Psychiatric Psychiatric presentation of presentation of Alzheimer’s in Jordan Alzheimer’s in Jordan Preliminary survey Preliminary survey Jamal Khatib MD Jamal Khatib MD Consultant Psychiatrist Consultant Psychiatrist Jordanian Alzheimer Jordanian Alzheimer Association Association
17
Embed
Psychiatric presentation of Alzheimer’s in Jordan Preliminary survey Jamal Khatib MD Consultant Psychiatrist Jordanian Alzheimer Association.
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Psychiatric Psychiatric presentation of presentation of
Alzheimer’s in JordanAlzheimer’s in JordanPreliminary survey Preliminary survey
• ``Behavioural and psychological symptoms ``Behavioural and psychological symptoms in dementia (BPSD) are the clinically most in dementia (BPSD) are the clinically most significant symptoms of the illness. They significant symptoms of the illness. They
are non-cognitive and include apathy, are non-cognitive and include apathy, agitation, aggression, anxiety, agitation, aggression, anxiety,
hallucinations and delusions….BPSDs are hallucinations and delusions….BPSDs are widespread and often critical with regard to widespread and often critical with regard to
life quality for the patient as well as life quality for the patient as well as caregiver stress. The frequency of BPSD caregiver stress. The frequency of BPSD
increases as the dementing disorder increases as the dementing disorder progresses.` progresses.`
• Of the 329 participants with dementia, 214 Of the 329 participants with dementia, 214 (65%) had Alzheimer's disease, 62 (19%) (65%) had Alzheimer's disease, 62 (19%) had vascular dementia, and 53 (16%) had had vascular dementia, and 53 (16%) had another DSM-IV dementia diagnosis; another DSM-IV dementia diagnosis; 201 201 (61%) had exhibited one or more (61%) had exhibited one or more
mental or behavioral disturbances mental or behavioral disturbances in the past monthin the past month. Apathy (27%), . Apathy (27%),
depression (24%), and agitation/aggression depression (24%), and agitation/aggression (24%) were the most common in participants (24%) were the most common in participants
with dementia. These disturbances were with dementia. These disturbances were almost four times more common in almost four times more common in
participants with dementia than in those participants with dementia than in those without….. without….. Am J Psychiatry. 2000 May;157(5):708-14 Am J Psychiatry. 2000 May;157(5):708-14 ....
Dear colleague I’m studying the pattern of psychiatric presentation of dementia Please respond to the following 1-Patients mostly Refer themselves Referred by family Referred by physician 2-Referring physicians are mostly General practitioners Neurologists Internists 3-Most common presentation Memory problems Behavioral problems Mood problems Personality change Sleep disturbance Drug side effects 4-Patients are Already diagnosed Not diagnosed 5-On what you relay more in diagnosis Clinical Neuropsychiatry testing Imaging Lab tests 6- Do you use cognitive testing ? Yes….what test? No 7- Drugs you prescribe are mostly Anticolinesterase inhibitors Antipsychotics Antidepressants Anxiolytics Sedatives Mood stabilizers Gincobiloba Vit E Anti-inflamatory Others …specify 8-Other comment
Discussion and Discussion and conclusionconclusion• The major problem with dementia patient is The major problem with dementia patient is
behavioural and almost all the patients are behavioural and almost all the patients are taken to doctors rather than referring taken to doctors rather than referring themselves with antipsychotic as the themselves with antipsychotic as the
mostly prescribed drugs, this reflects some mostly prescribed drugs, this reflects some how a late onset time of consult , and rather how a late onset time of consult , and rather advanced illness at the time of diagnosisadvanced illness at the time of diagnosis
as most of patient who reach the as most of patient who reach the psychiatrists are not yet diagnosed although psychiatrists are not yet diagnosed although
behaviorally disturbed.behaviorally disturbed.• Thus awareness about the illness and the Thus awareness about the illness and the
aim to catch patients at earlier stage is the aim to catch patients at earlier stage is the first priority of the Jordanian Alzheimer first priority of the Jordanian Alzheimer