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Dementia Notes

This is a sample of our (approximately) 4 page long Dementia notes, which we sell as part of the Psychiatry Notes collection, a MBChB (hons) (1st) package written at University Of Leicester in 2014 that contains (approximately) 43 pages of notes across 14 different documents.

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Dementia Revision

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Dementia Global impairment of cognition with a normal level of consciousness Epidemiology
- 5% prevalence in >65
- 20% prevalence >85

Dementia is progressive Alzheimers is global Vascular is patchy Lewy-Body is Parkinsonion

Clinical features
- Early o Loss of short term episodic memory
 Autobiographical e.g times, places, events
- Middle o Pervasive memory loss o Confabulation o Alterations in personality, affect and behaviour MMSE shows low scores o Distorted interpretation of senses on orientation + short
 E.g unable to recognize people's term memory faces
- Late o Profound memory loss o Poor attention o Language deficits o Behaviour abnormalities

Memory and cognitive impairment Common in all types Memory problems
 Short term memory is affected
 Inability to recall information
 Difficulty learning new skills
 Live more in past as disease progresses
 Disorientation to time and place=early sign

Cognitive problems 3 subdivisions: EXECUTIVE FUNCTION
 Problem solving
 Abstract and reasoning
 Decision-making and judgement (e.g. do they want rx, making Will, capacity assessment by Dr needed??)
 Planning, organising
 Processing VISUOSPATIAL ABILITY
 Getting lost
 Driving impaired
 Copying figures LANGUAGE
 Reduced conversation
 Difficulty finding words
 Reduced vocab
 Perseveration - shows organic cause
 Global aphasia

Non-cognitive symptoms Altered:

3. Emotion -depression, apathy

4. Behaviour - wandering, aggressive, irritable and restless

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