Dementia in a general practitioner‘s office
Authors:
J. Fiala
Authors‘ workplace:
Přednosta: doc. MUDr. Otakar Keller, CSc.
; Primářka: MUDr. Jolana Marková
; Neurologická klinika Fakultní Thomayerovy nemocnice a IPVZ, Praha
Published in:
Prakt. Lék. 2009; 89(9): 488-493
Category:
Various Specialization
Overview
Dementia is a permanent cognitive desarangement in comparison to a premorbid level of cognitive performance leading to patient disability to manage acitivities in daily living. Alzheimer’s disease, vascular and mixed dementia and dementia with Lewy bodies are the most common types. To estabilish a diagnosis requires a history of on-lasting problems in managing previously normaly coped activities, behavioral problems, physical examination, brain imaging (computed tomography or magnetic resonance imaging) as well as a basic laboratory tests. Referral to a neurologist or psychiatrist specializing in dementia care should be considered, particularly in atypical cases.
Early diagnosis is important mainly in order to exclude dementia mimicking and/or potentially treatable conditions. In addition to appropriate farmacological management, patient and caregiver education and provision of psychochosocial support are essential.
Key words:
dementia, care, review.
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Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2009 Issue 9
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