• Corpus ID: 41840370

Guidelines for managing Alzheimer's disease: part I. Assessment.

@article{Cummings2002GuidelinesFM,
  title={Guidelines for managing Alzheimer's disease: part I. Assessment.},
  author={Jeffrey L. Cummings and Janet C. Frank and Debra Lynn Cherry and Neal D. Kohatsu and Bryan J. Kemp and Linda Hewett and Brian S. Mittman},
  journal={American family physician},
  year={2002},
  volume={65 11},
  pages={
          2263-72
        }
}
Family physicians play a key role in assessing and managing patients with Alzheimer's disease and in linking the families of these patients to supportive services within the community. As part of comprehensive management, the family physician may be responsible for coordinating assessments of patient function, cognition, comorbid medical conditions, disorders of mood and emotion, and caregiver status. Suggestions for easily administered and scored assessment tools are provided, and practical… 

Figures and Tables from this paper

Guidelines for managing Alzheimer's disease: Part II. Treatment.
TLDR
Throughout the course of the disease, routine use of community resources allows care to be provided by a network of professionals, many of whom will be specialists in Alzheimer's disease.
Guidelines for the Management of Cognitive and Behavioral Problems in Dementia
TLDR
The effects of nonpharmacologic and pharmacologic interventions on the functional abilities and behavior of patients with dementia and how these can be implemented into clinical practice are reviewed.
An interdisciplinary approach to the management of Alzheimer's disease (electronic review) : a literature review
TLDR
When health care professionals work as a team with Alzheimer’s disease, optimal management can be reached through various pharmacologic and non-pharmacologic treatments.
Practical Guidelines for the Recognition and Diagnosis of Dementia
TLDR
Practical guidance for the recognition and diagnosis of dementia is provided, with clearly defined steps for screening and diagnosing AD and assessing daily functioning, behavioral symptoms, and caregiver status.
Alzheimer’s Disease Dementia Guidelines for Diagnostic Testing
TLDR
A systematic literature search and quality appraisal of AD dementia guidelines, published between 2005 and 2011, which contained diagnostic recommendations on AD dementia found that Appraisal of Guidelines Research and Evaluation (AGREE)-II domains such as applicability and editorial independence had the lowest scores.
The Effect of a Disease Management Intervention on Quality and Outcomes of Dementia Care
TLDR
A guideline-based, comprehensive dementia care management intervention is designed and tested in a clinic-level, cluster randomized, controlled trial to address gaps in care quality for patients with dementia.
ffective Pharmacologic Management of lzheimer ’ s Disease
TLDR
Evidence-based guidelines outlining pharmacotherapeutic strategies can be systematically mplemented to optimize outcomes for patients in different stages of Alzheimer’s disease.
Assessment and management of patients with cognitive impairment and dementia in primary care
TLDR
This small but detailed evaluation suggests patients presenting with cognitive problems to primary care physicians do not consistently receive basic diagnosis and management, and under-reported in the medical record compared to the caregiver interview.
The utility of questionnaires in cognitive and functional assessment in Alzheimer's disease
TLDR
The initial deficit usually manifests as an amnesic syndrome which may progress very gradually for several years before impairment in other cognitive domains, such as language, semantic memory and visuospatial function, becomes apparent.
[Characteristics of the clinical picture and treatment of moderate or severe Alzheimer's disease].
  • E. Vasenina, O. Levin
  • Psychology, Medicine
    Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
  • 2015
TLDR
The evolution of cognitive and mental disorders in moderate and severe stages of AD is considered and new approaches to treatment of late AD stages using high doses of cholinesterase inhibitors and memantine with non-pharmacological correction of behavioral disorders the clinical assessment of treatment efficacy are described.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 22 REFERENCES
Clinical diagnosis of Alzheimer's disease
TLDR
The criteria proposed are intended to serve as a guide for the diagnosis of probable, possible, and definite Alzheimer's disease; these criteria will be revised as more definitive information becomes available.
The economic impact of Alzheimer's disease
TLDR
Findings in recent cost studies adjusted to 1990 dollars suggest that the annual cost of formal and informal care for each patient with Alzheimer's disease is as high as $47,000, with an overall annual cost associated with all types of dementia patients.
Diagnosis and treatment of Alzheimer disease and related disorders. Consensus statement of the American Association for Geriatric Psychiatry, the Alzheimer's Association, and the American Geriatrics Society.
OBJECTIVE A consensus conference on the diagnosis and treatment of Alzheimer disease (AD) and related disorders was organized by the American Association for Geriatric Psychiatry, the Alzheimer's
Physician Practices in the Diagnosis of Dementing Disorders
TLDR
Assessment of physician practices with regard to the diagnosis of dementing disorders indicates that the majority of physicians provided history taking, physical examination, and neurological examination, but deficiencies in two key areas point to deficiencies in formal, published diagnostic criteria, and the use of mental status and cognitive function tests.
Clinical-neuropathological correlations in Alzheimer's disease and related dementias.
TLDR
Clinicians accurately predicted AD pathological findings or their absence in most cases, but Attributing other degenerative dementias to AD, misdiagnosing patients with combined AD and Lewy bodies and misjudging the vascular contribution to dementia were the major areas of inaccuracy.
Criterion-related validity of the Geriatric Depression Scale in Alzheimer's disease.
TLDR
The effect of cognitive impairment on the criterion-related validity of the self-report Geriatric Depression Scale was investigated in community-dwelling older adults, suggesting limited utility of the scale in AD.
The spectrum of behavioral changes in Alzheimer's disease
TLDR
Agitation, dysphoria, apathy, and aberrant motor behavior were significantly correlated with cognitive impairment in patients with Alzheimer's disease compared with normal age-matched control subjects.
Validation of the NPI-Q, a brief clinical form of the Neuropsychiatric Inventory.
TLDR
A brief questionnaire form of the NPI (NPI-Q), intended for use in routine clinical practice, is developed and cross-validated in 60 Alzheimer's patients, providing a brief, reliable, informant-based assessment of neuropsychiatric symptoms and associated caregiver distress.
Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes.
TLDR
Across studies, psychiatric morbidity in caregivers was linked to patient problem behaviors, income, self-rated health, perceived stress, and life satisfaction, and physical morbidity was associated with patient Problem behaviors and cognitive impairment, and with caregiver depression, anxiety, and perceived social support.
Knowledge About Alzheimer Disease Among Primary Care Physicians, Psychologists, Nurses, and Social Workers
TLDR
Results suggest that, although knowledge about assessment and management of AD has increased and has been widely disseminated, many health care professionals remain uninformed about AD.
...
1
2
3
...