Skip to main content

Dementia

Umer Farooq, MD, MBBS and Saeed Ahmed, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • DSM-5 classifies dementias under neurocognitive disorders (major and mild).

  • Evidence of cognitive decline from previous level of performance in one of cognitive domains (attention, ex...

DIAGNOSIS

HISTORY

Probable diagnosis AD (2)[B]: 
  • Age between 40 and 90 years (usually >65 years)

  • Progressive cognitive decline of insidious onset

  • No disturbances of consciousness

  • Deficits in areas of co...

TREATMENT

GENERAL MEASURES

  • Daily schedules and written directions

  • Emphasis on nutrition, personal hygiene, accident-proofing the home, safety issues, sleep hygiene, and supervision

  • Socialization (adult d...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • Progression of cognitive impairment by use of standardized tool (e.g., MMSE, ADAS-Cog)

  • Development of behavioral problems: sleep, depression, psy...

REFERENCES

1
1 McGuinness B, Craig D, Bullock R, et al. Statins for the prevention of dementia. Cochrane Database Syst Rev.  2009;(2):CD003160. {L-End} {L-End} [View Abstract on OvidMedline]
2
2 ...

ADDITIONAL READING

  • Lyketsos CG, Colenda CC, Beck C, et al. Position statement of the American Association for Geriatric Psychiatry regarding principles of care for patients with dementia resulting fro...

SEE ALSO

Algorithm: Dementia 

CODES

ICD10

  • F03 Unspecified dementia

  • G30.9 Alzheimer’s disease, unspecified

  • F01.50 Vascular dementia without behavioral disturbance

  • G31.83 Dementia with Lewy bodies

ICD9

  • 331.0 Alzheimer’s disease

  • 290.40 Vasc...

CLINICAL PEARLS

  • Medications for AD show a small, statistically significant improvement in some cognitive measures, but it remains unclear if the improvement is clinically significant.

  • Do not forget the...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×