BMJ Best Practice looks at Dementia

Dementia is a syndrome characterised by an appreciable deterioration in cognition resulting in behavioural problems and impairment in the activities of daily living. Decline in cognition is extensive, often affecting multiple domains of intellectual functioning. The most common causes of dementia are degenerative or vascular; other causes include infection, inflammatory diseases, neoplasm, toxic insults, metabolic disorders, or trauma. It is important to consider potentially reversible conditions during diagnosis.  A number of conditions can present in a similar way to dementia syndrome and need to be considered during the evaluation. These include mild cognitive impairment (MCI), delirium, depression, amnesic syndromes, aphasia, or normal ageing.

Log into BMJ Best Practice with your Athens account to view a wide range of topics, their conditions, diagnosis, treatment and evidence:

dementia_bmJBP

 

 

Patient and Family Echo scheme

Children’s services teams in Cheshire East Council and East Cheshire NHS Trust have generated innovative ideas for improving performance using a specially developed social media website.

Entitled ‘Patient and Family Echo’, the scheme’s priorities included making sure families received consistent advice, cutting needless visits that duplicated services and improving communications.

Read more in Local Gov here

NICE guidance update

The following guidance has been published or updated:

Falls
Idiopathic pulmonary fibrosis
Stroke rehabilitation

The following topics have been published or updated:

Acute coronary syndrome – prasugrel with PCI (review TA182) [ID 648]
Antenatal and postnatal mental health (update)
Arrythmias – ICDs & Heart failure – cardiac resynchronisation [ID481]
Complex fractures
Fractures
Idiopathic pulmonary fibrosis
Idiopathic pulmonary fibrosis
Idiopathic pulmonary fibrosis – pirfenidone
Insertion of a subcutaneous implantable cardioverter defibrillator for prevention of sudden cardiac death
Lung cancer (non small cell, non squamous) – pemetrexed (maintenance following pemetrexed & cisplatin) [ID489]
MI – secondary prevention (update)
Osteoarthritis (update)
Prostate cancer update
Psoriatic arthritis – etanercept, infliximab, & adalimumab (review)
Renal cell carcinoma (advanced) – axitinib [ID518]
Self-monitoring coagulometers (CoaguChek XS system, INRatio2 PT/INR monitor and ProTime Microcoagulation system), for self-testing or self-managing coagulation status in people for whom long-term vitamin K antagonist therapy is intended.
Stroke rehabilitation
Stroke rehabilitation
Tuberculosis (update)
Vertebral fractures – vertebroplasty and kyphoplasty [ID308]