7 Module - Disease Diagnosis Slides.ppt

7 Module - Disease Diagnosis Slides.ppt - ACT on Alzheimers...

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ACT on Alzheimer’s Disease Curriculum Module VII: Disease Diagnosis
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Disease Diagnosis These slides are based on the Module VII: Disease Diagnosis text Please refer to the text for all citations, references and acknowledgments 2
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Module VII: Learning Objectives Upon completion of this module the student should: Identify screenings and examinations used to diagnose and assess current state of cognitive functioning. Gain an understanding of the benefits of early diagnosis. Understand the steps involved in identifying and diagnosing Alzheimer’s and related dementias.
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Disease Diagnosis A dementia or Alzheimer’s disease diagnosis is most commonly made by a specialist, such as neurologist, geriatrician, or geriatric psychiatrist A diagnosis requires the collection of both subjective and objective information
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Disease Diagnosis A Minnesota collaboration known as ACT on Alzheimer's has developed a Clinical Provider Practice Tool which consists of four steps: Obtain patient history and perform a neurological examination Gather further diagnostics to address other potential causes of dementia Review objective and subjective data to establish a diagnosis Organize a meeting with the patient and family to discuss diagnosis, prognosis and treatment strategy
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Step 1 – Medical History Step 1 begins with obtaining a medical history of the patient The major historical elements to cover in a medical history include: Symptom quality Symptom onset Course Impact on social/occupational function
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Step 1 – Medical History Step 1 continues with a cognitive review of systems A complete cognitive review should be performed to assess: Memory Executive function Language Visuospatial function
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Step 1 – Medical History The third phase of Step 1 is to conduct a neurological examination A neurological exam is used to assess mental status, rule out a stroke and assess for parkinsonism A neurological examination includes: mental status, cranial nerve evaluation, motor and coordination exam, sensory evaluation, testing of reflexes and gait assessment
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Step 1 – Medical History The last element of Step 1 is cognitive assessment and cognitive screening In contrast to neuropsychological testing, cognitive screening does not confirm a diagnosis There are multiple cognitive assessment tools that are available to providers
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  • Fall '16
  • Neurology, MCI, Montreal Cognitive Assessment

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