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1.
Guidelines for the Diagnosis and Management of Dementia in Primary
Care
Published in January, 2002 and Reviewed/Revised January, 2004.
http://members.kaiserpermanente.org/kpweb/clinicalpracguide/entrypage.do
These guidelines have been developed by Kaiser Permanente, Care
Management Institutes Dementia Guidelines Workgroup. The
9-page guidelines provide evidence-based or consensus-based recommendations
for clinical practice including the most current pharmacological
treatment: Memantine.
2. Assessment Guidelines for Alzheimers Disease: Part I
Published in American Family Physician, June, 2002.
http://www.aafp.org/afp/20020601/2263.html
This 10-page article from American Family Physician journal details
the important role of the family practice physician in assessing
patients with dementia and includes many easily administered and
scored assessment tools and practical tips for supporting caregivers.
3. Guidelines for Managing Alzheimers Disease: Part II.
Published in American Family Physician, June, 2002.
http://www.aafp.org/afp/20020615/2525.html
This 10-page article from American Family Physician journal provides
detailed information about pharmacologic and nonpharmacologic
treatment and patient and caregiver education and support resources.
4. Description of Chronic Care Consortium/Alzheimers Disease
Model of Dementia Care
Published in July, 2003.
http://www.nccconline.org/pdf/CCNAD_4-pager_7-03.pdf
Four-page description of partnership between Alzheimers
Association and the National Chronic Care Consortium to develop,
implement and evaluate a model of coordinated medical care and
supportive services for people with Alzheimers disease and
other dementias.
5.
Tools for Early Identification, Assessment, and Treatment for
People with Alzheimers Disease and Dementia
Tools included in the publication revised between 2001 and 2003.
http://www.nccconline.org/pdf/CCN-AD_tools6-03.pdf
A 22- page description of model of coordinated dementia care including
a flowchart for using the tools, the actual instruments and how
and when they were used by health care practitioners in implementing
the model of dementia care.
6. American Academy of Neurology Guidelines
This article on Practice Parameter: Diagnosis of Dementia (An
evidence-based review) was published in Neurology, 2001;56:1143-1153.
Practice
Parameter: Diagnosis of Dementia.pdf
http://www.neurology.org
This
article updates the practice parameter for the diagnosis of dementia
published in 1994 by the American Academy of Neurology. Studies
from 1985 through 1999 were identified that addressed four questions:
1) Are the current criteria for the diagnosis of dementia reliable?
2) Are the current diagnostic criteria able to establish a diagnosis
for the prevalent dementias in the elderly? 3) Do laboratory tests
improve the accuracy of the clinical diagnosis of dementing illness?
4) What comorbidities should be evaluated in elderly patients
undergoing an initial assessment for dementia?
7. Primary Care Physicians Dementia Leaders Network
Description of the background and activities of the PCP Dementia
Leaders Network established in December, 2001 and led by Larry
Lawhorne, MD. , Director Geriatric Education Center, Michigan
State University.
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