Identification and Management of Dementia in Clinical Practice

Abstract

There is a huge treatment gap in dementia  especially in countries like India. Early diagnosis will help both the patient and caregivers to mobilize resources. Diagnosis should be made after  proper assessment and evaluation for treatable causes. The care provided shall be evidence informed. Support shall include support for the person with dementia, family memebers or other caregivers. We should offer long term care and support. Periodic follow up visits are important in dementia care. Do review at least once in 2-3 months. Encourage caregivers to report earlier if they need to discuss management issues with the clinician. It is important that we offer support and care during crisis/difficult times. Management shall include caregiver education and guidance to manage difficult symptoms. Caregivers may need emotional support and guidance to manage their own health and social affairs. Caring for carers is important. Clinicians shall be  mindful of caregiver needs  and try to initiate caregiver support.