Dementia/Cognitive Concerns
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| Suggested Pre-Referral Evaluation and Management Guidelines |
Consider depression, delirium, and medication effects.
Assess living situation (medication compliance, financial management, driving safety, nutrition, behavior, caregiver stress).
Are there focal neurological findings or a gait disturbance?
|
| Suggested Additional Test/Management Prior to Specialty Visit |
Routine dementia evaluation: CBC, FTA, TSH, B12, chemistry profile including renal and liver function tests, brain imaging with CT or MRI (latter if age <55, rapid progression, focal findings, gait disturbance, prominent behavioral disturbance, h/o cerebrovascular disease)
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| Patient Education/Information (includes preps) |
| 1) |
Provide safety education about wandering, cooking, driving, etc. |
| 2) |
Dementia (in Alzheimer's disease) |
|
| Appointment Timeframe |
Next available Cognitive Disorders clinic visit with neuropsychometric
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| How to Get Results to Consultant |
UMHS Patients: See MiChart
External Patients: Hand carry non-UM records and MRI films to visit |
| Clinic Contact Information |
Physicians: 800-962-3555
Patients: 734-764-6831 |
| Clinic Location Sites |
Cognitive Disorders |
| UM Consulting Physician |
Nancy R. Barbas, M.D., M.S.W.
Judith L. Heidebrink , M.D., M.S.
Henry Lauris Paulson MD
|
| Revised on: |
10/01/2012 |
