Video Duration: 6 minutes
Acquired global impairment of higher cortical functions including memory (both short and long term). It is often progressive thought not necessarily irreversible. Thought to affect >820,000 people in the UK, and will continue to rise with our ageing population.
Reliable collateral witness is key. Memory problems: word finding difficulties, difficulty with names, geographic disorientation, disinterest in surroundings, sleep disturbance
MMSE score of 24 or less suggests dementia
MSU if delirium is a possibility
FBC, U&E, LFTs, calcium, glucose, TFTs, vitamin B12 and folate levels
CT/ MRI is performed to exclude other reversible conditions (e.g. Subdural haematoma, normal pressure hydrocephalus) and estimate prognosis.
Care plan with social workers to manage tasks of daily living