Ethics of Dementia Care

Eran Klein, Jason Karlawish

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

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
Subtitle of host publicationThird Edition
PublisherJohn Wiley and Sons
Pages410-414
Number of pages5
ISBN (Print)9780470747230
DOIs
StatePublished - Dec 2 2010

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

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  • 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