Case Studies in Dementia. Janice Knoefel MD Sandra Qaseem MD Jeremiah Kelly MD Division of Geriatrics UNM DOIM
|
|
- Jeffry Dalton
- 7 years ago
- Views:
Transcription
1 Case Studies in Dementia Janice Knoefel MD Sandra Qaseem MD Jeremiah Kelly MD Division of Geriatrics UNM DOIM
2 Learning Objectives Define dementia Recognize the presentations of common types of dementia Understand why accurate diagnosis is important
3 Why is accurate diagnosis so important? Response to treatment Prognosis Inheritance factors Patients/ relatives want accurate diagnosis To do well in board exams!!
4 DSM IV - Dementia Impairment of recent memory and at least one other cognitive domain (aphasia, apraxia, agnosia, executive function). Represents a decline from previous level of function and be severe enough to interfere with daily function and independence. Occur in the absence of other psychiatric, neurologic or systemic disease Does not occur only with delirium
5 Clinical subtypes Alzheimer s disease 60-80% Vascular dementia 10-20% Dementia with Lewy bodies Parkinsons with Dementia Frontotemporal dementia Creutzfeld-jakob disease Reversible Dementias
6 Case 1 A 68 y/o man is under evaluation for memory difficulty that according to his wife began insidiously 3-4 yrs earlier Difficulty remembering recent events, appointments, conversations No longer able to manage checkbook or drive without getting lost Past medical Hx unremarkable Physical exam normal
7 Mental Status Exam Prominent memory loss Difficulty drawing complex figures Unable to complete clock test
8 Which is the most likely diagnosis? A- Alzheimer s disease B- Dementia with Lewy Bodies C- Vascular Dementia D- Frontotemporal dementia E- Creutzfeld-Jakob disease
9 Case y/o man with a clerical job is brought for evaluation by his wife 3 year history of changes in memory, personality and behavior Makes loud inappropriate comments in public, recently received a poor review at work PMH- unremarkable No medications FH- mother, maternal uncle and maternal grandfather had dementia MMSE 28/30
10 What is the most likely diagnosis? A- mild cognitive impairment B- Alzheimer s disease C- Dementia with Lewy Bodies D- Frontotemporal dementia E- Creutzfeld-Jakob disease
11 Case y/o male presents with regular episodic confusion worse at night States that he can see people in the house, believes that his wife has been replaced by a look-a-like Some days needs help with ADL s PMH- confusion secondary to meclizine, 2 years previously Medications- none FH- no Hx dementia or neurological disease
12 Examination Masked facies, bradykinesia, rigidity MMSE 20/30
13 Which of the following is the most likely diagnosis? A- mild cognitive impairment B- Alzheimer s disease C- Frontotemporal dementia D- Dementia with Lewy bodies E- Parkinson s disease with dementia
14 Case y/o woman brought to ED for evaluation of word finding difficulty for 3 weeks, gradually worsening Began having difficulty finding her way around the offices at work 1 week ago began having difficulty finding her way around her own home and had difficulty with arithmetic calculations and vision PMH and FH unremarkable
15 Examination Occasional myoclonic jerks of upper extremities and facial muscles R>L MMSE 15/30 EEG shows mild diffuse slowing MRI normal
16 What is next test? A-Lumbar puncture B-Presenilin-1 test C-PET/ SPECT test D-Repeat EEG in 1 week E-Brain and leptomeningeal biopsy
17 Case-5 75 y/o man with memory loss for last 2 years Stopped driving 6 months ago because he was unable to find his way around Now has difficulty with IADL s and ADL s CVA 3 years ago affecting Right side PMH- DM and HTN, BPH MEDS: atenolol, HCTZ, glipizide FH no dementia, father died CVA
18 Examination BP 160/80 Mild R hemiparesis MMSE 21/30 Apraxia
19 What is the likely diagnosis? A- Binswanger s disease B- Alzheimer s disease C- Vascular dementia D- Parkinson s dementia
20 Case y/o lady brought to the office by her daughter with complaints of poor memory for last 6 months, she is misplacing things and losing her way around the neighborhood Weight loss of 15#, poor sleep, no interest in usual activities PMH: hypertension, atrial fibrillation, hypothyroidism MEDS: atenolol, aspirin, synthroid SH: widow for last 9 months, no alcohol/ smoking, played bridge in evenings until last 3 months FH: no dementia/ nil significant
21 Examination: Thin elderly female HR 72 irreg, no murmurs/gallops BP 140/80 MMSE 23/30 Geriatric depression scale 7/15
22 Laboratory data: TSH 5.6 CBC/ Chem 7/ LFT s nl Folate nl, B12 330ng/ml
23 What is the most likely effective treatment? A-Donepezil B-Memantine C-Levothyroxine increased D-Vitamin B12 supplements E-SSRI
Montreal Cognitive Assessment (MoCA) Debbie Froese, B.M.R.-O.T., B.A. Christine Knight, Ph.D.,R.Psych.
