T1 Symposium: Dementia, 17/11/23, SD
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Questions and Answers

What is the main aim of the session?

  • To understand how a dementia assessment is undertaken
  • To describe what makes a good dementia assessment (correct)
  • To explain factors contributing towards a poor experience of a dementia assessment
  • To understand the subjective experience of undertaking a dementia assessment

    • Who will talk about the experience of diagnosis?

  • Stan and Ann Pearce
  • John and Clare Gillies (correct)
  • Dr Ben Hicks
  • Dr Stephanie Daley

    • Who will discuss 'Timely & early diagnosis'?

  • Dr Stephanie Daley
  • John and Clare Gillies
  • Dr Ben Hicks (correct)
  • Dr Fraser MacNicoll

    • What will Dr Fraser MacNicoll discuss?

    <p>Cognitive Assessment</p> Signup and view all the answers

    'Higher Specialist Trainee – Older Adults Psychiatry' refers to which speaker?

    <p>Dr Fraser MacNicoll</p> Signup and view all the answers

    'Understanding how a dementia assessment is undertaken' is linked to which learning outcome?

    <p>Understanding how a dementia assessment is undertaken</p> Signup and view all the answers

    What does collateral history in cognitive assessment include?

    <p>Family history, past medical history, medication, alcohol and drug use, and risk and safety concerns</p> Signup and view all the answers

    What are the common presentations of dementia?

    <p>Confusion, memory loss, language difficulties, impaired attention, mood changes, and hallucinations</p> Signup and view all the answers

    What deficits characterize Dementia with Lewy bodies?

    <p>Attentional deficits, visual processing deficits, visual hallucinations, and parkinsonism features</p> Signup and view all the answers

    What is the focus of physical examination in cognitive assessment?

    <p>Neurological features associated with various types of dementia</p> Signup and view all the answers

    What does the global policy emphasize regarding dementia?

    <p>The value of early diagnosis and intervention in improving the quality of life for people with dementia</p> Signup and view all the answers

    What is associated with Frontotemporal dementia?

    <p>Personality and behavior changes, impaired judgment,lack of empathy,and language issues.</p> Signup and view all the answers

    What does patient interview cover in cognitive assessment?

    <p>Memory ,language ,executive abilities ,visuospatial skills ,visual perception,personality ,mood ,delusions,and activities of daily living.</p> Signup and view all the answers

    What do investigations include for conditions like Alzheimer's disease?

    <p>Blood tests,cognitive rating scales,and neuroimaging.</p> Signup and view all the answers

    What is the difference between 'early' and 'timely' diagnosis of dementia?

    <p>Early diagnosis focuses on the biomedical discourse, while timely diagnosis considers the person and their family.</p> Signup and view all the answers

    When might an early diagnosis of dementia occur?

    <p>During the prodromal or pre-symptomatic stage</p> Signup and view all the answers

    What percentage of carers across 5 European countries reported wanting an earlier diagnosis for dementia?

    <p>47%</p> Signup and view all the answers

    What has DETERMIND created indices for in relation to early and timely diagnosis of dementia?

    <p>Factors such as time between noticing symptoms and diagnosis and clinical stage</p> Signup and view all the answers

    What did the project DETERMIND assess in relation to the impact of early and timely diagnosis of dementia?

    <p>Quality of life, well-being, and carer burden</p> Signup and view all the answers

    Why did the discourse on early and timely diagnosis evolve?

    <p>Due to a lack of evidence for the benefits and harms of an early diagnosis</p> Signup and view all the answers

    What does 'timely' diagnosis consider?

    <p>When it best suits the person and their family</p> Signup and view all the answers

    What is 'early' diagnosis associated with?

    <p>The biomedical discourse on diagnosis</p> Signup and view all the answers

    What is the main focus of the symposium?

    <p>Understanding how dementia assessment is undertaken</p> Signup and view all the answers

    Who is responsible for running the Time for Dementia program?

    <p>Stephanie</p> Signup and view all the answers

    What was discussed in the morning lecture?

    <p>The Aetiology of dementia</p> Signup and view all the answers

    Which component does the symposium aim to help participants understand?

    <p>How each component of dementia assessment contributes to the overall understanding</p> Signup and view all the answers

    What will be discussed by John, Craig Gillis, Stan, and Pearce?

    <p>Their experiences related to dementia assessment</p> Signup and view all the answers

    What is the specific focus of this afternoon's session?

    <p>Assessment of dementia</p> Signup and view all the answers

    Who will be discussing 'Timely & early diagnosis'?

    <p>Dr. Fraser McNichol</p> Signup and view all the answers

    What will be covered in the patient interview during cognitive assessment?

    <p>Collateral history related to cognitive function</p> Signup and view all the answers

    What is associated with Frontotemporal dementia?

    <p>Behavioral and language problems</p> Signup and view all the answers

    What is emphasized by the global policy regarding dementia?

