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Clinical case review

A 70-year-old woman with dementia and no insight: the best approach

Brian Draper

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Abstract

Most patients with early signs of dementia have some impairment in their insight about the changes in their cognition and behaviour. This article discusses the best approach to managing and assessing a patient with dementia and no insight.

Article Extract

Case scenario

Dorothy, a 70-year-old retired physician, presented to her GP with a superficial lower leg injury. The attending GP was concerned when the patient appeared to find it difficult to follow simple instructions about how to care for the wound.

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