Alzheimer’s Disease – The Evaluation & Management of Dementia

Published by: Apollo Managed Care, Inc.

Published: Mar. 14, 2012 - 66 Pages


Table of Contents

Preface
Introduction to this volume
References list for the introduction
Evidence-based Medicine web sites
Behavioral Health Care – Access to care
Introduction and differential diagnosis
Mild Cognitive Impairment (MCI)
Contributing factors, potential
Initial assessment
Reversible causes of dementia
Diagnostic criteria for dementia and Alzheimer’s disease
Brain scans (CT, MRI, PET) for the prediction and evaluation of dementia
CSF for Alzheimer Disease
Urinary tests for Alzheimer’s Disease
Tau, BA-42 and Apolipoprotein E Tests for Alzheimer’s Disease
Videopupillography tropicamide drop test
Screening examinations/tests for dementia
Clinical course and findings during progressive stages of Alzheimer’s disease
Financial competence
Post-assessment care
AD in adults with mental retardation
Long term care
Reporting requirements
Decreasing the risk of developing Alzheimer’s disease – medications, nutrition
Alcohol
Exercise as a protective factor
Diet linked to good cognitive performance in old age
Fats in the diet – relationship to AD
Dietary niacin may be protective
Treatment
Nonpharmacologic therapy
Pharmacologic therapy
Anti-psychotic drug therapy
Estrogen therapy
Caring for the caregiver
Long-term nursing home care/Hospice care
Palliative Care
Ethical treatment considerations
Feeding tubes (added 10-03)
Algorithm
Genetic predisposition to dementia
Depression and cognitive function
References/Recommended Reading
Resources
National associations/organizations – Alzheimer’s disease
Alzheimer’s Disease Web Site Links
This is a chpater from Apollo’s Disease State Management Strategies II. Behavioral Healthcare.

Abstract

Diagnosis of Alzheimer’s and other dementias, non-pharmaceutical and pharmaceutical management of this common cluster of disabling disorders. References. Web links/other resources.

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