Differentiate dilirium from dementia
Impairment of consciousness
Fluctuating symptoms
Abnormal perception
Agitated treatment
1) Haloperidol
2) Lorazepam or Quitiapine or clozapine in PD
Pressure ulcers scoring system
Waterloo
Alzheimers treatment
If drugs used:
1) Phosphodiesterase inhibitors - Donepezil, galantamine, rivastigmine
2) NMDA antagonist - Memantine
Identify lewy body dementia
Cognitive fluctuation
Parkinsonism
Visual hallucinations
Treatment lewy body dementia
Same as alzheimers
Avoid neuroleptics - parkinsonism
Identify vascular dementia
History of stepwise deterioration
Vascular risk factors
Treatment vascular
Address risk factors and symptomatic
Only AchE inhibitors if mixed
Identify frontotemporal lobe dementia (AKA picks disease)
Personality change
Impaired social conduct
Increased apetite
Treatment frontotemporal lobe dementia
No drugs
Assess frailty status
PRISMA questionaire
