cells of the brain leading to dementia.
  • HIV-Associated Dementia: the HIV virus, destroys brain cells and in its later stages, can cause memory problems, problems with concentration, and movement disorders.
  • Creutzfeldt-Jakob disease: also known as “Mad Cow Disease,” is a rare brain disorder can that can occur in individuals and lead to dementia. Creutzfeldt-Jakob disease may be inherited or caused by exposure to diseased tissue from the brain or central nervous system.
  • Poisoning: exposure to heavy metals like lead or pesticides can lead to dementia-like symptoms.
  • Adverse medication reactions: Having an adverse reaction to a single medication or a combination of medications can lead to dementia-like symptoms, often this type of dementia is reversible.

Psychological: Long term substance use and abuse can lead to certain types of dementia.

  • Wernicke-Korsakoff Syndrome: this chronic memory disorder is caused by a marked lack of Vitamin B-1, which is often caused by alcohol abuse. This syndrome causes extreme problems with memory while leaving other cognitive capacities unaffected.


Signs and Symptoms

Signs and Symptoms of Dementia

Since dementia is a group of disorders there can be a wide range of presenting symptoms, even in individuals who are suffering with dementia from the same root cause. In order to be diagnoses with a form of dementia an individual must have severe impairment in at least two of the following areas of daily living: inability to communicate and use language, impairment in judgment and reasoning, abnormal changes in visual perception, decreasing ability to focus and pay attention, or memory impairment.

Other symptoms may include and often worsen over time:

Mood symptoms:

  • Agitation
  • Anxiety
  • Restlessness
  • Depression
  • Feeling frustrated with yourself and others

Behavioral symptoms:

  • Problems with short-term memory, such as recalling appointments or locating car keys
  • Challenges carrying out routine tasks
  • Placing items in abnormal areas of the house and being unable to locate these possessions
  • Difficulties with tasks that require multiple steps
  • Challenges with planning and organization
  • Personality changes
  • Becoming withdrawn and socially isolated
  • Confusion about who you are and where you are
  • Inability to always remember loved ones.

Physical symptoms:

  • Challenges interpreting visual images
  • Problems judging distance
  • Problems with planning
  • Problems solving problems
  • Difficulties with communicating with others
  • Engaging in inappropriate behaviors
  • Motor function difficulties
  • Problems with coordination

Psychological symptoms:

  • Trouble using logic and reasoning skills
  • Paranoia
  • Delusions
  • Hallucinations


Effects of Dementia

Dementia is a group of diseases that becomes more severe as time goes on and can affect an individual’s ability to function on their own. Some of the effects of dementia can include:

  • Depression
  • Communication difficulties
  • Hallucinations
  • Delusions
  • Improper nutrition
  • Decrease in safety awareness
  • Cognitive decline
  • Memory decline
  • Changes in sleeping patterns
  • Inability to care for self
  • Inability to live independently

My grandma was struggling with her mental condition. Park Royal's treatment gave her back some of her memory and she seemed to feel better day to day. I'd definitely recommend their treatment for anyone suffering from dementia

– James R