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Dementia Expert Insights

Annals of Long-Term Care
By Julie Gould Adults with frontotemporal dementia (FTD) and Alzheimer disease (AD) are at an increased risk of criminal and socially inappropriate behaviors, according to new study findings. Notably, criminal behaviors may be more recurrent in patients with FTD versus AD.   “Criminal and…
Annals of Long-Term Care
Dr Clements-Cortes is an assistant professor, Music and Health Research Collaboratory, University of Toronto, Ontario, Canada; instructor, Wilfrid Laurier University and Ryerson Chang School; certified music therapist; and registered psychotherapist. www.notesbyamy.com Are you a patient advocate?…
Annals of Long-Term Care
The medicine cabinet for dementia-specific drugs is quite bare,1 with only 2 shelves containing 4 Food and Drug Administration (FDA)-approved medications. One shelf contains 3 acetylcholinesterase inhibitors (ACHEIs): donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne). (The…
Annals of Long-Term Care
Abstract: A community-dwelling, 79-year-old man with a history of moderate dementia presented to a clinic with his spouse to establish care. His spouse reported increased physical agitation, worsening at night, for the last several months. He had a penile prosthesis implanted 10 years prior. Upon…
Annals of Long-Term Care
When it comes to caring for an individual with dementia, there are few topics more dreaded and avoided by providers, patients, and family members than driving cessation. These conversations are fraught with “potholes,” as no one wants the designation as “the person who takes away the car keys,” yet…
Annals of Long-Term Care
According to the latest available mortality data from the Centers for Disease Control and Prevention (CDC), in 2014 there were 93,541 deaths in the United States due to Alzheimers disease (AD), making AD the 6th leading cause of death in this country. However, the CDC also acknowledges that this…
Annals of Long-Term Care
We have now entered the age of biomarkers in dementia. This is a major change in an area where scientific advancement has been slow. It is a step forward in diagnostic accuracy that provides momentum toward finding effective disease-specific and disease-modifying treatments. But how do biomarkers…
Annals of Long-Term Care
Abstract: Among older long-term care residents with dementia, 80% experience behavioral and psychological symptoms of dementia (BPSD). These can be quite distressing for residents and caregivers, and pharmacologic therapy provides little benefit and can have significant associated adverse effects.…
Annals of Long-Term Care
  Many nursing home residents experience delirium, a state of confusion characterized by an acute and fluctuating decline in cognitive functioning.1 Delirium is considered a medical emergency with serious consequences, such as hospitalization, further functional decline, and mortality.2–4 Nursing…
Annals of Long-Term Care
  Steroid-responsive encephalopathy with associated thyroiditis (SREAT), also referred to as Hashimoto’s encephalopathy, is an autoimmune condition characterized by encephalopathy, cognitive dysfunction, elevated thyroglobulin and/or thyroperoxidase antibodies, and therapeutic response to…
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