Name of the Procedure:

Functional Status for Dementia Assessed and Results Reviewed (DEM)

Summary

This procedure evaluates the functional abilities of a patient with dementia, focusing on their capacity to perform daily activities. The results are then reviewed to tailor an appropriate care plan.

Purpose

The procedure addresses cognitive decline due to dementia. It aims to understand the extent of the impairment and its impact on daily life, which helps in planning effective management strategies and improving quality of life.

Indications

• Progressive memory loss
• Difficulty in performing everyday activities
• Increased confusion or disorientation
• Behavioral changes affecting daily living
• Evaluation of care needs and planning

Preparation

• No fasting required.
• Patients may need to bring a list of current medications.
• Family or caregivers might be asked to provide additional information on the patient's daily functioning.

Procedure Description

1. Initial Interview: The healthcare provider conducts an interview with the patient and their caregiver to gather information about the patient's daily activities and cognitive symptoms.
2. Functional Assessment: Various standardized tools and questionnaires are used to evaluate the patient's ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
3. Cognitive Screening: Tests like the Mini-Mental State Examination (MMSE) or Montreal Cognitive Assessment (MoCA) may be administered.
4. Behavioral Assessment: The provider may assess for any behavioral issues that might interfere with daily functioning.
5. Review of Results: The gathered data is reviewed and discussed, often involving the patient and caregiver, to develop a care plan.

Duration

The entire process typically takes between 60 to 90 minutes.

Setting

The procedure is performed in an outpatient clinic setting, often within a memory care or geriatric clinic.

Personnel

• Primary care physician or geriatric specialist
• Nurse or nurse practitioner
• Occupational therapist (in some cases)

Risks and Complications

• Minimal risks are associated with this assessment.
• Some patients may experience anxiety during cognitive testing or discussing their symptoms.

Benefits

• Helps in formulating a tailored care plan.
• Identifies areas where the patient needs support, potentially improving their quality of life.
• Provides valuable information for caregivers and healthcare providers.

Recovery

• No physical recovery needed.
• The patient and caregivers will receive instructions and recommendations based on the assessment results.
• Follow-up appointments may be scheduled to monitor progress and adjust the care plan as needed.

Alternatives

Other diagnostic options include:

• Neuropsychological testing: A more comprehensive but longer and more detailed cognitive evaluation.
• MRI or CT scans: To rule out other underlying conditions and provide a visual assessment of brain structure.

Patient Experience

• During the procedure, the patient might experience mild discomfort or frustration, especially during cognitive tests.
• Clear communication and reassurance from healthcare providers can help manage any anxiety.
• After the assessment, patients typically feel relieved to have a clearer understanding of their condition and a plan of action.