Montreal Cognitive Assessment (MoCA) Debbie Froese, B.M.R.-O.T., B.A. Christine Knight, Ph.D.,R.Psych. Community Geriatric Mental Health Model of Continuum of Cognition with Aging Normal Mild cognitive
More informationDiagnosis and Initial Management of Cognitive Disorders
Diagnosis and Initial Management of Cognitive Disorders January 29, 2016 Kelly Garrett, PhD Cathleen Obray, MD, MHS Neurosciences Clinical Program Cognitive Care Team None Disclosures Neurosciences Clinical
More informationStaging and Treatment of Dementia
Staging and Treatment of Dementia Ami Hall DO 10/25/14 1 Objectives What are the two most common types of dementias seen in a primary care office How are they staged What treatments are available Definition
More informationPARTNERING WITH YOUR DOCTOR:
PARTNERING WITH YOUR DOCTOR: A Guide for Persons with Memory Problems and Their Care Partners Alzheimer s Association Table of Contents PARTNERING WITH YOUR DOCTOR: When is Memory Loss a Problem? 2 What
More informationSteps to getting a diagnosis: Finding out if it s Alzheimer s Disease.
Steps to getting a diagnosis: Finding out if it s Alzheimer s Disease. Memory loss and changes in mood and behavior are some signs that you or a family member may have Alzheimer s disease. If you have
More informationCholinesterase inhibitors and memantine use for Alzheimer s disease TOPIC REVIEW
Cholinesterase inhibitors and memantine use for Alzheimer s disease TOPIC REVIEW Diagnosis of Dementia : DSM-IV criteria Loss of memory and one or more other cognitive abilities Aphasia Apraxia Agnosia
More informationIntellectual Symptoms Amnesia: Loss of memory function
Definition of Dementia (de mens) Latin for out of mind Permanent loss of multiple intellectual functions Alois Alzheimer first described this disease in 1906 in a brain specimen from an autopsy. Alzheimer
More informationPrimary Endpoints in Alzheimer s Dementia
Primary Endpoints in Alzheimer s Dementia Dr. Karl Broich Federal Institute for Drugs and Medical Devices (BfArM) Kurt-Georg-Kiesinger-Allee 38, D-53175 Bonn Germany Critique on Regulatory Decisions in
More information2016 Programs & Information
Mayo Alzheimer s Disease Research Clinic Education Center 2016 Programs & Information BROCHURE TITLE FLUSH RIGHT for Persons & Families impacted by Mild Cognitive Impairment Alzheimer s Disease Dementia
More informationAlzheimer s and Depression: What is the Connection?
Alzheimer s and Depression: What is the Connection? Ladson Hinton MD Professor and Director of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Director, Education Core, Alzheimer
More informationSurvey of Canadian Physicians Use of anti-thrombotic therapy for Atrial Fibrillation
Survey of Canadian Physicians Use of anti-thrombotic therapy for Atrial Fibrillation On the following pages are a number of questions asking about the conditions under which you would prescribe anticoagulation
More informationDEMENTIA AND MILD COGNITIVE IMPAIRMENT John P. Moriarty, MD Week 7
DEMENTIA AND MILD COGNITIVE IMPAIRMENT John P. Moriarty, MD Week 7 Educational Objectives: 1. Define dementia and mild cognitive impairment 2. Understand the appropriate work-up for patients with complaints
More informationDementia Causes and Neuropsychological Evaluation of the Older Adult
Dementia Causes and Neuropsychological Evaluation of the Older Adult Laurie N. Culp, Ph.D. Pate and Culp Psychological Assoc. 2440 Lawrenceville Highway Suite 200 Decatur, GA 30033 678-595-0062 lculp@emory.edu
More informationDisclosures. Case: Ms. K. Case: Ms. K. Dementia: Considering When to Start, Stop, and Continue Medications 4/23/15. * Nothing to disclose
Dementia: Considering When to Start, Stop, and Continue Medications * Nothing to disclose Disclosures Lianne Hirano, MD UW Division of Gerontology & Geriatric Medicine 4/23/15 Current Concepts in Drug
More informationDementia with Lewy bodies
IS 18 April 2011 Information sheet Dementia with Lewy bodies Introduction... 1 Key points... 1 What is dementia with Lewy bodies?... 1 How many people are affected by DLB?.. 2 What is the cause?... 2 Symptoms...
