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Approach to the forgetful patient.
Peng Soon Yoon1, Chun How Ooi1, Choon How How2,3
1Department of Geriatric Medicine, Changi General Hospital, Singapore.
Singapore Medical Journal
|March 24, 2018
Summary
Early dementia diagnosis in Singapore
Area of Science:
- Gerontology and public health in aging populations.
Background:
- Singapore faces a growing aging population, with a projected 53,000 individuals aged 60 and above living with dementia by 2020.
- Primary care physicians play a crucial role in the early detection of reversible causes of cognitive decline.
Purpose of the Study:
- To highlight the benefits of early dementia diagnosis in primary care.
- To emphasize the importance of identifying comorbidities and discussing treatment options.
Main Methods:
- Utilizing objective cognitive tests (e.g., Abbreviated Mental Test, Mini-Mental State Examination) and brain imaging for diagnosis.
- Facilitating early patient engagement in healthcare and personal care planning.
Main Results:
- Early diagnosis helps patients understand their condition, reducing frustration and improving relationships.
- Empowers patients to plan for future care through mechanisms like Lasting Power of Attorney and Advance Care Planning.
Conclusions:
- Primary care's role in early dementia work-up is vital for patient well-being and future planning.
- Referral to memory clinics ensures a multidisciplinary approach, including specialized support and caregiver training.
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