Identifying undiagnosed dementia in residential care veterans: comparing telemedicine to in‐person clinical examination

Abstract

We found that telemedicine was as accurate as an in-person clinical examination in establishing the diagnosis of dementia. In addition, subjects reported a high degree of satisfaction with telemedicine and a willingness to participate in telemedicine clinical care in the future. Given the large increase in the aging population and the shortage of geriatric psychiatrists nationally, it appears that telemedicine may be a promising means to expand the availability of geriatric psychiatric consultation to remote areas.

The attitudes and practices of general practitioners regarding dementia diagnosis in Ireland

“…These include stigma (Brodaty et al, 1994;Morgan et al, 2002;Iliffe et al, 2005;Vernooij-Dassen et al, 2005), difficulty in differentiating normal ageing from dementia (Boise et al, 1999;Iliffe et al, 2003), the paucity of specialist diagnostic services, especially in rural areas (Freyne, 2001;Shores et al, 2004), and GPs lack of confidence or training (Turner et al, 2004). As there is no definitive test for dementia, GPs must investigate several possibilities and may not always have the time or expertise for this (Brodaty et al, 1994;Iliffe et al, 2003).…”

Effectiveness and feasibility of telepsychiatry in resource constrained environments? A systematic review of the evidence

“…2 There appears to be widespread implementation of telepsychiatry across countries [3][4] , across different treatment modalities 5 and across different service settings [6][7][8][9] from Child and Adolescent services (CAMHS) [10][11][12][13][14][15][16][17] to Geriatric services. [18][19][20][21] Telepsychiatry has been used for assessment and diagnosis, ongoing management, medication review, development of clinical care plans, psychotherapy, neuropsychological testing, forensic evaluations and certain psychiatric emergencies. [22][23] For the purpose of this paper telepsychiatry is defined as the use of live interactive audio-video communication, also known as videoconferencing, to provide psychiatric clinical services from a distance.…”

Remote Assessment of Cognitive Function in Juvenile Neuronal Ceroid Lipofuscinosis (Batten disease)

“…Among adults, remote assessment has been established as reliable and valid for cognitive evaluation of minor cognitive impairment, memory disorders and dementia 19-21 . Remote cognitive assessment of adult-onset dementias by telephone or videoconferencing has been demonstrated to be as accurate as in-person evaluation and correlates well with standard cognitive assessments such as the Mini-Mental Status Exam.…”

“…1 Juvenile Batten disease is one in a group of neuronal ceroid lipofuscinosis diseases with genetically distinct etiologies and varying age at onset. For all genetic forms of childhood-onset Batten disease, the primary clinical symptoms are vision loss, loss of motor function, seizures, and a childhood-onset dementia characterized by cognitive regression and mood and behavioral problems.…”