Podcast
Questions and Answers
What is the main aim of the session?
What is the main aim of the session?
Who will talk about the experience of diagnosis?
Who will talk about the experience of diagnosis?
Who will discuss 'Timely & early diagnosis'?
Who will discuss 'Timely & early diagnosis'?
What will Dr Fraser MacNicoll discuss?
What will Dr Fraser MacNicoll discuss?
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'Higher Specialist Trainee – Older Adults Psychiatry' refers to which speaker?
'Higher Specialist Trainee – Older Adults Psychiatry' refers to which speaker?
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'Understanding how a dementia assessment is undertaken' is linked to which learning outcome?
'Understanding how a dementia assessment is undertaken' is linked to which learning outcome?
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What does collateral history in cognitive assessment include?
What does collateral history in cognitive assessment include?
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What are the common presentations of dementia?
What are the common presentations of dementia?
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What deficits characterize Dementia with Lewy bodies?
What deficits characterize Dementia with Lewy bodies?
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What is the focus of physical examination in cognitive assessment?
What is the focus of physical examination in cognitive assessment?
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What does the global policy emphasize regarding dementia?
What does the global policy emphasize regarding dementia?
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What is associated with Frontotemporal dementia?
What is associated with Frontotemporal dementia?
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What does patient interview cover in cognitive assessment?
What does patient interview cover in cognitive assessment?
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What do investigations include for conditions like Alzheimer's disease?
What do investigations include for conditions like Alzheimer's disease?
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What is the difference between 'early' and 'timely' diagnosis of dementia?
What is the difference between 'early' and 'timely' diagnosis of dementia?
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When might an early diagnosis of dementia occur?
When might an early diagnosis of dementia occur?
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What percentage of carers across 5 European countries reported wanting an earlier diagnosis for dementia?
What percentage of carers across 5 European countries reported wanting an earlier diagnosis for dementia?
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What has DETERMIND created indices for in relation to early and timely diagnosis of dementia?
What has DETERMIND created indices for in relation to early and timely diagnosis of dementia?
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What did the project DETERMIND assess in relation to the impact of early and timely diagnosis of dementia?
What did the project DETERMIND assess in relation to the impact of early and timely diagnosis of dementia?
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Why did the discourse on early and timely diagnosis evolve?
Why did the discourse on early and timely diagnosis evolve?
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What does 'timely' diagnosis consider?
What does 'timely' diagnosis consider?
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What is 'early' diagnosis associated with?
What is 'early' diagnosis associated with?
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What is the main focus of the symposium?
What is the main focus of the symposium?
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Who is responsible for running the Time for Dementia program?
Who is responsible for running the Time for Dementia program?
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What was discussed in the morning lecture?
What was discussed in the morning lecture?
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Which component does the symposium aim to help participants understand?
Which component does the symposium aim to help participants understand?
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What will be discussed by John, Craig Gillis, Stan, and Pearce?
What will be discussed by John, Craig Gillis, Stan, and Pearce?
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What is the specific focus of this afternoon's session?
What is the specific focus of this afternoon's session?
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Who will be discussing 'Timely & early diagnosis'?
Who will be discussing 'Timely & early diagnosis'?
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What will be covered in the patient interview during cognitive assessment?
What will be covered in the patient interview during cognitive assessment?
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What is associated with Frontotemporal dementia?
What is associated with Frontotemporal dementia?
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What is emphasized by the global policy regarding dementia?
What is emphasized by the global policy regarding dementia?
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What will John and Claire discuss in the afternoon session?
What will John and Claire discuss in the afternoon session?
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Who will provide an overview of cognitive assessment?
Who will provide an overview of cognitive assessment?
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What will Ben Hicks discuss during his session?
What will Ben Hicks discuss during his session?
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What is the focus of the panel discussion towards the end of the afternoon?
What is the focus of the panel discussion towards the end of the afternoon?
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What is emphasized by the global policy regarding dementia?
What is emphasized by the global policy regarding dementia?
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What is the specific focus of this afternoon's session?
What is the specific focus of this afternoon's session?
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What will be covered by Fraser during his session?
What will be covered by Fraser during his session?
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What will be discussed by John, Craig Gillis, Stan, and Pearce?
What will be discussed by John, Craig Gillis, Stan, and Pearce?
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What does the global policy emphasize regarding dementia?
What does the global policy emphasize regarding dementia?
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Understanding how a dementia assessment is undertaken' is linked to which learning outcome?
Understanding how a dementia assessment is undertaken' is linked to which learning outcome?
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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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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.
