The role of the family doctor in the diagnosis and monitoring of patients with cognitive impairment and dementia

Detalhes bibliográficos
Autor(a) principal: Alves, Rui Pereira
Data de Publicação: 2010
Outros Autores: Caetano, Ana Isabel
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: https://doi.org/10.32385/rpmgf.v26i1.10715
Resumo: The aging of the population is a fact in our society. In conjunction with this process an increased prevalence of diseases common in the elderly, especially dementia, is found. The interview of the patient, family and caregivers aims to search for cognitive changes and their impact on day-to-day, as well as a research to specific etiologies. In the interview the use of clinical tests to assess the mental state of the patient and the functional consequences in their activities is mandatory. The application of diagnostic tests, as well as referral to secondary care providers should be judicious and timely so that the correct therapeutic approach can be provided. A good communication between the various stakeholders, must be kept, so that we can monitor and manage the treatment plan. A special attention to the families and caregivers is necessary, since they have a higher risk of diseases such as depression.
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spelling The role of the family doctor in the diagnosis and monitoring of patients with cognitive impairment and dementiaO papel do médico de família no diagnóstico e seguimento dos doentes com declínio cognitivo e demênciaDemênciaCuidados PrimáriosCuidadoresTratamentoDementiaPrimary CareCaregiversTreatmentThe aging of the population is a fact in our society. In conjunction with this process an increased prevalence of diseases common in the elderly, especially dementia, is found. The interview of the patient, family and caregivers aims to search for cognitive changes and their impact on day-to-day, as well as a research to specific etiologies. In the interview the use of clinical tests to assess the mental state of the patient and the functional consequences in their activities is mandatory. The application of diagnostic tests, as well as referral to secondary care providers should be judicious and timely so that the correct therapeutic approach can be provided. A good communication between the various stakeholders, must be kept, so that we can monitor and manage the treatment plan. A special attention to the families and caregivers is necessary, since they have a higher risk of diseases such as depression.Com o crescimento da população idosa assiste-se a um aumento da prevalência de patologias comuns neste grupo, em especial a demência. Estima-se que a prevalência da demência na população da Europa Ocidental acima dos 60 anos seja 7,2%. A entrevista clínica ao doente, familiares e cuidadores visa a procura de alterações cognitivas e suas consequências no dia-a-dia do doente, assim como a pesquisa de sintomas que orientem para determinada etiologia da doença. Na entrevista clínica podemos utilizar testes pré-definidos como o Mini Mental State Examination que avalia o estado mental do doente, e o questionário sobre actividades funcionais para avaliar as repercussões funcionais na vida do doente. O pedido de exames auxiliares de diagnóstico deve ser criterioso e orientado pela entrevista clínica e exame objectivo. A referenciação para os cuidados secundários de saúde é importante para se estabelecer o diagnóstico e planear a terapêutica. Deve ser mantida uma boa comunicação entre os vários intervenientes, de forma a podermos acompanhar e gerir o plano terapêutico. Deve ser dada especial atenção aos familiares e cuidadores destes doentes, uma vez que estes apresentam um risco aumentado de determinadas patologias, como a depressão. Um correcto e rápido diagnóstico das causas de demência, uma atempada referenciação e uma abordagem pluridisciplinar, focada no próprio, na doença e na família, permitem uma melhor gestão do doente com demência.Associação Portuguesa de Medicina Geral e Familiar2010-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.32385/rpmgf.v26i1.10715https://doi.org/10.32385/rpmgf.v26i1.10715Portuguese Journal of Family Medicine and General Practice; Vol. 26 No. 1 (2010): Revista Portuguesa de Clínica Geral; 69-74Revista Portuguesa de Medicina Geral e Familiar; Vol. 26 Núm. 1 (2010): Revista Portuguesa de Clínica Geral; 69-74Revista Portuguesa de Medicina Geral e Familiar; Vol. 26 N.