More informationObjectives. Aging and Forgetfulness Define Dementia Types of Dementia Treatment
Dementia David Lam, MD, FRCPC, Psychiatry Assistant Clinical Professor Department of Psychiatry and Behavioural Neurosciences McMaster University Hamilton, Ontario Objectives Aging and Forgetfulness Define
More informationFINANCIAL CAPACITY IN THE ELDERLY. Linda Ganzini, MD, MPH Neisha D Souza, MD
FINANCIAL CAPACITY IN THE ELDERLY Linda Ganzini, MD, MPH Neisha D Souza, MD Overview Mild cognitive impairment (MCI, minor neurocognitive disorder) and dementia (major neurocognitive disorder) Financial
More informationMental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca
Mental health issues in the elderly January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Cognitive Disorders Outline Dementia (294.xx) Dementia of the Alzheimer's Type (early and late
More informationPrimary Care Update January 28 & 29, 2016 Alzheimer s Disease and Mild Cognitive Impairment
Primary Care Update January 28 & 29, 2016 Alzheimer s Disease and Mild Cognitive Impairment Kinga Szigeti, MD Associate Professor UBMD Neurology UB Department of Neurology Questions How do we differentiate
More informationAlzheimer s and memory loss
Alzheimer s and memory loss Introduction This introductory leaflet aims to help you understand about memory loss, Alzheimer s disease and other forms of dementia. You can also find out how to get more
More informationCognitive Assessment and Mini Mental Status Exam for Nurses. Sarah Krieger-Frost RN MN/ Heather Rea MSW RSW Seniors Mental Health Capital District
Cognitive Assessment and Mini Mental Status Exam for Nurses Sarah Krieger-Frost RN MN/ Heather Rea MSW RSW Seniors Mental Health Capital District Objectives An understanding of what makes up a cognitive
More informationDementia End-of-Life Care
Dementia End-of-Life Care Dr. L. Badenhorst Riverview Health Centre Behaviour Management Chronic Care End-of-Life Care in Dementia Definitions Dementia Palliative Care End-of-Life care Challenges Diagnosing
More information2012 Medical School for Actuaries Nov. 6-7, 2012 Session #1: Alzheimer s Disease
2012 Medical School for Actuaries Nov. 6-7, 2012 Session #1: Alzheimer s Disease Dylan Wint, M.D. ALZHEIMER DISEASE Dylan Wint, M.D. Lou Ruvo Center for Brain Health DEFINITIONS Cognitive related to thinking,
More informationMemory Loss: It s Not Always Alzheimers. Andrew Massey, M.D. Department of Internal Medicine University of Kansas School of Medicine--Wichita
Memory Loss: It s Not Always Alzheimers Andrew Massey, M.D. Department of Internal Medicine University of Kansas School of Medicine--Wichita Hendrikjje van Andel Schipperr Age 115 Don t smoke and don t
More informationAlzheimer s and. memory loss
Alzheimer s and memory loss This leaflet aims to help you understand about memory loss, Alzheimer s disease and other forms of dementia. You can also find out how to get more information. It s for anyone
More informationMalattia di Alzheimer: L importanza della Diagnosi e del Trattamento Precoce: la Collaborazione MMG-Specialista
55 Congresso Nazionale SIG Firenze Auditorium Palazzo dei Congressi 2 Dicembre 2010 Invecchiamento e Longevità: più Geni o più Ambiente Malattia di Alzheimer: L importanza della Diagnosi e del Trattamento
More informationObjectives. Evaluation of Memory Loss. Cognitive Impairment. Clinical Questions. Medicare Wellness Visit
Evaluation of Memory Loss and Mild Cognitive Impairment Skotti Church, MD Geriatrics Grand Rounds 4/3/2014 Objectives 1. Describe recommendations and tools for evaluation of cognitive impairment 2. Define
More informationCRITERIA FOR AD DEMENTIA June 11, 2010
CRITERIA F AD DEMENTIA June 11, 2010 Alzheimer s Disease Dementia Workgroup Guy McKhann, Johns Hopkins University (Chair) Bradley Hyman, Massachusetts General Hospital Clifford Jack, Mayo Clinic Rochester
More information10 steps to planning for Alzheimer s disease & other dementias A guide for family caregivers
10 steps to planning for Alzheimer s disease & other dementias A guide for family caregivers Caring for a person with memory loss or dementia can be challenging. The following ten steps can help caregivers
