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Home > CME > Courses
Medical Care of the Patient with Dementia

Certified for 1 AMA PRA Category 1 Credit

Co-Sponsored by the University of Alabama School of Medicine
Division of Continuing Medical Education,
Division of Gerontology, Geriatrics, and Palliative Care, and
The Center for Aging

Release Date: November 25, 2008
Expiration Date: November 25, 2011
TARGET AUDIENCE:
Primary care physicians

OBJECTIVES:
Upon completion of this CME activity, participants should be able to:
  • Choose an appropriate agent to slow progression of the cognitive symptoms of dementia.
  • Recognize that it is essential for physicians to discuss home safety with dementia patients and their families.
  • Identify various sources of support for caregivers of patients with dementia.
  • Assess a patient with dementia for the cause of an acute change in behavior.
  • Name risks and benefits of various treatments for behavioral and psychiatric symptoms of dementia.
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FACULTY:
EDITOR AND CONTRIBUTING AUTHORS:

Angela R. Curtis, PhD
Managing Editor
Assistant Professor, Geriatric Education Manager

Division of Gerontology, Geriatrics and Palliative Care

Caroline Harada, MD
Assistant Professor of Medicine, Division of Gerontology, Geriatrics and Palliative Care

University of Alabama at Birmingham
Birmingham, Alabama

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DISCLOSURE:

Dr. Harada has no commercial affiliations to disclose.

Because of the nature of preliminary studies, some products mentioned are unlabeled and investigational. Dosages, indications, and methods of use of drugs mentioned in this publication may reflect the experience of the authors, clinical literature, or other resources. Therefore, please see the full prescribing information before using any licensed product mentioned.


CME PARTICIPATION:
To participate in this online course for CME credit, please review the objectives before beginning the program. Complete the course and the self-assessment test before November 25, 2011 to receive CME credit. Your certificate will then be available online. This process should take approximately 1 hour.

ACCREDITATION:

The University of Alabama School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Alabama School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The boards of nursing in many states, including Alabama, recognize Category 1 continuing medical education courses as acceptable activities for the renewal of license to practice nursing.

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DISCLAIMER: 
Dosages, indications, and methods of use of any drug referred to in this publication may reflect the clinical experience of the authors, clinical literature, or other clinical resources. Therefore, please see the full prescribing information before using any product mentioned. UAB is an equal opportunity/affirmative action institution.

INTRODUCTION:

Dementia is a term used to describe a constellation of symptoms due to impaired brain functioning resulting in inability to perform normal activities. These symptoms usually include cognitive impairment, such as memory, language, or problem solving difficulties. In addition, common symptoms can include personality changes and behavioral disturbances. It is estimated that dementia affects 3.4 million individuals in the United States over the age of 71[1]. The most common causes of dementia are Alzheimer’s disease and vascular dementia. Alzheimer's accounts for approximately 70% of cases of dementia and vascular dementia for 17% of cases.[1] Other types of dementia include: dementia with Lewy bodies, frontotemporal dementias, Parkinson’s dementia, normal pressure hydrocephalus, alcoholic dementia, Creutzfeldt-Jakob disease, and other infectious dementias such as HIV-related dementia and neurosyphilis.

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CASE:

Ms. S is an 82-year-old woman who was recently diagnosed with Alzheimer’s dementia. Her Mini Mental State Examination (MMSE) score is 21. She is still living independently in the same house she has lived in for 40 years. She still drives to her clinic appointments and to bingo games on most nights. The patient’s daughter asks if there is anything she can take to help her memory.


Case Question 1 of 6

1. Which drug would be appropriate to prescribe to this patient to help her cognition?

A. Donepezil
B. Sertraline
C. Memantine
D. Tacrine
E. Simvastatin



 

 
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