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arrow CPG & Other Guidelines

Quick Reference For Health Care Providers Management Of Dementia (Second Edition)

Date: 19 March 2012

Key Messages
  • Alzheimers disease (AD) is the most common type of the primary degenerative dementia.
  • Routine screening of elder population for dementia at the primary care level is not recommended except in patients with subjective memory complaints or if requested by an informant.
  • All patients with suspected dementia at primary care should be referred to a secondary specialist service, and where available a memory clinic.
  • History, physical neurological and mental state examination remains an important component of assessment for dementia. Brief cognitive tests can be used to assist diagnosis.
  • Behavioural problem and depression should be enquired on a routine basis. All patients with dementia will need to be assessed mainly on basic activities of daily living and instrumental activities.
  • Acetylcholinesterase inhibitors and/or memantine may be beneficial in improving cognitive function and behavioural problem.
  • Depression in dementia should be treated with antidepressants.
  • Antipsychotic should not be used routinely to treat aggression and psychosis. Antipsychotic if prescribed should be specifically targeted, slowly titrated and time limited.
  • An evaluation of the caregiver needs should be carried out on a routine basis. A multi-component caregiver intervention (e.g. psychoeducation, problem solving abilities, etc) should be offered. This Quick Reference provides key messages and a summary of the main recommendations in the Clinical Practice Guidelines (CPG) Management of Dementia (2nd Edition). Please download the Quick Reference For Health Care Providers Management Of Dementia (Second Edition) below...

      arrowQR MANAGEMENT OF DEMENTIA (2ND EDITION).pdf (English - pdf) [1707 Kb]

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