More informationMedication Coordination and Coverage in Hospice
Medication Coordination and Coverage in Hospice Alen Voskanian, MD, FAAHPM, AAHIVS Regional Medical Director, VITAS Innovative Hospice Care Assistant Clinical Professor of Medicine, David Geffen School
More informationMixed Dementia 9/21/2015. No financial relationships. Case History 76yo M semi-retired CPA c/o forgetfulness
Mixed Dementia Leslie W. Norris, DNP, FNP-C, CNE No financial relationships Case History 76yo M semi-retired CPA c/o forgetfulness Pt/spouse note ability to remember names and misplacing items over past
More information10 warning signs of alzheimer s disease
10 warning signs of alzheimer s disease the compassion to care, the leadership to conquer Your memory often changes as you grow older. But memory loss that disrupts daily life is not a typical part of
More informationParkinson's s disease - a
Parkinson's Disease Parkinson's s disease - a progressive disorder of the nervous system that affects movement. The most common perception of Parkinson s is the patient having tremors. Hands shaking, inability
More informationUpdate on Treatment of the Dementias
Update on Treatment of the Dementias Mark Pippenger, MD Behavioral Neurology Associate Clinical Professor of Neurology University of Arkansas for Medical Sciences Disclosures I will be discussing off-label
More informationDementia: Delivering the Diagnosis
Dementia: Delivering the Diagnosis Daniel D. Christensen, M.D. Clinical Professor of Psychiatry Clinical Professor of Neurology Adjunct Professor of Pharmacology University of Utah Diagnosing Dementia
More informationJ/601/2874. This unit must be assessed in accordance with Skills for Care and Development s QCF Assessment Principles.
Unit 13: Dementia Awareness Unit code: DEM 201 Unit reference number: J/601/2874 QCF level: 2 Credit value: 2 Guided learning hours: 17 Unit summary The aim of the unit is to enable learners to gain knowledge
More informationDepression in Older Persons
Depression in Older Persons How common is depression in later life? Depression affects more than 6.5 million of the 35 million Americans aged 65 or older. Most people in this stage of life with depression
More informationHow To Write Long Term Care Insurance
By Lori Boyce, AVP Risk Management and R&D Underwriting long term care insurance: a primer Every day Canadians die, are diagnosed with cancer, have heart attacks and become disabled and our insurance solutions
More informationMaking the Case for CPG s Jean Luciano, MSN, RN, CNRN, SCRN, CRNP, FAHA Claranne Mathiesen, MSN, RN, CNRN, SCRN, FAHA
Making the Case for CPG s Jean Luciano, MSN, RN, CNRN, SCRN, CRNP, FAHA Claranne Mathiesen, MSN, RN, CNRN, SCRN, FAHA Disclosures Jeanie Luciano Genentech speakers bureau Claranne Mathiesen - none 1 Objective
More information10 warning signs of Alzheimer s disease
10 warning signs of Alzheimer s disease Memory loss that disrupts daily life Challenges in planning or solving problems Difficulty completing familiar tasks Confusion with time or place Trouble understanding
More informationLewy body dementia Referral for a Diagnosis
THE Lewy Body society The more people who know, the fewer people who suffer Lewy body dementia Referral for a Diagnosis Lewy Body Dementias REFERRAL FOR A DIAGNOSIS In the UK people with all forms of dementia
More informationFinancial Advisors and Alzheimer s Disease: What You Need to Know
Financial Advisors and Alzheimer s Disease: What You Need to Know In today s aging society, with people living longer lives, chances are good that you ll be called upon to assist clients who have Alzheimer
More informationPatients with dementia and other types of structural brain injury are predisposed to delirium (i.e., abrupt onset, temporary confusion caused by
Dementia is the permanent loss of multiple intellectual functions resulting from neuronal death. Dementia afflicts 10% of individuals over the age of 65 and these patients survive approximately seven years
More informationWhat is epilepsy? English
