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Singapore Med J
2018[Mar]; 59
(3
): 121-125
PMID29568856
show ga
Singapore has an ageing population with a projected 53,000 people aged ? 60 years
living with dementia by 2020. Primary care doctors have the opportunity to
initiate early work-up for reversible causes of cognitive dysfunction, allowing
identification of comorbidities and discussion of medical therapy options. Early
diagnosis confers the sick role on the patient, which allays frustration and
explains events and behaviour that may have strained relationships with family
and friends. The patient can be encouraged to plan for future health and personal
care options with a Lasting Power of Attorney and/or Advance Care Planning.
Objective cognitive tests (e.g. abbreviated mental test and Mini-Mental State
Examination) and brain imaging are adjuncts that help in formulating the
diagnosis. Referral to a hospital memory clinic activates a multidisciplinary
team approach to dementia, including clinical consultation, dementia counselling,
physiotherapy sessions on gait/fall prevention, occupational therapy sessions on
cognitive stimulation and caregiver training.
free
free
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