Rhode Island Physician Ebook Continuing Education

Alzheimer Disease and Dementias: Early Detection and Care Planning _ ______________________________

Designations of Credit NetCE designates this enduring material for a maximum of 3 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Successful completion of this CME activity, which includes par- ticipation in the evaluation component, enables the participant to earn up to 3 MOC points in the American Board of Internal Med- icine’s (ABIM) Maintenance of Certification (MOC) program. Par- ticipants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Comple- tion of this course constitutes permission to share the completion data with ACCME. Successful completion of this CME activity, which includes partic- ipation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit. Successful completion of this CME activity, which includes partici- pation in the activity with individual assessments of the participant and feedback to the participant, enables the participant to earn 5 MOC points in the American Board of Pediatrics’ (ABP) Main- tenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion infor- mation to ACCME for the purpose of granting ABP MOC credit. Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physi- cians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Sup- port of MOC” program in Section 3 of the Royal College’s MOC Program. About the Sponsor The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare. Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice. Disclosure Statement It is the policy of NetCE not to accept commercial support. Furthermore, commercial interests are prohibited from distrib- uting or providing access to this activity to learners.

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INTRODUCTION Dementia, including Alzheimer disease, is a significant and growing concern globally, particularly among the elderly population. According to the World Health Organization (WHO), more than 55 million people worldwide are living with dementia, and this number is expected to rise to 88 mil- lion by 2030 and 139 million by 2050 [1]. Alzheimer disease is the most common form of dementia, accounting for 60% to 70% of cases. In the United States alone, the Alzheimer’s Association reports that more than 6 million Americans older than 65 years of age are living with Alzheimer disease, a num- ber projected to reach nearly 13 million by 2050 [2; 3]. This condition not only leads to a progressive decline in cognitive function, severely impacting memory, thinking, and social abilities, but also places a substantial emotional, physical, and financial burden on families and caregivers. Early detection and diagnosis are crucial for managing symptoms, planning for the future, and improving the quality of life for those affected. Understanding the different types of dementia, their symptoms, and the importance of early intervention is essential for providing compassionate and effective care to those living with these conditions. OVERVIEW OF DEMENTIA Dementia is a term for a decline in cognitive function severe enough to interfere with daily life and activities [4; 5]. It includes symptoms affecting memory, thinking, and social abilities, making everyday tasks challenging. Dementia is a syndrome resulting from various conditions, such as Alzheimer disease, vascular dementia, Lewy body dementia, and fron- totemporal dementia. Each type has unique symptoms and progression, but common signs include memory loss, difficulty with problem-solving, impaired judgment, and changes in behavior and personality ( Table 1 ). IMPACT ON PATIENTS AND FAMILIES The impact of Alzheimer disease and related dementias (ADRDs) extends beyond the individual, profoundly affecting families and caregivers emotionally, physically, and financially.

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