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

Authors: Julie A. Moran, DO; Michael S. Rafii, MD, PhD; Seth M. Keller, MD; Baldev K. Singh, MD; and Matthew P. Janicki, PhD



Description:

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)


Contact Info:
Organization:Mayo Foundation for Medical Education and Research
Address:200 First St. S.W.
Rochester, MN 55905
  
Phone:507-284-2511; 507-284-9786 (Voice - TDD)
Fax:507-284-0161
  
Cost:No cost

Web Links

http://www.medpagetoday.com/upload/2013/8/20/PIIS0025619613003716.pdf
View the article online (PDF)


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