Diagnosis and treatment of dementia: 4. Approach to management of mild to moderate dementia

Hogan, David B.; Bailey, Peter; Black, Sandra E.; Carswell, Anne; Chertkow, Howard; Clarke, Barry; Cohen, Carole; Fisk, John D.; Forbes, Dorothy; Man-Son-Hing, Malcolm; Lanctôt, Krista L.; Morgan, Debra; Thorpe, Lilian

doi:10.1503/cmaj.070803

Cited by 71 publications

(56 citation statements)

References 38 publications

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“…In this article and the previous one in the series, 1 we have outlined an approach to what we consider are important aspects of the comprehensive care that patients with mild to moderate dementia and their families require. Although much remains to be learned about the treatment of mild to moderate dementia, translating what we now know into practice can improve the quality of care and, more importantly, the quality of life of patients and their caregivers.…”

Section: Resultsmentioning

confidence: 99%

Diagnosis and treatment of dementia: 5. Nonpharmacologic and pharmacologic therapy for mild to moderate dementia

Hogan¹,

Bailey²,

Black³

et al. 2008

Canadian Medical Association Journal

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133

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Section: Resultsmentioning

confidence: 99%

Diagnosis and treatment of dementia: 5. Nonpharmacologic and pharmacologic therapy for mild to moderate dementia

Hogan¹,

Bailey²,

Black³

et al. 2008

Canadian Medical Association Journal

Self Cite

133

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“…Counseling on stress management, financial planning, medication management, home safety risks, ongoing activity, and functional problems should be provided to patients with dementia and their families 11,12,14 . Referrals can be made to memory clinics or specialists including geriatricians, psychiatrists, or neurologists 13, 15 .…”

Section: Introductionmentioning

confidence: 99%

A survey of physician practices in managing people with dementia in Hong Kong

et al. 2015

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-Background and Objectives: Managing patients with dementia (PWD) in accordance with established clinical practice guidelines is important in providing optimal care. However, information about the actual processes of diagnosis and treatment is scanty. The objective of this paper is to explore the daily practices and management of PWD by physicians in Hong Kong.Methods: A survey was conducted to explore the practices of local physicians in managing PWD. A questionnaire was sent to the Hong Kong Medical Association, which represents 61% of all locally registered medical practitioners.Results: The Mini-Mental State Examination (MMSE) was the most common screening instrument (89.4%), followed by the Clock drawing test (29.3%). The most frequently used imaging tests were computed tomography (67.9%). Tests for thyroid-stimulating hormones (85.9%) and vitamin B12 (74.9%), as well as the Venereal Disease Research Laboratory Test (74.9%), were frequently performed to rule out reversible causes. Cholinesterase inhibitor (69.7%) and N-Methyl-D-asparate (44.1%) were the most commonly used anti-dementia medications. The most common reason for referring patients to specialists was the "occurrence of severe behavioral and psychiatric symptoms (BPSD)" (59.6%).

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“…Historically, the research focus in non-pharmacological therapy has been on interventions targeted to caregivers and patients in the moderate-to-severe stages of the disease. However, recent research has recognised that mild AD is a special case with a different potential for therapy [4,5], and that therapy has to address not only the person with dementia but also the caregiver, whose social and working life is often affected [6,7]. Suggestions for specific regimens aimed at supporting both the patient and the caregiver exist, but the most appropriate strategy remains uncertain [8].…”

Section: Introductionmentioning

confidence: 99%

Cost Analysis of Early Psychosocial Intervention in Alzheimer's Disease

Søgaard

Sørensen

Waldorff

et al. 2013

Dement Geriatr Cogn Disord

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Background/Aim: To investigate the impact of early psychosocial intervention aimed at patients with Alzheimer's disease (AD) and their caregivers on resource use and costs from a societal perspective. Methods: Dyads of patients and their primary caregiver were randomised to intervention (n = 163) or control (n = 167) and followed for 3 years. Health care use was extracted from national registers, and the Resource Utilisation in Dementia questionnaire was used to measure informal care and productivity loss. Multiple imputation was used to replace missing data, and non-parametric bootstrapping was used to estimate standard errors. Results: Overall, there were no statistically significant differences because of large variation in the observations. The average additional cost of psychosocial intervention provision was estimated at EUR 3,401 per patient. This cost masked a reduced use of formal health care and an increased use of informal care. Conclusions: Early psychosocial intervention in AD could be cost-saving from a health care perspective, whereas the opposite seems to be true from a broader societal perspective.

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Diagnosis and treatment of dementia: 4. Approach to management of mild to moderate dementia

Cited by 71 publications

References 38 publications

Diagnosis and treatment of dementia: 5. Nonpharmacologic and pharmacologic therapy for mild to moderate dementia

Diagnosis and treatment of dementia: 5. Nonpharmacologic and pharmacologic therapy for mild to moderate dementia

A survey of physician practices in managing people with dementia in Hong Kong

Cost Analysis of Early Psychosocial Intervention in Alzheimer's Disease

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