Ethics of Dementia Care

Eran Klein, Jason Karlawish

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Citation (Scopus)

Abstract

Potentially reversible dementias comprise a heterogeneous group of physical and psychiatric conditions that may be identified in approximately 10% of patients presenting with symptoms of dementia. There is evidence that the prevalence has fallen in the last twenty years. Depressive illness, structural brain lesions and normal pressure hydrocephalus account for more than half the cases and recently identified causes include the autoimmune encephalopathies. Reversible dementias tend to be more common in younger patients (under 70 years of age). Treatment of the underlying condition should be vigorously pursued although complete reversal of cognitive impairment is rare, occurring in less than 10% of identified cases. Care protocols for the assessment of patients presenting with memory disorders should include as basic minimum a full blood count, serum electrolytes and calcium, thyroid, liver and kidney function, random glucose, vitamin B12 and folate levels, and brain neuro-imaging (either magnetic resonance or computed tomography).

Original languageEnglish (US)
Title of host publicationPrinciples and Practice of Geriatric Psychiatry: Third Edition
PublisherJohn Wiley and Sons
Pages410-414
Number of pages5
ISBN (Print)9780470747230
DOIs
StatePublished - Dec 2 2010
Externally publishedYes

Fingerprint

Ethics
Dementia
Normal Pressure Hydrocephalus
Memory Disorders
Brain Diseases
Vitamin B 12
Folic Acid
Neuroimaging
Electrolytes
Psychiatry
Thyroid Gland
Magnetic Resonance Spectroscopy
Tomography
Calcium
Kidney
Glucose
Liver
Brain
Serum
Therapeutics

Keywords

  • Aged memory disorders memory clinics
  • Dementia pseudodementia
  • Reversible
  • Treatable

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Klein, E., & Karlawish, J. (2010). Ethics of Dementia Care. In Principles and Practice of Geriatric Psychiatry: Third Edition (pp. 410-414). John Wiley and Sons. https://doi.org/10.1002/9780470669600.ch65

Ethics of Dementia Care. / Klein, Eran; Karlawish, Jason.

Principles and Practice of Geriatric Psychiatry: Third Edition. John Wiley and Sons, 2010. p. 410-414.

Research output: Chapter in Book/Report/Conference proceedingChapter

Klein, E & Karlawish, J 2010, Ethics of Dementia Care. in Principles and Practice of Geriatric Psychiatry: Third Edition. John Wiley and Sons, pp. 410-414. https://doi.org/10.1002/9780470669600.ch65
Klein E, Karlawish J. Ethics of Dementia Care. In Principles and Practice of Geriatric Psychiatry: Third Edition. John Wiley and Sons. 2010. p. 410-414 https://doi.org/10.1002/9780470669600.ch65
Klein, Eran ; Karlawish, Jason. / Ethics of Dementia Care. Principles and Practice of Geriatric Psychiatry: Third Edition. John Wiley and Sons, 2010. pp. 410-414
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