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[Patient assessment in suspected dementia]
1Memory Clinic, Essen.
Therapeutische Umschau. Revue Therapeutique
|June 1, 1997
Summary
Early diagnosis of senile dementia is crucial as cases rise. Comprehensive evaluation by multiple specialists, considering cognitive, behavioral, and psychosocial factors, aids accurate differential diagnosis.
Area of Science:
- Geriatrics
- Neurology
- Psychiatry
- Psychology
Context:
- Increasing prevalence of cognitive impairment and senile dementia due to demographic shifts.
- Challenges in early and differential diagnosis of senile dementia for healthcare professionals.
- Current diagnostic procedures align with ICD 10 and DSM IV criteria.
Purpose:
- To discuss the diagnostic procedure for senile dementia, integrating various medical and psychosocial aspects.
- To highlight the importance of a multidisciplinary approach in diagnosing dementia.
- To emphasize the diagnostic value of behavioral and functional changes alongside cognitive decline.
Summary:
- Senile dementia diagnosis involves geriatric, neuro/psychiatric, psychological, and psychosocial assessments.
- Family and friend history is vital, alongside psychometric tests.
- Clinicians and families often prioritize behavioral disinhibition, functional autonomy loss, and mood issues over cognitive loss for diagnosis.
Impact:
- Facilitates a comprehensive understanding of dementia through integrated specialist perspectives.
- Improves diagnostic accuracy by considering a wide range of symptoms and patient history.
- Aids general practitioners and specialists in managing the growing burden of dementia cases.