Teaching Case Studies: Managing Aberrant Behavior In Patients With Dementia
Title: Patients with Dementia Are Easily Distracted
Goals and Objectives
Mild Cognitive Impairment (MCI) is the middle ground between normal, age-appropriate memory impairment and dementia. Whereas patients with MCI are able to cope with the memory deficit those with dementia are not: their memory impairment and other cognitive deficits are of sufficient magnitude to interfere with the patients’ ability to cope independently with daily activities.
In both MCI and dementia there is evidence of declining cognitive functions from a previously higher level of functioning. In both conditions there also is evidence of dysfunction in one or more cognitive domains. There are two subtypes of MCI depending on whether memory is predominantly affected: amnestic type and non-amnestic/behavioral type. Not all patients with MCI transition to dementia, some recover.
In this case scenario we present a 68 years old man with MCI who lives with his wife. They are getting ready to host dinner. His wife asks him to vacuum the dining room while she runs an urgent errand. We describe how this simple task: vacuuming a room ended in a catastrophe with the patient spending the night in jail and his wife hospitalized. We discuss what went wrong in the patient/wife interaction and how the catastrophic ending could have been avoided. Upon completion of the activity, providers should be able to:
- Apply the material addressed in the scenario when advising caregivers seeking help with similar situations.
- Provide advice to caregivers about how to avoid aberrant behaviors from developing, escalating, and erupting, along with steps that can be taken to prevent it from occurring.
Before beginning this CME activity, you must review the article in its entirety, located here:
Patients with Dementia Are Easily Distracted
R. C. Hamdy, MD1 , A. Kinser, PhD1 , A. Depelteau, PhD1 , T. Kendall-Wilson, RN1,2 , J. V. Lewis, MD1 , and K. Whalen, BA1
1East Tennessee State University, Johnson City, TN, USA
2Alzheimer’s Tennessee, Knoxville, TN, USA
CME Release Date: May 7th, 2018
Content Reviewed: April 3, 2019
Valid for credit through: May 7th, 2020
Course type: Journal CME
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Southern Medical Association and SAGE Publishing. Southern Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Southern Medical Association designates this Journal CME Activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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