Assess for treatable causes of changes in cognition and behavior.
The mnemonic DEMENTIA can be used to remember potential causes:- D: Drugs and alcohol—including over-the-counter drugs
- E: Eyes and ears—disorientation due to visual/auditory distortion
- M: Medical disorders—e.g., diabetes, hypothyroidism
- E: Emotional and psychological disturbances—e.g., mood or paranoid disorders
- N: Neurological disorders—e.g., multiinfarct dementia
- T: Tumors and trauma
- I: Infections—e.g., urinary tract or upper respiratory tract
- A: Arteriosclerosis—leading to heart failure, insufficient blood supply to heart and brain, and confusion
http://www1.us.elsevierhealth.com/Evolve/Ackley/NDH7e/Constructor
The following member says Thank You: