Managing patients with dementia
Christopher Dowrick in Global Primary Mental Health Care, 2019
Which of the following statements is not true? Mild cognitive impairment always evolves into dementia.According to DSM-V mild cognitive impairment is called mild neurocognitive disorder.Mild cognitive impairment can be considered a transitional state between normal and pathologic cognitive decline.Individuals with major neurocognitive disorder exhibit cognitive deficits that interfere with independence, while persons with mild neurocognitive disorder may retain the ability to be independent.
Restricted rule-outs
Caroline J Rodgers, Richard Harrington in Helping Hands: An Introduction to Diagnostic Strategy and Clinical Reasoning, 2019
You have a brief summary of his clinical history from the notes, including: A move to the care home during the last 3 months from living independently at home.Previous myocardial infarction 5 years ago with a stent fitted.Metallic heart valve fitted – the patient takes warfarin.Mild cognitive impairment.Benign prostatic hypertrophy.Mild osteoarthritis.
Sources of information in the assessment process
Helen Taylor, Ian Stuart-Hamilton in Assessing the Nursing and Care Needs of Older Adults, 2021
There is even a lack of agreement on the definitive criteria for cognitive impairment, and this can result in differences in the evaluation of its incidence.58 Researchers in this area have used a variety of different selection criteria for their studies, and not only is cognitive impairment assessed in different ways, but also terms such as ‘dementia’ and ‘cognitive impairment’ have been variously defined.59-61 One definition of ‘mild cognitive impairment’, and that most commonly adopted in the literature, is ‘a generic term for all cognitive changes observed in ageing’58 (p. 403). It might therefore be concluded that as cognitive state declines it would be reclassified as first ‘moderate’ and then ‘severe’ accordingly.
Associations of alcohol consumption and dietary behaviors with severe cognitive impairment among Chinese older men and women
Published in Journal of Substance Use, 2023
Yen-Han Lee, Trishnee Bhurosy, Yen-Chang Chang, Ching-Ti Liu, Mack Shelley
Dietary behaviors might be important confounding factors related to chronic health issues, given that healthy dietary patterns can prevent chronic diseases in the long term (McCullough et al., 2002; Neuhouser, 2019; Schulze et al., 2018). Studying the relationship of alcohol use and dietary behavior with a chronic condition like dementia or cognitive impairment is essential because alcohol use is commonly consumed at the dining table, which has become part of the dining culture, especially in China. Hence, we carried out a secondary analysis by using the Chinese version of the mini-mental state exam (MMSE) from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), which is a publicly available dataset. MMSE is used to examine older adults’ level of dementia and cognitive function, but some might suggest that MMSE should not be used in isolation to confirm or exclude dementia (Creavin et al., 2016). However, we also need to keep in mind others suggest that mild cognitive impairment is a state between normal cognitive function and dementia (Hugo & Ganguli, 2014), which explains the association between dementia and cognitive impairment. Higher level of cognitive impairment could be a strong indicator of dementia. We aimed to study the associations of alcohol and dietary consumption with cognitive impairment among Chinese older adults.
Training Area Agencies on Aging Case Managers to Improve Physical Function, Mood, and Behavior in Persons With Dementia and Caregivers: Examples from the RDAD-Northwest Study
Published in Journal of Gerontological Social Work, 2018
Susan M. McCurry, Rebecca G. Logsdon, Kenneth C. Pike, David M. LaFazia, Linda Teri
There are challenges with implementing exercise programs for persons with dementia, however. Many programs have been developed for implementation in nursing homes, but have not been used in community settings (Telenius et al., 2015). Other programs have been primarily developed for persons with mild cognitive impairment who are able to participate in an exercise intervention independently or with limited guidance (Wang et al., 2014). Still others are delivered in group format at community exercise centers, which may be inaccessible to caregivers and care-receivers who live in geographic regions where such centers are locally unavailable (Schwenk et al., 2014). Almost all programs involve training by professional exercise therapists, which further limits their widespread accessibility and dissemination. Finally, a variety of physical health factors such as dizziness and history of falls limit exercise participation among community dwelling persons with dementia (Stubbs et al., 2014).
A cross-sectional study of blood selenium concentration and cognitive function in elderly Americans: National Health and Nutrition Examination Survey 2011–2014
Published in Annals of Human Biology, 2020
Xiumin Yan, Kailiang Liu, Xiuhong Sun, Shuang Qin, Min Wu, Li Qin, Yao Wang, Zhongyi Li, Xingming Zhong, Xiangcai Wei
Humans have an increasingly extended life expectancy, and ageing populations are prevalent worldwide. Ageing results in structural and functional degeneration of the brain (Guo et al. 2017), accompanied by a decline in cognitive function (Ritchie et al. 2019). Cognitive decline may develop into mild cognitive impairment, a high-risk factor in the progression of Alzheimer’s disease. A decline in cognitive function has been associated with declining quality of life, interpersonal relationships, and independence, resulting in increased health care and nursing needs, as well as financial costs (Anderson and McConnell 2007). An increasing number of studies show that eating habits, dietary patterns, and nutrients, especially antioxidants, may play a vital role in regulating cognitive ability (Morris et al. 2015; Valls-Pedret et al. 2015; Aaseth et al. 2016).
Related Knowledge Centers
- Cognitive Disorder
- Cognitive Impairment
- Activities of Daily Living
- Dementia
- Alzheimer's Disease
- Prodrome
- Dementia With Lewy Bodies
- International Classification of Diseases
- Mental Disorder
- Abnormality