Focus on dementia     

VIDEO 1. Mild cognitive impairment and dementia: detection and diagnosis, plus postdiagnostic and ongoing care

READ Mild cognitive impairment and dementia: detection and diagnosis
READ Mild cognitive impairment and dementia: postdiagnostic and ongoing care

(00.32) What sort of things might alert a GP that a patient might be experiencing cognitive concerns?
(01.37) What sort of things might alert a practice nurse that a patient might be experiencing cognitive concerns?
(02.19) What mechanisms does a GP or practice nurse have for exploring the possibility of cognitive concerns further?
(04.04) What sorts of questions should you ask to identify if someone has difficulty with functioning related to their cognition?
(07.50) What groups of patients might you expect a GP to refer to a specialist assessment service and who might be assessed in primary care?
(10.47) MCI is a relatively new concept for GPs. In a few words can you describe the difference between MCI and dementia?
(12.25) What do you see as the benefits of making a diagnosis of MCI before someone develops dementia?
(14.12) Are there any tips you can offer to assist a GP in giving a diagnosis of dementia?
(17.33) What are things that a practice nurse needs to think about when they are putting together a chronic disease management plan and the person has dementia?
(19.30) What are key things that GPs need to do when following up or reviewing people with a diagnosis of mild cognitive impairment?

VIDEO 2. Diabetes and cognitive impairment: a forgotten association?

READ Diabetes and cognitive impairment: a forgotten association?

(00.23) What features of diabetes lead to increased risk of cognitive decline and dementia?
(02.00) Are there any particular risk factors we should be asking about in the history, for example, a history of significant hypoglycaemic episodes?
(03.58) Have you got any advice for GPs on how to monitor patients with diabetes for cognitive impairment?
(06.02) How might dementia impact diabetic control and what are some steps a GP could take to mitigate this?

VIDEO 3. Depression: recognising the signs in older people and in dementia

READ Depression: recognising the signs in older people and in dementia

(00.26) How common is depression in the elderly?
(01.40) What are some of the barriers to diagnosis of depression in the elderly?
(03.34) What are some of the differences in the ways that older people present with depression compared with younger age groups with depression?
(05.39) What would first-line treatment options be and are any SSRIs better than others?

VIDEO 4. Mild cognitive impairment and dementia: the treatment landscape

READ Mild cognitive impairment and dementia: the treatment landscape

(00.58) What are the changes to the way we classify people experiencing Alzheimer’s disease?
(02.20) If we look at these individually, what are the potential treatment options?
(05.36) In terms of how a GP can prescribe these medications, what do you suggest is the best approach?
(09.15) In relation to other medications such as herbal or over-the-counter medications, is there any evidence to support these?