What is epilepsy? English WHAT IS EPILEPSY? An epileptic seizure is the term used for a temporary brain dysfunction due to a sudden and uncontrolled disturbance of the brain s electrical activity. Epilepsy
More informationNURSING B29 Gerontology Community Nursing. UNIT 2 Care of the Cognitively Impaired Elder in the Community
NURSING B29 Gerontology Community Nursing UNIT 2 Care of the Cognitively Impaired Elder in the Community INTRODUCTION The goal of this unit is for the learner to be able to differentiate between delirium,
More informationAlzheimer's: The Latest Assessment and Treatment Strategies
Questions from chapter 1 Alzheimer's: The Latest Assessment and Treatment Strategies 1) What is a loss of cognitive and intellectual powers without changes in consciousness. a) dementia b) delusions c)
More informationConjoint Professor Brian Draper
Chronic Serious Mental Illness and Dementia Optimising Quality Care Psychiatry Conjoint Professor Brian Draper Academic Dept. for Old Age Psychiatry, Prince of Wales Hospital, Randwick Cognitive Course
More informationIn-Service. What Is Normal Aging? The importance of early diagnosis ALZHEIMER S KEY POINTS BEST PRACTICES IN RESIDENT-CENTERED CARE PAGE 2 PAGE 4
The importance of an early diagnosis cannot be overstated in identifying Alzheimer s disease Caregiver Tips offers practical suggestions for caring for people with Alzheimer s disease Discover and learn
More informationClinical Audit: Prescribing antipsychotic medication for people with dementia
Clinical Audit: Prescribing antipsychotic medication for people with dementia Trust, team and patient information Q1. Patient's DIS number... Q2. Patient s residence: Home Residential Home Nursing Home
More informationCognitive Testing for Underwriting Life Insurance
Cognitive Testing for Underwriting Life Insurance Presentation to the Mortality Working Group of the International Actuarial Association Al Klein April 8, 2011 Cognitive function Agenda What is it? What
More informationDementia and Delirium:
Dementia and Delirium: A Neurologist s Approach to Altered Mental Status S. Andrew Josephson MD Carmen Castro-Franceschi and Gladyne K. Mitchell Neurohospitalist Distinguished Professor Vice Chairman,
More informationDelirium. The signs of delirium are managed by treating the underlying cause of the medical condition causing the delirium.
Delirium Introduction Delirium is a complex symptom where a person becomes confused and shows significant changes in behavior and mental state. Signs of delirium include problems with attention and awareness,
More informationTraumatic brain injury (TBI)
Traumatic brain injury (TBI) A topic in the Alzheimer s Association series on understanding dementia. About dementia Dementia is a condition in which a person has significant difficulty with daily functioning
More informationSocial Security Disability Insurance and young onset dementia: A guide for employers and employees
Social Security Disability Insurance and young onset dementia: A guide for employers and employees What is Social Security Disability Insurance? Social Security Disability Insurance (SSDI) is a payroll
More informationNEUROPSYCHOLOGY QUESTIONNAIRE. (Please fill this out prior to your appointment and bring it with you.) Name: Date of appointment: Home address:
NEUROPSYCHOLOGY QUESTIONNAIRE (Please fill this out prior to your appointment and bring it with you.) Name: Date of appointment: Date of birth: Age: _ Home address: _ Home phone: Cell phone: Work phone:
More informationFinancial advisors and Alzheimer s disease: What you need to know
Financial advisors and Alzheimer s disease: What you need to know In today s aging society, with people living longer lives, chances are high that you ll be called upon to assist clients who are caring
More informationUPDATES TO NEUROCOGNITIVE DISORDERS IN DSM-5 and DSM-5 DESK REFERENCE UPDATED 10-18-13
UPDATES TO NEUROCOGNITIVE DISORDERS IN DSM-5 and DSM-5 DESK REFERENCE UPDATED 10-18-13 SUMMARY: These coding changes ensure that insurance reimbursement can be obtained when the specifier With behavioral
More informationEveryone has mild memory lapses from time to time. You go
