Centre for Policy on Ageing



Early diagnosis of dementia via a two-step screening and diagnostic procedure
Author(s)	Hannes B Stähelin, Andreas U Monsch, René Spiegel
Journal title	International Psychogeriatrics, vol 9, supplement 1, 1997
Pages	pp 123-130
Keywords	Dementia ; Diagnosis ; Screening ; Evaluation ; Switzerland.
Annotation	In this paper, the authors propose a two-step process for the assessment of dementia using standardised instruments. The family physician performs a screening consisting of taking a medical history, gathering information from relatives and friends of the patient, and administering the combined Mini-Mental State Examination (MMSE) and Clock Drawing Test (CDT). Specialists examine patients with suspected dementia to confirm the diagnosis of dementia and, after a thorough differential diagnostic process, provide the family physician with recommendations for treatment. Specialists should perform neurological and psychiatric examinations, imaging and laboratory work-up. The Consortium to Establish a Registry for Alzheimer's Disease (CERAD) core neuropsychological battery is proposed to serve as a minimal data set that is internationally compatible. In addition, the authors recommend the Nurses' Observation Scale for Geriatric patients (NOSGER) as a standard tool for functional assessment. (AKM).
Accession Number	CPA-981001233 A
Classmark	EA: LK7: 3V: 4C: 76C
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...from the Ageinfo database published by Centre for Policy on Ageing.