Assessment

Diagnosing Dementia

Diagnosing Dementia:

Diagnosing Dementia is very complex and according to National Institute of Health and Care Excellence (NICE) guidelines recommendations is made by specialist services. According to Diagnostic and Statistical Manual Fifth Edition, Dementia is defined as a significant cognitive decline from a previous level of performance in one or more domains and is sufficient enough to undermine independence in everyday activities. So dementia assessment consist of history (including very importantly information from family or carer or other key stake holder), physical examination, cognitive testing (MMSE, RUDAS, MOCHA, etc.) and investigations including imaging to rule out the secondary causes & more support for your clinical diagnosis. RECENT ARTICLES OF INTEREST Comparative efficacy and safety of selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors in older adults: a network meta-analysis. Thorlund K, Druyts, E, Wu P, Balijepalli C, Keohane D, Mills E: J. Am Geriatric Society 2015; 63: 1002-1009