Clinical CPD topic
Dementia: practise, reflect and record
Practise dementia through five clinical cases, review the explanations and build a professional learning record. Choose specialist referral for suspected dementia and initial management for acute delirium superimposed on dementia.
First published · Sources checked
What you’ll work on
- Choose specialist referral for suspected dementia and initial management for acute delirium superimposed on dementia.
- Determine cognitive-drug eligibility in pure vascular dementia and select an alternative for moderate Alzheimer disease when cholinergic treatment is not tolerated.
- Plan regular antipsychotic reassessment and discontinue treatment when there is no clear ongoing benefit.
Think through a clinical case
Decide how you would approach this case before opening the question session.
A 78-year-old man presents with a 6-month history of progressive memory loss, difficulty with word-finding, and getting lost in familiar places. His wife reports he has also become more apathetic. A Mini-Mental State Examination (MMSE) score is 22/30. Blood tests including FBC, U&Es, LFTs, TFTs, B12, and folate are normal. What is the most appropriate next step in his diagnostic work-up according to NICE NG97?
A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.
From a decision to a learning record
- Test your reasoning. Answer five questions from this topic’s clinical-content library.
- Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
- Reflect on application. Describe what you learned and what you would change or investigate.
- Review your evidence. Confirm the activity and time spent, then retain or export your professional record.
Primary sources and further reading
Read the source in the same jurisdiction as your question session.
- Recommendations | Dementia: assessment, management and support for people living with dementia and their carers | Guidance | NICEUK source
- Recommendations | Delirium: prevention, diagnosis and management in hospital and long-term care | Guidance | NICEUK source
- Aricept Tablets 5mg — UK SmPCUK source
- Memantine Dr. Reddys 10 mg Film-Coated Tablets — UK SmPCUK source