Question
Assessment and management of dementia
Answer :
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Dementia is a progressive neurocognitive disorder characterized by decline in memory and at least one other cognitive domain such as language, executive function, visuospatial ability, or behavior, severe enough to interfere with daily functioning. Assessment begins with detailed history from the patient and caregiver, focusing on onset, progression, functional impairment, behavioral symptoms, drug history, and comorbidities. Screening tools such as Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and clock drawing test help in cognitive evaluation. Functional status should be assessed using activities of daily living (ADL) and instrumental ADL scales. Physical and neurological examination is essential to
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