An 82-year-old man with dementia is reviewed in primary care. His wife reports increasing difficulty managing medicines and cooking but no acute

Question

An 82-year-old man with dementia is reviewed in primary care. His wife reports increasing difficulty managing medicines and cooking but no acute delirium. He has lost 3 kg over six months. Current medicines include donepezil, ramipril and metformin. What is the most appropriate management?

Accepted Answer

Review function, nutrition, medicines and carer support

Answer

Arrange emergency admission solely for weight loss

Answer

Discharge from dementia follow-up

Answer

Stop every medicine abruptly

Answer

Focus on cognitive score alone

Dementia follow-up — DGM MCQ

An 82-year-old man with dementia is reviewed in primary care. His wife reports increasing difficulty managing medicines and cooking but no acute delirium. He has lost 3 kg over six months. Current medicines include donepezil, ramipril and metformin. What is the most appropriate management?