Dec 1, 2016 Issue
Mini-Mental State Examination for the Detection of Dementia in Older Patients [Cochrane for Clinicians]

When scores are adjusted based on a patient's education level, the MMSE may be useful to rule out a diagnosis of dementia in clinically unevaluated patients 65 years and older (sensitivity = 97%; specificity = 70%). Scores of less than 24 may also be useful to rule in dementia in patients 65 years and older (sensitivity = 85%; specificity = 90%).

Aug 15, 2016 Issue
Behavioral Disorders in Dementia: Appropriate Nondrug Interventions and Antipsychotic Use [Article]

Find out which nonpharmacologic treatments are most effective, when antipsychotic therapy is indicated, which medications are appropriate in patients with comorbid conditions, and when antipsychotic therapy should be discontinued.

Aug 1, 2016 Issue
Exercise to Improve Functioning in Patients with Dementia [FPIN's Help Desk Answers]

Exercise programs lasting at least two months moderately increase the ability of patients with dementia to perform ADLs.

Jul 15, 2015 Issue
Screening for Cognitive Impairment in Older Adults [Putting Prevention into Practice]

N.D. is a 72-year-old white man who presents for a preventive visit. He smokes, and his medical history is significant for essential hypertension, which is stable and well controlled with medication. N.D.'s close friend was recently diagnosed with dementia, and N.D. is concerned that he may receive ...

Mar 15, 2015 Issue
Screening for Cognitive Impairment in Older Adults: Recommendation Statement [U.S. Preventive Services Task Force]

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment.

Feb 1, 2015 Issue
Benzodiazepines and Alzheimer Disease [AFP Journal Club]

Benzodiazepine exposure over the preceding five years seems to be associated with an increased likelihood of an Alzheimer disease diagnosis. A dose-response gradient also seems to exist.

Sep 1, 2014 Issue
Exercise Programs for Older Patients with Dementia [Cochrane for Clinicians]

There is some evidence that exercise improves cognitive function and the ability to perform activities of daily living in patients with dementia.

Jun 1, 2014 Issue
Should Family Physicians Routinely Screen Patients for Cognitive Impairment? Yes: Screening Is the First Step Toward Improving Care [Editorials: Controversies in Family Medicine]

Being able to anticipate and mitigate the potentially adverse outcomes of hospitalization in these patients should be reason enough to screen for cognitive impairment in the primary care setting.

Jun 1, 2014 Issue
Should Family Physicians Routinely Screen Patients for Cognitive Impairment? No: Screening Has Been Inappropriately Urged Despite Absence of Evidence [Editorials: Controversies in Family Medicine]

Dementia screening should not be exempt from the requirement that it first be shown to improve outcomes before being implemented in practice.

Jan 15, 2014 Issue
Dementia [Clinical Evidence Handbook]

What are the effects of treatments on cognitive, behavioral, and psychological symptoms of dementia (Alzheimer disease, Lewy body dementia, or vascular dementia)?

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