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Product Information The National Task Group on Intellectual Disabilities and Dementia Practices Consensus Recommendations for the Evaluation and Management of Dementia in Adults With Intellectual Disabilities

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This article was prepared by doctors at the Mayo Clinic, here is its abstract:

"Adults with intellectual and developmental disabilities (I/DD) are increasingly presenting to their health care professionals with concerns related to growing older. One particularly challenging clinical question is related to the evaluation of suspected cognitive decline or dementia in older adults with I/DD, a question that most physicians feel ill-prepared to answer. The National Task Group on Intellectual Disabilities and Dementia Practices was convened to help formally address this topic, which remains largely underrepresented in the medical literature. The task group, comprising specialists who work extensively with adults with I/DD, has promulgated the following Consensus Recommendations for the Evaluation and Management of Dementia in Adults With Intellectual Disabilities as a framework for the practicing physician who seeks to approach this clinical question practically, thoughtfully, and comprehensively."

The article presents the following nine steps for diagnosing dementia in a person with intellectual disabilities:

Step 1: Gather a Pertinent Medical and Psychiatric History
Step 2: Obtain a Historical Description of Baseline Functioning
Step 3: Obtain a Description of Current Functioning and Compare With Baseline.
Step 4: Perform a Focused Review of Systems
Step 5: Review the Medication List Thoroughly
Step 6: Obtain a Pertinent Family History
Step 7: Assess for Other Psychosocial Issues or Changes
Step 8: Review Social History, Living Environment, and Level of Support
Step 9: Synthesize the Information


The abstract and steps are taken from the article as viewed online on 9/20/13 (www.medpagetoday.com/upload/2013/8/20/PIIS0025619613003716.pdf)
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This web site is maintained by the Research and Training Center on Community Living with support from the National Association of State Directors of Developmental Disabilities Services, the Human Services Research Institute and the Administration on Intellectual and Developmental Disabilities. E-mail weste050@umn.edu.
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