Coping With Memory Loss Everyone has mild memory lapses from time to time. You go from the kitchen to the bedroom to get something, only to find yourself wondering what you needed. You can t find your
More informationThe Nuts and Bolts of Multiple Sclerosis. Rebecca Milholland, M.D., Ph.D. Center for Neurosciences
The Nuts and Bolts of Multiple Sclerosis Rebecca Milholland, M.D., Ph.D. Center for Neurosciences Objectives Discuss which patients are at risk for Multiple Sclerosis Discuss the diagnostic criteria for
More informationIssues and initiatives in acute care in South Australia A background paper
Issues and initiatives in acute care in South Australia A background paper Margot Strachan Sue Jarrad Alan Nankivell Alzheimer s Australia SA April 2003 Contents Case Studies ------------------------------------------------------------------------
More informationTestosterone in Old(er) Men
Testosterone in Old(er) Men Disclosure Information J. Bruce Redmon, M.D. Associate Professor Division of Endocrinology I have no financial relationships to disclose. I will not discuss off label use and/or
More informationOverview. Neuropsychological Assessment in Stroke. Why a Neuropsychologist. How to make a referral. Referral Questions 11/6/2013
Overview Neuropsychological Assessment in Stroke Brandon Ally, PhD Department of Neurology What is Neuropsychology Stroke Specific Neuropsychology Neuropsychological Domains Case Study What is Neuropsychology?
More informationWhat is vascular dementia?
alzheimers.org.uk What is vascular dementia? Vascular dementia is the second most common form of dementia after Alzheimer s disease. It is caused by problems in the supply of blood to the brain. This factsheet
More informationCognitive impairment (CI) in Multiple Sclerosis
Multiple Sclerosis and Mild Cognitive Impairment What are the cognitive impairments in MS and why are the terms dementia and Mild Cognitive Impairment (MCI) rarely used? By Ronald Devere, MD Cognitive
More informationHow is Your Brain Working Now? A Questionnaire for Hypothyroid Patients
How is Your Brain Working Now? A Questionnaire for Hypothyroid Patients In the Volume XIII, Number 1 issue of The Bridge, we asked patients who had formerly been hyperthyroid how they felt. Most thyroidologists
More informationWhy study clinical neuropsychology?
University Leiden, The Netherlands Master (MSc) in Clinical Neuropsychology H.A.M.Middelkoop@lumc.nl www.neuropsychologie.leidenuniv.nl Why study clinical neuropsychology? You are interested in: brain/behavior
More informationSTROKE PREVENTION AND TREATMENT MARK FISHER, MD PROFESSOR OF NEUROLOGY UC IRVINE
STROKE PREVENTION AND TREATMENT MARK FISHER, MD PROFESSOR OF NEUROLOGY UC IRVINE CASE REPORT: ACUTE STROKE MANAGEMENT 90 YEAR OLD WOMAN, PREVIOUSLY ACTIVE AND INDEPENDENT, CHRONIC ATRIAL FIBRILLATION,
More informationCase Studies, MCI, Clinical Trials and Care Management Support
Case Studies, MCI, Clinical Trials and Care Management Support These slides form part of a Clinical Education programme. To benefit fully and earn CME credits, please contact clinician@re-cognitionhealth.com
More informationLong-Term Care: Frequently Asked Questions About Long- Term Care Insurance
FACT SHEET LTC: FAQ s About Long-Term Care Insurance (H-003) p. 1 of 5 Long-Term Care: Frequently Asked Questions About Long- Term Care Insurance Long-Term Care (LTC) insurance only pays for long-term
More informationClinical guideline Published: 22 November 2006 nice.org.uk/guidance/cg42
Dementia: supporting people with dementia and their carers in health and social care Clinical guideline Published: 22 November 2006 nice.org.uk/guidance/cg42 NICE 2006. All rights reserved. Last updated
More information1: Motor neurone disease (MND)
1: Motor neurone disease (MND) This section provides basic facts about motor neurone disease (MND) and its diagnosis. The following information is an extracted section from our full guide Living with motor
More informationDonepezil hydrochloride (Aricept) Drug treatment for Alzheimer s disease
IS 11 October 2011 Information sheet Donepezil hydrochloride (Aricept) Drug treatment for Alzheimer s disease Introduction... 1 How does Aricept work?... 1 Who might benefit from Aricept?... 2 What effect
