Ws1748 Dementia Management In Primary Care

Leonor Troni1, Vanessa Carvalho2 e Nuno Monteiro3
1USF Rodrigues Migueis; 2USF Sobreda; 3USF Locomotiva - Entroncamento
Justification of and interest in the workshop Dementia is a syndrome of gradual onset and continuing decline of higher cognitive functioning. With the ageing of the population it has become a more common disorder and it becomes more prevalent in each decade of life. Dementia remains under-detected and sub-optimally managed in general practice throughout the world. Primary care plays a key role in supporting people with dementia and their families. While much emphasis has been placed on the role of primary care in early detection and diagnosis of dementia, its role in regular assessment, support and referral is no less important. In addition, the role of primary care for people with advanced dementia and those at the end of life is critical to quality of life.
Learning goals At the end of this workshop, participants will be able to: - List and assess patient specific clinical criteria for diagnosing dementia: define dementia, recognize early signs and symptoms of disease, know brief screening instruments for dementia, order appropriate tests. - Determine the role of medications for its management. - Understand the risks and benefits of pharmacotherapy and other relevant therapeutic strategies. - Manage appropriate treatment for behavioural and psychological symptoms of dementia. - Provide end of life care and collaboration with support services. - Provide supports for caregivers. - Improve communication on advance care planning discussions.
Methods The workshop is designed to be interactive with questions built into the program. There will be brief overview of the theme, case-based interactive discussion, role playing and video playing. In the end there will be a summary and ’action plan’ to promote competency in cognitive and behavioural disorders.
Expected impact on the participants Improve general practitioners’ ability to communicate within the context of dementia, review the obstacles to early recognition of dementia and the factors causing sub-optimal management in the community, enhancing professional skills in the recognition of and response to dementia.
dementia management, cognitive impairment, primary care