º 1 (2010): Revista Portuguesa de Clínica Geral; 69-742182-51812182-517310.32385/rpmgf.v26i1reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAPporhttps://rpmgf.pt/ojs/index.php/rpmgf/article/view/10715https://rpmgf.pt/ojs/index.php/rpmgf/article/view/10715/10451Alves, Rui PereiraCaetano, Ana Isabelinfo:eu-repo/semantics/openAccess2024-09-17T11:59:16Zoai:ojs.rpmgf.pt:article/10715Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T18:51:32.527521Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv The role of the family doctor in the diagnosis and monitoring of patients with cognitive impairment and dementia
O papel do médico de família no diagnóstico e seguimento dos doentes com declínio cognitivo e demência
title The role of the family doctor in the diagnosis and monitoring of patients with cognitive impairment and dementia
spellingShingle The role of the family doctor in the diagnosis and monitoring of patients with cognitive impairment and dementia
Alves, Rui Pereira
Demência
Cuidados Primários
Cuidadores
Tratamento
Dementia
Primary Care
Caregivers
Treatment
title_short The role of the family doctor in the diagnosis and monitoring of patients with cognitive impairment and dementia
title_full The role of the family doctor in the diagnosis and monitoring of patients with cognitive impairment and dementia
title_fullStr The role of the family doctor in the diagnosis and monitoring of patients with cognitive impairment and dementia
title_full_unstemmed The role of the family doctor in the diagnosis and monitoring of patients with cognitive impairment and dementia
title_sort The role of the family doctor in the diagnosis and monitoring of patients with cognitive impairment and dementia
author Alves, Rui Pereira
author_facet Alves, Rui Pereira
Caetano, Ana Isabel
author_role author
author2 Caetano, Ana Isabel
author2_role author
dc.contributor.author.fl_str_mv Alves, Rui Pereira
Caetano, Ana Isabel
dc.subject.por.fl_str_mv Demência
Cuidados Primários
Cuidadores
Tratamento
Dementia
Primary Care
Caregivers
Treatment
topic Demência
Cuidados Primários
Cuidadores
Tratamento
Dementia
Primary Care
Caregivers
Treatment
description The aging of the population is a fact in our society. In conjunction with this process an increased prevalence of diseases common in the elderly, especially dementia, is found. The interview of the patient, family and caregivers aims to search for cognitive changes and their impact on day-to-day, as well as a research to specific etiologies. In the interview the use of clinical tests to assess the mental state of the patient and the functional consequences in their activities is mandatory. The application of diagnostic tests, as well as referral to secondary care providers should be judicious and timely so that the correct therapeutic approach can be provided. A good communication between the various stakeholders, must be kept, so that we can monitor and manage the treatment plan. A special attention to the families and caregivers is necessary, since they have a higher risk of diseases such as depression.
publishDate 2010
dc.date.none.fl_str_mv 2010-01-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.32385/rpmgf.v26i1.10715
https://doi.org/10.32385/rpmgf.v26i1.10715
url https://doi.org/10.32385/rpmgf.v26i1.10715
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rpmgf.pt/ojs/index.php/rpmgf/article/view/10715
https://rpmgf.pt/ojs/index.php/rpmgf/article/view/10715/10451
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Associação Portuguesa de Medicina Geral e Familiar
publisher.none.fl_str_mv Associação Portuguesa de Medicina Geral e Familiar
dc.source.none.fl_str_mv Portuguese Journal of Family Medicine and General Practice; Vol. 26 No. 1 (2010): Revista Portuguesa de Clínica Geral; 69-74
Revista Portuguesa de Medicina Geral e Familiar; Vol. 26 Núm. 1 (2010): Revista Portuguesa de Clínica Geral; 69-74
Revista Portuguesa de Medicina Geral e Familiar; Vol. 26 N.º 1 (2010): Revista Portuguesa de Clínica Geral; 69-74
2182-5181
2182-5173
10.32385/rpmgf.v26i1
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
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instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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