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ID: 11197
Title:Diagnosis and Treatment of Dementia: 5. Nonpharmacologic and Pharmacologic Therapy for Mild to Moderate Dementia.
Publication Year: 2008
Format(s): Journal Article , Online Resource
Language(s): English
Audience(s): Physicians , Psychiatrists , Neurologists , Geriatricians
Author(s): Hogan, D.B., et al.
Series: Diagnosis and Treatment of Dementia Series
Source: CMAJ. Canadian Medical Association Journal. November 4, 2008. 179(10): 1019-1026. November 4, 2008.

Abstract: This article is part of a series of articles based on recommendations from the Third Canadian Consensus Conference on the Diagnosis and Treatment of Dementia (CCCDTD3). (See AD Lib numbers 11193 for an introduction and 11194, 11195, 11196, and 11198 for other articles in the series.) Drawing on the recommendations and using a case example to illustrate key principles, the authors provide physicians with practical guidance on nonpharmacologic and pharmacologic interventions for the management of mild to moderate dementia. They recommend an exercise program for these patients to improve their fitness, strength, and cognitive and functional performance. Physicians should decide whether to prescribe a cholinesterase inhibitor on an individual basis, balancing anticipated benefits with the potential for harm. For mild mood and behavioral concerns, nonpharmacological approaches should be considered first. 1 box, 1 table, 62 references. (AA-M).

Availability: Available from Member Service Centre, Canadian Medical Association. 1867 Alta Vista Drive, Ottawa ON K1G 5W8, Canada. (888) 855-2555; (613) 731-8610 ext. 2307; Fax: (613) 236-8864. Email: cmamsc@cma.ca. Website: http://www.cmaj.ca. PRICE: $20.00 single issue; $265 Canadian individual subscription; $35.00 Canadian student; $358 foreign individual or student subscription. ISSN: 0820-3946 [Print]or 1488-2329 [Online]; free online access to article in English and French.
Major Descriptor(s): DEMENTIA , ALZHEIMERS-DISEASE , COGNITIVE-IMPAIRMENT , CLINICAL-MANAGEMENT , GUIDELINES , CANADA , EARLY-DEMENTIA , MIDDLE-DEMENTIA , INTERVENTION , DRUG-THERAPY , CHOLINESTERASE-INHIBITORS , MEMANTINE , BEHAVIOR-PROBLEMS
Minor Descriptor(s): DONEPEZIL , GALANTAMINE , RIVASTIGMINE , ADVERSE-EFFECTS , EXERCISE
Link(s): http://www.cmaj.ca/cgi/collection/diagnosis_and_treatment_of_dementia_series

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