    <p>Early and timely diagnosis for better outcomes</p> Signup and view all the answers

    What will John and Claire discuss in the afternoon session?

    <p>Their experience of getting a dementia diagnosis</p> Signup and view all the answers

    Who will provide an overview of cognitive assessment?

    <p>Fraser</p> Signup and view all the answers

    What will Ben Hicks discuss during his session?

    <p>Timely and early diagnosis of dementia</p> Signup and view all the answers

    What is the focus of the panel discussion towards the end of the afternoon?

    <p>Providing an opportunity for questions from the audience</p> Signup and view all the answers

    What is emphasized by the global policy regarding dementia?

    <p>Early diagnosis and intervention for dementia patients</p> Signup and view all the answers

    What is the specific focus of this afternoon's session?

    <p>Practical aspects of dementia assessment</p> Signup and view all the answers

    What will be covered by Fraser during his session?

    <p>An overview of cognitive assessment</p> Signup and view all the answers

    What will be discussed by John, Craig Gillis, Stan, and Pearce?

    <p>Their experience of getting a diagnosis of dementia</p> Signup and view all the answers

    What does the global policy emphasize regarding dementia?

    <p>Early diagnosis and intervention for individuals with dementia</p> Signup and view all the answers

    Understanding how a dementia assessment is undertaken' is linked to which learning outcome?

    <p>Practical application in assessing cognitive decline in individuals with suspected dementia</p> Signup and view all the answers

    Study Notes

    Cognitive Assessment in Dementia Diagnosis

    • Cognitive assessment involves patient interview, collateral history, physical examination, cognitive rating scales, and investigations.
    • Patient interview covers memory, language, executive abilities, visuospatial skills, visual perception, personality, mood, delusions, and activities of daily living.
    • Collateral history includes similar content to patient interview, along with family history, past medical history, medication, alcohol and drug use, and risk and safety concerns.
    • Physical examination focuses on neurological features associated with various types of dementia.
    • Investigations include blood tests, cognitive rating scales, and neuroimaging for conditions like Alzheimer's disease, frontotemporal dementia, vascular dementia, and dementia with Lewy bodies.
    • Common presentations of dementia include symptoms such as confusion, memory loss, language difficulties, impaired attention, mood changes, and hallucinations.
    • Vascular dementia presents with varying symptoms depending on the size, location, and type of damage.
    • Dementia with Lewy bodies is characterized by attentional, executive, and visual processing deficits, along with visual hallucinations and parkinsonism features.
    • Frontotemporal dementia is associated with personality and behavior changes, impaired judgment, lack of empathy, and language issues.
    • The text aims to help understand dementia assessment, typical symptoms of common dementia types, and the importance of early diagnosis in dementia.
    • The global policy emphasizes the value of early diagnosis and intervention in improving the quality of life for people with dementia.
    • Surveys show that people with dementia would like early diagnosis, aligning with the proposed benefits of early diagnosis in dementia.

    Early and Timely Diagnosis of Dementia and Its Impact on Patients and Carers

    • The Prime Minister’s Challenge on Dementia 2020 emphasizes the importance of early intervention for people with dementia to continue living well.
    • "Early" and "timely" diagnosis are interchangeable but have different meanings, with early diagnosis associated with the biomedical discourse on diagnosis.
    • Early diagnosis may occur during the prodromal or pre-symptomatic stage, resulting in a diagnosis of Mild Cognitive Impairment, Subjective Cognitive Impairment, or Cognitive Impairment No Dementia.
    • "Timely" diagnosis is a more person-centered approach, considering when it best suits the person and their family and when they can most benefit from the diagnosis.
    • There are individuals who do not want to be informed of a dementia diagnosis, and for them, no diagnosis would be considered timely.
    • The discourse on early and timely diagnosis evolved due to a lack of evidence for the benefits and harms of an early diagnosis.
    • There are regional variations in the diagnosis process, with a lack of awareness of dementia and a post-code lottery of diagnosis.
    • Approximately 47% of over 1,400 carers across 5 European countries reported that they wanted an earlier diagnosis for dementia.
    • Empirical patient data on the benefits or harms of an early or timely dementia diagnosis allows for the development of policies and services that deliver better outcomes for service users, carers, and systems.
    • DETERMIND is a project focused on early and timely diagnosis of dementia, involving 940 people with dementia and 750 carers.
    • DETERMIND has created indices for early and timely diagnosis, considering factors such as time between noticing symptoms and diagnosis and clinical stage.
    • The project has also assessed the impact of early and timely diagnosis on quality of life, well-being, and carer burden, finding associations with better adjustment and less negative emotional impact on carers.

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    Related Documents

    Assessment Symposium BSMS Module 202 PDF

    Description

    This symposium explores the process of conducting a dementia assessment and understanding the subjective experience of both the assessor and the assesses. Participants will gain insight into the essential elements of a good dementia assessment, as well as factors contributing to a poor experience.

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