More informationAGS DELIRIUM AND DEMENTIA. Steve Kizer, MD Kevin Biese, MD, MAT Ellen Roberts, PhD, MPH Jan Busby-Whitehead, MD
DELIRIUM AND DEMENTIA AGS Steve Kizer, MD Kevin Biese, MD, MAT Ellen Roberts, PhD, MPH Jan Busby-Whitehead, MD University of North Carolina at Chapel Hill Division of Geriatric Medicine Center for Aging
More informationDementia One Day Essentials 2015
Dementia One Day Essentials 2015 1 Dementia One Day Essentials 2015 2 At Risk of Dementia: Mild Cognitive Impairment and Other Non-Dementia Diagnoses Dr Jill Rasmussen Declaration of Interests NHS: GP
More informationCopywrite - Eric Freitag, Psy.D., 2012
Diagnosis, Intervention and Care for Patients With Cognitive Impairment Eric J. Freitag, Psy.D, FACPN Diplomate, American College of Professional Neuropsychology Mt. Diablo Memory Center Founder/Executive
More informationMemantine (Ebixa) Drug treatment for Alzheimer s disease
IS 20 October 2011 Information sheet Memantine (Ebixa) Drug treatment for Alzheimer s disease Introduction... 1 How does Ebixa work?... 1 Who might benefit?... 2 What effect might Ebixa have?... 2 How
More informationCommunity Network for Dementia and Critical Path in Japan
Research and Reviews Community Network for Dementia and Critical Path in Japan JMAJ 54(5): 305 309, 2011 Satoshi ORIMO* 1 Abstract In Setagaya City of Tokyo, regional hospitals and medical associations
More informationin the Elderly Thomas Robinson, MD Surgery Grand Rounds March 10 th, 2008
Post- Operative Delirium in the Elderly Thomas Robinson, MD Surgery Grand Rounds March 10 th, 2008 What is the most common post-operative complication in elderly patients? What is the most common post-operative
More informationJohns Hopkins Memory & Alzheimer s Treatment Center
Memory is The Memory Center has not only provided great care to my husband, but also has helped me learn to care for myself while caring for him. - Sylvia Mackey Have you forgotten someone s name you should
More informationHow to identify, approach and assist employees with young onset dementia: A guide for employers
How to identify, approach and assist employees with young onset dementia: A guide for employers What is dementia? Dementia involves the decline of cognitive functions. Young Onset Dementia, also known
More informationParkinson s Disease (PD)
Parkinson s Disease (PD) Parkinson s disease (PD) is a movement disorder that worsens over time. About 1 in 100 people older than 60 has Parkinson s. The exact cause of PD is still not known, but research
More informationCaregiving Issues for those with dementia and other cognitive challenges.
Caregiving Issues for those with dementia and other cognitive challenges. Sue Maxwell, MSW Director of Gerontology Lee Memorial Health System Fort Myers, Florida August 2009 Goals & Objectives Understand
More informationMEMORY LOSS: WHAT IS NORMAL?
MEMORY LOSS: WHAT IS NORMAL? When I was first unable to remember things like the names of my friend s children or an appointment, I felt scared. Robert, 73 years old lawyer Everyone forgets things. Who
More informationBIPOLAR DISORDER IN THE ELDERLY
BIPOLAR DISORDER IN THE ELDERLY AN INTERACTIVE CASE-BASED TUTORIAL MARK BOSMA, MD, FRCPC JUNE 2006 REFERRAL You are a clinician working in geriatric psychiatry. You are asked to see Mr. B. Polar. The information
More informationDonepezil, galantamine, rivastigmine and memantine for Alzheimer s disease
Understanding NICE guidance Information for people who use NHS services Donepezil, galantamine, rivastigmine and memantine for Alzheimer s disease NICE technology appraisal guidance advises on when and
More informationEMR Decision Support Tools for Alzheimer s and Related Dementias
EMR Decision Support Tools for Alzheimer s and Related Dementias 1. Screening Tool Criteria For When to Use: As a general cognitive screening tool or as part of an annual exam (Medicare Annual Wellness
More informationGuidelines for Dementia Syndrome
Guidelines for Dementia Syndrome Dementia is the chronic acquired decline in memory and at least one other cognitive function (e.g. language, visual-spatial, executive) sufficient to offset daily life.
