Dementia

by Joseph Quinn (Editor)

Overview

Dementia is a devastating diagnosis for patients

Dementia comes in many forms that can be hard to differentiate. Arriving at an accurate diagnosis without subjecting an already wary patient to unnecessary tests requires clinical acumen. Identifying the correct dementia, and determining a probable prognosis, allows agreement on appropriate management and care with patients and their carers.

But how much testing is needed? What do the tests tell you? What management options are available?

Dementia provides a progressive approach to help you identify and manage the many forms of this complex and devastating disease. Dr Quinn has assembled a team of expert neurologists and gerontologists to provide the foundation knowledge you need to develop the clinical wisdom for effective dementia care. Dementia clearly explains the diagnosis, investigations and management for

• Normal pressure hydrocephalus
• Mild cognitive impairment
• Alzheimer’s disease
• Vascular dementia
• Dementia with Lewy bodies
• Fronto-temporal dementia

Clinical in approach, practical in execution, Dementia helps you diagnose and treat your patients more effectively.

Product Details

ISBN-13:	9781118656198
Publisher:	Wiley
Publication date:	10/21/2013
Series:	NIP- Neurology in Practice
Sold by:	JOHN WILEY & SONS
Format:	eBook
Pages:	192
File size:	3 MB

About the Author

Joseph Quinn, MD, Associate Professor of Neurology, Oregon Health and Science University
Dr. Quinn has served as a neurologist clinician in the Oregon Alzheimer's Disease Center since 1994 and has served as Director of the Genetics and Biomarkers Core since 2007.
Dr. Quinn's overall research focus is on developing strategies for treating and preventing Alzheimer's disease and other dementias. Specific research projects range from animal studies testing experimental agents, up to large national multi-center clinical trials of experimental drugs for dementing illnesses. The translation of ideas from the laboratory to the clinic is a particular interest, which is served in part by the Biomarkers core of the Oregon Alzheimer's Center. The Biomarkers Core helps develop blood tests and other disease markers for use in "proof of concept" clinical trials which are necessary to move treatment ideas from animal models to human subjects.

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Table of Contents

Contributors vii

Series Foreword ix

Preface xi

Chapter 1 Diagnosis and Differential Diagnosis of Dementia 1
Richard Camicioli

Chapter 2 Rapidly Progressive Dementia and its Mimics 15
Amy May Lin Quek and Andrew McKeon

Chapter 3 Young Onset Dementia: How Much Diagnostic Testing is Enough? 35
Anahita Adeli and Keith A. Josephs

Chapter 4 An Approach to the Problem of Normal Pressure Hydrocephalus 55
Norman Relkin

Chapter 5 Depression: Cause or Complication of Cognitive Decline? 67
David Mansoor, Sahana Misra, and Linda Ganzini

Chapter 6 Mild Cognitive Impairment 77
Ranjan Duara, David A. Loewenstein, Clinton Wright, Elizabeth Crocco, and Daniel Varon

Chapter 7 After the Diagnosis: Continuing Neurological Care of the Outpatient with Dementia 97
Anne M. Lipton

Chapter 8 Using Psychotropic Medications to Manage Problem Behaviors in Dementia 111
Lucy Y. Wang and Murray A. Raskind

Chapter 9 Palliative Care in Advanced Dementias 121
Ira Byock and Cory Ingram

Chapter 10 Ethical, Legal, and Social Issues in Dementia 137
Amy Y. Tsou and Jason Karlawish

Chapter 11 Assessing Outcomes in Dementia Care 151
Joel Mack, Amie Peterson, and Joseph Quinn

Chapter 12 Primary Prevention of Dementia 163
Joseph Quinn

Index 171

Editorial Reviews

"This is an excellent overview of the differential diagnosis and treatment of patients with dementia. It provides practical tips to guide clinicians through the initial diagnosis, current treatment options, and long-term complexities of caring for patients with cognitive decline. The information is presented in a clinically relevant and concise manner. With further advances in neuroimaging, disease markers, and, hopefully, treatment options, more books like this will be needed to provide clinicians with up-to-date reviews of current practice guidelines." (Doody's, 13 February 2015)

"The tone is practical, not academic, with authors offering assistance on what might be done and what should be avoided." (European Journal of Nuclear Medicine Molecular Imaging, 2015)

From the Publisher

Reviewer: Melissa Beth Jones, MD (Michael E. DeBakey VA Medical Center)
Description: The diagnosis of dementia encompasses a variety of etiologies, each with potentially distinct prognostic implications for patients and their families. Given the wide range of presentations and the lack of disease-modifying agents for the neurodegenerative subtypes, the initial evaluation and the continuing care of these patients pose numerous challenges to clinicians. The book provides a succinct and clinically applicable review of the management of patients presenting with progressive cognitive impairments. It also discusses ethical considerations, preventive measures, and the latest research findings that are guiding current clinical practice.
Purpose: According to the editors, the purpose is to "meet the request for a brief, practical clinician's guide to dementia." The chapter topics were selected "based on the questions most often referred to us in a memory disorders clinic from practicing neurologists." This is part of the Neurology in Practice series, which is meant to provide physicians with "direct, useful information to help them in clinical care."
Audience: Although the editors of the series indicate the volumes are meant to be "guides to effective patient care for neurologists," this book is appropriate for a much broader audience, including psychiatrists, geriatricians, and other primary care providers who frequently encounter patients with dementia.
Features: The format of the book exemplifies its clinical utility. Chapters begin with the differential diagnosis of dementia and then expand upon the workup of the rapidly progressive and young onset subtypes. Other chapters cover normal pressure hydrocephalus, the complex relationship of depression and dementia, and mild cognitive impairment. The book progresses with chapters on the continuing care of patients with dementia in terms of medication management, palliative care, outcome assessment, and primary prevention. Throughout, helpful boxes, tables, and figures highlight the main principles and summarize key guidelines.
Assessment: This is an excellent overview of the differential diagnosis and treatment of patients with dementia. It provides practical tips to guide clinicians through the initial diagnosis, current treatment options, and long-term complexities of caring for patients with cognitive decline. The information is presented in a clinically relevant and concise manner. With further advances in neuroimaging, disease markers, and, hopefully, treatment options, more books like this will be needed to provide clinicians with up-to-date reviews of current practice guidelines.

Doody's Review Service