Memory Disorders: Evaluation and Diagnostic Process
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1 Memory Disorders: Evaluation and Diagnostic Process Memory Disorders Clinic Miller School of Medicine Department of Psychiatry and Behavioral Sciences Gloria M. Peruyera, MS Clinic Coordinator and Manager Research Support
2 Alzheimer s Disease Initiative Department of Elder Affairs State of Florida
3 Alzheimer s Disease Initiative Department of Elder Affairs State of Florida 1. Alzheimer's Disease Initiative established in 1985 by the Florida Legislature 2. Clinics for evaluation and diagnosis of memory problems 3. In-Home Respite Program 4. Adult Daycare Centers 5. Scientific research programs
4 Forgetfulness, a normal part of aging or the beginning of dementia?
5 Memory and Normal Aging
6 Memory and Normal Aging 1. Memory lapses are not always serious. 2. Many older people take longer to remember things. 3. Although they are more forgetful remain alert and in possession of his faculties. 4. Their difficulties do not become more severe as time passes.
7 Dementia
8 Dementia There is difficulty with one or more of the following: 1. Remembering recent events or conversations 2. Disorientation about time and location 3. Problems in performing daily activities 4. Finding simple words and expressing thoughts 5. Difficulty in trying to solve problems 6. Trouble handling money and execute complex tasks 7. Changes in personality or behavior
9 Dementia 1. Dementia is a group of symptoms is not a disease in itself 2. There are many causes of memory loss and dementia 3. Some conditions are treatable or reversible 4. Alzheimer's disease is the most common type of dementia
10 The Importance of a Complete Medical Evaluation
11 The Importance of a Complete Medical Evaluation 1. Identify the cause of memory loss 2. Exclude other treatable conditions 3. Get a good diagnosis 4. Implement treatment and monitoring 5. Inform family members about the disease and make referrals
12 The Importance of a Complete Medical Evaluation 1. There is not a specific test to determine clinical Alzheimer's disease 2. Diagnosis is made through an assessment process consisting of several tests and clinical examinations
13 The Diagnostic Process
14 The Diagnostic Process 1. Complete Medical History 2. Psychosocial Interview 3. Neurological Examination 4. Psychiatric examination 5. Neuropsychological tests
15 Clinical Diagnostic Process in Memory
16 Clinical Diagnostic Process in Memory 1. Psychosocial Interview 2. Neurological evaluation 3. Psychiatry evaluation 4. Cognitive Testing 5. Diagnostic Conference 6. Diagnostic Conference with Family
17 Psychosocial Interview
18 Psychosocial Interview Family 1. Medical History: What, When, and How? 2. Assessment of daily functioning ability 3. Family Medical History 4. Demographic and socio-cultural factors 5. Family or caregiver education
19 Psychosocial Interview Patient 1. Observation and interview 2. Mood 3. Mental Status Examination
20 Neurological Examination
21 Neurological Examination Family 1. Medical and neurological history 2. Medication Review 3. Symptoms Assessment
22 Neurological Examination Patient 1. Physical examination 2. Testing reflexes, sensory and motor functions 3. Other procedures: brain scan tests e.g. MRI, CT, EEG
23 Psychiatric examination
24 Psychiatric examination 1. Mood Depression, anxiety, lability 2. Psychosis Delirium, hallucinations, paranoia 3. Thought Process Disorganized, incoherent 4. Affect and Appearance Normal, sad, anxious, restless, unstable
25 Cognitive Testing
26 SECTION TITLE HEADER 14PT HELVETICA BOLD Cognitive Testing 1. Neuropsychological Assessment to measure memory and cognitive abilities of the patient Orientation, attention, memory, use of language skills, name objects, do simple calculations, draw figures 2. A neuropsychological assessment can take between one and five hours
27 Diagnostic Conference
28 Diagnostic Conference 1. Clinical team reviews the results of all examinations and tests 2. Agrees on the diagnosis 3. Recommend treatment 4. Formulate a monitoring plan
29 Diagnostic Conference with the Family 1. Inform the patient and family about the diagnosis 2. Explain the disease process 3. Prescribe and explain the use of medicines 4. Answer questions and provide support 5. Make referrals to other health professionals and community resources
30 Memory Disorders Center Miller School of Medicine Department of Psychiatry and Behavioral Sciences Center on Aging 1695 NW 9 th Avenue, Suite 3204B Miami, FL (305)
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1695 N.W. 9th Avenue, Suite 3302H Miami, FL. 33136. Days and Hours: Monday Friday 8:30a.m. 6:00p.m. (305) 355 9028 (JMH, Downtown)
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