More informationDiagnosis and Treatment
Sleep Apnea: Diagnosis and Treatment Sleep Apnea Sleep Apnea is Common Dangerous Easily recognized Treatable Types of Sleep Disordered Breathing Apnea Cessation of airflow > 10 seconds Hypopnea Decreased
More informationBedside cognitive examination beyond the MMSE. Dr Richard Perry Dept of Neurosciences Imperial College
Bedside cognitive examination beyond the MMSE Dr Richard Perry Dept of Neurosciences Imperial College Overview Initial observations Cognitive rating scales Assessing cognitive domains Memory Language Visuospatial
More informationAssisted Living Nurse Competencies
Assisted Living Nurse Competencies Competencies Necessary for Nurses to Provide High-Quality Care to Older Adults in Assisted Living Residences 1. Recognize one s own and others attitudes, values, and
More informationAge Associated Cognitive Decline and Mild Cognitive Impairment (MCI)
Age Associated Cognitive Decline and Mild Cognitive Impairment (MCI) Mike R. Schoenberg, PhD, ABPP-CN Diplomate, American Board of Clinical Neuropsychology Licensed Psychologist Departments of Psychiatry
More informationCase Presentation: Mr. E.M. Dr. Braun
Case Presentation: Mr. E.M. Dr. Braun Case Presentation: Mr. E.M. 66 years old; PMHx CAD with stent 2010; carotid artery disease with stent 1999; aortic stenosis; CVA 1998; type 2 DM; colon cancer with
More information08/04/2014. Tim Hogan, RRT, PhD Primary Care Home Health Director. University of Missouri Health Care Department of Family and Community Medicine
Tim Hogan, RRT, PhD, Primary Care Home Health Director Joan Asbee, RN, BSN, CWOCN, Nurse Care Manager Karli Urban, MD, Assistant Professor of Clinical Family and Community Medicine University of Missouri
More informationDiagnostic Accuracy of CSF 14-3-3 Protein in Sporadic Creutzfeldt- Jakob Disease
Diagnostic Accuracy of CSF 14-3-3 Protein in Sporadic Creutzfeldt- Jakob Disease Case Presentation The Neurology service is consulted to assess a 55-year-old male with a history of depression who presents
More informationDementia & Movement Disorders
Dementia & Movement Disorders A/Prof Michael Davis Geriatrician ACT Health & GSAHS ANU Medical School Eastern Dementia Network Aged and Dementia Care Symposium Bateman s Bay, 22 October 2010 Types of Dementia
More informationMeeting the Needs of Aging Persons. Aging in Individuals with a
Meeting the Needs of Aging Persons with Developmental Disabilities Cross Network Collaboration for Florida Aging in Individuals with a Developmental Disability Module 3 Based on ADRC training developed
More informationStephen L. Benson, Psy.D. November 17, 2015
Stephen L. Benson, Psy.D. November 17, 2015 Biomedical view of dementia Lyman (1989) suggested that the biomedical view of dementia includes three features: First, dementia is pathological and individual,
More informationBasics of Dementia Third Session: Progressive Memory Disorders (3rd edition, 3/27/07)
Basics of Dementia Third Session: Progressive Memory Disorders (3rd edition, 3/27/07) Prepared by: Leilani Doty, PhD, Administrator University of Florida Memory Disorder Clinic McKnight Brain Institute,
More informationLong Term Care Formulary HCD - 09. Anti-Dementia Drugs (e.g. donepezil, galantamine, rivastigmine, memantine)
1 of 8 USE OF CHOLINESTERASE (AChE) INHIBITORS The cholinesterase inhibitor anti-dementia drugs are indicated for the symptomatic treatment of patients with mild to moderate dementia of the Alzheimer s
More informationStuart B Black MD, FAAN Chief of Neurology Co-Medical Director: Neuroscience Center Baylor University Medical Center at Dallas
Billing and Coding in Neurology and Headache Stuart B Black MD, FAAN Chief of Neurology Co-Medical Director: Neuroscience Center Baylor University Medical Center at Dallas CPT Codes vs. ICD Codes Category
More information