Neurocognitive Disorders in Older Adults (Vascular Dementia)
- 315 Downloads
Recent developments in the understanding of the relationship between vascular risk factors, vascular cognitive disorders and dementia have led to a renewed interest in these risk factors and their management. The role of the primary care physician in the prevention, control and management of all aspects of vascular diseases is highlighted. Diagnostic criteria in the DSM, ICD and VASCOG systems are examined, in particular their relevance and usefulness in primary care settings. Cognitive domains in a “bedside” testing schedule may be helpful for the primary care physician in their daily practice. Primary and secondary care for people with vascular cognitive disorders places the primary care physician in crucial roles.
KeywordsEarly identification of vascular dementia Active management of vascular risk factors Primary prevention of vascular dementia Primary and secondary management of patients
- 1.American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd ed. Washington, DC: American Psychiatric Association; 1993.Google Scholar
- 2.World Health Organization. The ICD-10 classification of mental and behavioral disorders: diagnostic criteria for research. Geneva: World Health Organization; 1993.Google Scholar
- 7.American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed, Text Revision ed. Washington, DC: American Psychiatric Association; 2000.Google Scholar
- 20.Erkinjuntti T. Diagnosis and management of vascular cognitive impairment and dementia. J Neural Transm Suppl. 2002;63:91–109.Google Scholar
- 21.McShane R, Areosa Sastre A, Minakaran N. Memantine for dementia. Cochrane Database Syst Rev. 2006;(2):CD003154. https://doi.org/10.1002/14651858.
- 25.Katzman R, Fox P. The world-wide impact of dementia. Projections of prevalence and costs. In: Mayeaux R, Christen Y, editors. Epidemiology of Alzheimer’s Disease: from gene to prevention. Berlin: Springer; 1999. p. 1–17.Google Scholar
- 29.Burgener SC, Buckwalter KC. Examining perceived stigma in persons with dementia. Iowa: US Department of Health and Human Services, National Institute of Health; 2008.Google Scholar
- 33.Osterweil D, Beck JC, Brummel-Smith K, editors. Comprehensive geriatric assessment. Castle Rock, Pittsford: McGraw-Hill Professional; 2000.Google Scholar