Competence Assessment in Dementia by European Dementia Consensus Network, Gabriela Stoppe

By European Dementia Consensus Network, Gabriela Stoppe

The expanding share of demented aged in populations, debates over patient’s rights and autonomy, and the growing to be physique of data on dementia has encouraged the eu Dementia Consensus community to treat competence overview in dementia as a major subject of discussion. This e-book features a summarised consensus in addition to chapters on state-of-art neuropsychological features and the way they relate to competence, and chapters discussing moral, felony views.

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The authors examined behavioural measures and perfusion rates using SPECT in a sample of 74 patients with probable FTD. The patients showed a more pronounced right- relative to left-sided hypoperfusion which was correlated with apathy, loss of insight, and further behavioural symptoms. The less distinctive temporal hypoperfusion was linked to hypomania-like tendencies. , the rather vague measure of functional abnormalities not allowing specific conclusions about the relevance of small cortical or subcortical regions), it emphasises the association between frontal dysfunctions in patients with FTD and their behavioural changes.

The sooner the management strategy is set up, the more effective it will be. Otherwise, we may rapidly find ourselves confronted with undernourished, anorexic subjects, where there is very little room for manoeuvre between doing nothing (often seen as abandonment of treatment) or setting up enteral nutrition (which is then seen as artificial prolongation 38 of life), whereas early on, especially in subjects who live alone at home, a visit from a home help will often be sufficient to assist these patients in doing their shopping and preparing their meals.

The value of passive mobilisation of the joints to prevent those contractures must be stressed. Even though, visual and hearing impairment are not direct complications of dementia, they are important medical factors to assess and to correct, when this is possible, since sensorial deficiency may aggravate the disease prognostic and accelerate its complications such as falls and physical decline. 6 Conclusions With the aging of the population, Alzheimer’s disease and related disorders has become a major public health problem.

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