1 / 12

DEMENTIA

DEMENTIA. Leena Patel GPSTR. Overview. Causes of dementia Differential diagnosis Dementia and QOF. Degenerative diseases. Alzheimer’s Lewy body dementia Vascular Mixed (e.g. Alzheimer's & vascular) Parkinson’s disease Huntington’s chorea CJD Picks disease.

neva
Download Presentation

DEMENTIA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DEMENTIA Leena Patel GPSTR

  2. Overview • Causes of dementia • Differential diagnosis • Dementia and QOF

  3. Degenerative diseases • Alzheimer’s • Lewy body dementia • Vascular • Mixed (e.g. Alzheimer's & vascular) • Parkinson’s disease • Huntington’s chorea • CJD • Picks disease

  4. Treatable causes of Dementia • Vitamin lack - B12, folic acid • Endocrine - hypothyroidism • Normal pressure hydrocephalus • Severe anaemia • Renal Failure

  5. Other causes of dementia • Traumatic - severe head injury • Infections - post encephalitis, HIV • Toxic - alcohol • Space occupying lesion - chronic subdural haematoma, intracranial tumour

  6. Alzheimer’s - insidious decline Progressive disorientation Restless activity insomnia Decline in social behaviour Dysphasia, dyspraxia Vascular step-wise decline Episode of confusion Seizures Neurological signs Alzheimer's Vs Vascular

  7. Lewy body Dementia • Progressive • Fluctuating course • Hallucinations (visual) • Delusions • Parkinsonism signs

  8. Differential diagnosis • Functional or organic? E.g.. Depressive pseudo dementia, dementia presenting as mood disorder • Delirium or dementia

  9. Delirium Acute Fluctuates Impaired consciousness Thinking disorganised Perceptual disturbances common Impaired alertness Dementia Insidious Stable/progressive Normal consciousness Impoverished thinking Perceptual disturbance uncommon Alert Delirium Vs Dementia

  10. QOF indicators for dementia • Practice can produce a register of pts diagnosed with dementia • Percentage of pts diagnosed with dementia whose care has been reviewed in the previous 15 months.

  11. Dementia review template • Annual review • Discussion with carer (pt care needs, info) • Assessment of carer needs • Old age psychiatry referral

  12. References • Psychiatry; 2nd Edition; Gelder, Mayou, Geddes • Quality and Outcomes Framework guidance for GMS contract 2009/2010

More Related