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Neurodegener Dis Manag. 2015;5(3):217-24. doi: 10.2217/nmt.15.9.

Are we providing the best possible care for dementia patients?.

Neurodegenerative disease management

Anna Borisovskaya, Kathryn Chen, Soo Borson

Affiliations

  1. University of Washington, Veterans' Affairs Medical Center, 1660 South Columbian Way, S-116, Seattle, WA 98108, USA.
  2. University of Washington, Department of Psychiatry & Behavioral Sciences, 1959 NE Pacific Street, Seattle, WA 98108, USA.

PMID: 26107320 DOI: 10.2217/nmt.15.9

Abstract

Healthcare for patients with dementia is often reactive, poorly organized and fragmented. We discuss opportunities for improvements in the care of individuals living with dementia at home that can be implemented by physicians in their practices today. In particular, we argue that systematic identification and diagnosis of cognitive impairment and dementia in their early stages, coupled with a coherent, evidence-informed management framework, would benefit patients with dementia substantially and ease the burden of their caregivers. We emphasize that dementia influences all aspects of patient care, and each medical decision must be passed through the filter of knowledge that patients with dementia have special needs that can be identified and addressed.

Keywords: acetylcholinesterase inhibitors; annual wellness exam; bradycardia; cognitive evaluation; dementia; memantine; polypharmacy

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