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Related Concept Videos

Dementia01:30

Dementia

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Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
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Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
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Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
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Diagnostic Care Pathways in Dementia.

Christine E Wells1, Sarah J Smith2

  • 11 Leeds Trinity University, Horsforth, Leeds, UK.

Journal of Primary Care & Community Health
|November 24, 2016
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Summary
This summary is machine-generated.

Primary care plays a key role in dementia diagnosis. While innovative primary care diagnostic pathways exist in England, improving post-diagnostic support remains crucial for dementia care.

Keywords:
dementiadiagnosispathwaysprimary caresupport

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Area of Science:

  • Gerontology
  • Public Health
  • Primary Care Medicine

Background:

  • Dementia diagnosis rates are a national priority, necessitating improvements in diagnostic services.
  • Primary care settings are increasingly recognized for their significant role in the dementia diagnostic journey.
  • Some dementia diagnostic services are fully integrated within primary care.

Purpose of the Study:

  • To review the extent of primary care involvement in dementia diagnostic care pathways for individuals with memory complaints in England.
  • To present examples of innovative primary care approaches for dementia diagnosis.

Main Methods:

  • A rapid review methodology was employed.
  • The review identified articles detailing dementia diagnostic care pathways involving primary care in England.

Main Results:

  • Six articles were included, focusing on pathway evaluations and innovative primary care approaches.
  • Examples of diagnostic pathways and innovative practices within primary care were identified.

Conclusions:

  • Identified primary care practices align with the National Dementia Strategy's goals.
  • A significant need exists to enhance post-diagnostic pathways, particularly access to support.
  • This need is reflected in current policy initiatives, such as the 2016 Joint Declaration on post-diagnostic dementia care.