在初级保健诊所的认知障碍
Cindy L Womack1, Andrea Perkins1, Jennifer M Arnold1
1Department of Neurology, Neuroscience Institute, Southern Illinois University School of Medicine, 751 North Rutledge Street, PO 19643, Springfield, IL 62794, USA.
Primary care
|May 1, 2024
概括
初级保健医生必须识别老年人的认知障碍,将其与正常衰老区分开来. 及时评估可逆性原因和转诊红旗对于精确的痴呆症诊断和管理至关重要.
科学领域:
- 老年医学 老年医学
- 神经学 神经学
- 认知科学 认知科学
背景情况:
- 认知障碍在老年人群中很普遍.
- 症状各不相同,包括记忆,执行功能,语言,视觉空间和行为变化.
研究的目的:
- 强调初级保健临床医生认识到和区分认知障碍的重要性.
- 强调在诊断神经退行性痴呆症之前需要评估可逆性病因.
主要方法:
- 对表现出认知变化的老年患者的临床评估.
- 差异诊断以区分认知障碍与正常衰老和其他疾病.
- 识别需要专家转诊的红旗.
主要成果:
- 认知障碍表现出各种症状,需要仔细的临床评估.
- 在进行神经退行性诊断之前,必须排除痴呆的可逆性原因.
- 特定的红旗 (例如,快速进展,早期发病) 表明需要神经学转诊.
结论:
- 初级保健在初步评估老年人认知障碍方面发挥着至关重要的作用.
- 彻底评估可逆性疾病对于准确诊断至关重要.
- 及时转诊神经病学确保了复杂病例的专业护理.
相关概念视频
Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists
121
Cognitive enhancers, also known as "smart drugs," are substances used to enhance memory, mental alertness, and concentration. These can be natural or synthetic and improve cognition in conditions like Alzheimer's disease (AD) and other neurodegenerative diseases. Some common examples include caffeine, amphetamines, methylphenidate, modafinil, arecoline, donepezil, vortioxetine, and piracetam. These enhancers work on the principle of synaptic plasticity and altered circuit function.
121
Dementia
113
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.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
113
Negative and Cognitive Symptoms of Schizophrenia
48
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
48
Cognitive Development During Adulthood
94
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
94
Alzheimer's Disease: Overview
468
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.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
468
Beck's Cognitive Therapy
47
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
47


