Early Identification of Alzheimer's Disease and Related Dementias

The Western journal of medicine, 2002

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques, 2001

Objective:i) To develop evidence based consensus statements on which to build clinical practice guidelines for primary care physicians towards the recognition, assessment and management of dementing disorders; ii) to disseminate and evaluate the impact of these statements and guidelines built on these statements.Options:Structured approach to assessment, including recommended laboratory tests, choices for neuroimaging and referral; management of complications (especially behaviour problems and depression) and use of cognitive enhancing agents.Potential outcomes:Consistent and improved clinical care of persons with dementia; cost containment by more selective use of laboratory investigations, neuroimaging and referrals; appropriate use of cognitive enhancing agents.Evidence:Authors of each background paper were entrusted to: perform a literature search, discover additional relevant material including references cited in retrieved articles; consult with other experts in the field and ...

Health progress (Saint Louis, Mo.)

JAMA: The Journal of the American Medical Association, 1997

Alzheimers & Dementia, 2011

The National Institute on Aging and the Alzheimer’s Association charged a workgroup with the task of revising the 1984 criteria for Alzheimer’s disease (AD) dementia. The workgroup sought to ensure that the revised criteria would be flexible enough to be used by both general healthcare providers without access to neuropsychological testing, advanced imaging, and cerebrospinal fluid measures, and specialized investigators

Australian family physician

1984

Physician Assistant Clinics, 2018

Cognitive impairment in older adults is underrecognized and dementia is underdiagnosed by providers in primary care. Early detection of cognitive impairment in older adults can improve care, reduce complications, and potentially reduce costs. Validated tools to screen for depression, mental status, and function are readily available, easy to use, and can easily be incorporated into regular care of older adults. A basic evaluation for memory or thinking complaints to identify treatable conditions should be part of primary care.

Archives of Neurology, 2002

Clinical assessment of dementia he diagnosis of Alzheimer's disease (AD) is essentially a two-stage process. First, a diagnosis of dementia is made, the main conditions from which it should be differentiated being delirium, depression, concomitant physical illness, drug treatment, learning disability, the effects of a severely impoverished environment, and the normal memory loss that accompanies aging. Dementia is a clinical syndrome, and determining the cause of the syndrome is the second stage. The commonest cause is AD, followed by vascular dementia, Lewy-body dementia, and frontal lobe dementia. There are many so-called secondary causes of dementia, some of which are treatable. The clinical syndrome of dementia has three primary expressions. First, a neuropsychological element consisting of amnesia (loss of memory); aphasia (either a receptive aphasia or expressive aphasia, the latter being more apparent in conversation, and nominal aphasia tested by direct questioning of naming of objects); apraxia (the inability to carry out tasks despite intact sensory and motor nervous systems, manifest in dementia most usually by an inability to dress often described as putting on a shirt or coat back