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It is not recommended to use cognitive tests alone to diagnose dementia.
Choosing Wisely UK
Royal College of Psychiatrists
Dementia is a term used to describe a variety of cognitive and behavioral symptoms that can include memory loss, reasoning and communication problems, and personality changes, and a reduction in a person's ability to perform daily activities, such as go shopping, wash, dress and cook It is a progressive condition: symptoms will gradually worsen. It will vary from person to person and everyone will experience dementia differently. People can often have some of the same general symptoms, but the ...
ver más ... 2018It is recommended that the management of older adults with mental problems should be guided by specialists in old age, who are capable of handling the complex needs of this population.
Choosing Wisely UK
Royal College of Psychiatrists (2018)
The number of specialist schemes are relatively limited and most older people with mental health needs use mainstream services. The full range of community care services should be available to older people with mental health needs without discrimination. It is essential, therefore, that all service providers understand mental health issues, and ensure their staff are specifically trained to provide an appropriate service.
ver más ... 2018It is not recommended to deny patients access to a service, research or treatment solely on the basis of their age
Choosing Wisely UK
Royal College of Psychiatrists (2018)
Older people in care homes typically have greater and more complex health needs than those living in the community, and these needs can affect their wellbeing if they are not addressed. Many care home residents experience problems accessing NHS primary and secondary healthcare services, including GPs. It is important that care homes have good links with GPs and referral arrangements, so that services can be accessed easily and without delay when they are needed. This is essential to prevent ...
ver más ... 2018Anticholinergic drugs are not recommended in the elderly because they can be detrimental to cognition in later life and have other serious side effects.
Choosing Wisely UK
Royal College of Psychiatrists (2018)
It has been estimated that 20–50% of older people have been prescribed at least one medication with anticholinergic activity. Careful consideration of the risks to patients, including the use of an anticholinergic burden scale, should be undertaken prior to initiation.
ver más ... 2018It is recommended to consider prescribing regular analgesia such as paracetamol if there is a clinical suspicion that pain is a relevant trigger of agitation in patients with dementia.
Choosing Wisely UK
Royal College of Psychiatrists (2018)
50% of people with dementia are estimated to experience regular pain. Despite this, current assessment and treatment of pain in this patient group are inadequate. In addition to the discomfort and distress caused by pain, it is frequently the underlying cause of behavioural symptoms, which can lead to inappropriate. We should consider prescribing regular analgesia such as paracetamol if there is a clinical suspicion that pain is a relevant trigger.
ver más ... 2018