Progressive deterioration in cognition, behavior, or both without impaired consciousness that is severe enough to interfere with activities of daily living due to alteration in corti...
Insidious onset, with initial complaints of anxiety, depression, frustration, increased forgetfulness
Generally preceded by “mild cognitive impairment,” an intermediate stat...
Obtain history from friends, family
Provide for patient and staff safety
Attentiveness to comorbid conditions
Treat acute toxic and metabolic disorders:
Unstable vital signs
Significant comorbid condition requiring parenteral medications:
Fluid and electrolyte disorder
Uncertain diagnosis requiring evalu...
Primary dementia is characterized by slow, steady progression:
Course is generally 5–10 yr from diagnosis to death.
Can fluctuate as consequence of intervening illness and comorbid c...
Holsinger T, Deveau J, Boustani M, et al. Does this patient have dementia? JAMA. 2007;297:2391–2404.
Langa KM, Foster NL, Larson EB. Mixed dementia: Emerging concepts and...
294.10 Dementia in conditions classified elsewhere without behavioral disturbance
294.20 Dementia, unspecified, without behavioral disturbance
331.0 Alzheimer's disease
294.21 Dementia, unspeci...
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