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CPG Infobase: Clinical Practice Guidelines

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Record Id:
14810
Title:
Cognitive impairment: recognition, diagnosis and management in primary care
Fulltext:
View PDF (primary care)
Publication/Review date:
2014-June-18 (Reviewed 2016-June-22)
Producers:
Guidelines and Protocols Advisory Committee (BC)
Endorsers:
Medical Services Commission of British Columbia
Doctors of BC

Bibliographic Source

Date Accessed:
2016-08-26
Pages/Size:
20  Page(s)
References:
45

Subject Information

Specialties:
Family practice, Geriatric medicine,
Domains:
Treatment, Diagnosis
Target Populations:
Elderly, Adult
Target Gender:
Unknown
MeSH:
British Columbia; Alzheimer Disease; Mild Cognitive Impairment; Dementia;

Structured Abstract:

Recommendations:
• Do not screen asymptomatic population for cognitive impairment.
• Dementia can be masked in a typically structured office visit; third party observations can be important.
• Imaging is of limited value.
• Always involve the caregiver and plan on several visits to establish and inform patient/caregiver of diagnosis.
• Introduce advance care planning early.
• Polypharmacy and multimorbidity can both be causes and effects of cognitive impairment.
• Drug treatment has limited value; first consider non-pharmacological management of the behavioural and psychological
symptoms of dementia.
• Make early and regular use of adjunct services.

Copyright:

The copyright of this guideline and its companion documents belongs to: Guidelines and Protocols Advisory Committee (BC)

Disclaimer:
All content is provided for information and education and not as a substitute for the advice of a physician. Joule assumes no responsibility or liability arising from any error or omission or from the use of any information contained herein.

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