GoodFellow

Mild cognitive impairment

Date Published

Wednesday, 15 December 2021

Duration

25:31

Category

Mental health

Dr Bronwyn Copeland on the role of primary care in diagnosing and managing mild cognitive impairment (MCI).

Topics

Intro
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MCI - a definition
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How many New Zealanders will be affected by MCI?
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How does normal ageing differ from MCI?
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Does MCI always progress to Alzheimer’s disease or dementia?
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When a patient presents with a memory concern, what clues are we looking?
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What validated screening tools are available?
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What investigations should we consider?
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Proven prevention strategies
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A role for diet
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Lifestyle strategies
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Medications
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Can MCI be diagnosed and managed in primary care?
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Education and support for family
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Take home messages
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Take home messages

General practice is in a really good position to change the trajectory of the patient.
Educate the family members and care givers
Reassess in 6-12 months’ time

Resources

Normal Cognitive Aging Clin Geriatr Med. (2013)
Practice guideline update summary: Mild cognitive impairment Neurology (2018)
Rate of progression of mild cognitive impairment to dementia – meta-analysis of 41 robust inception cohort studies Acta Psychiatrica Scandinavica (2009)
Dementia prevention, intervention, and care: 2020 report of the Lancet Commission (2020)
Risk reduction resources Dementia Australia
Mild cognitive impairment; diagnosis and management Goodfellow short course (2021)
Dementia: diagnosis and management Goodfellow short course (2020)

Presenter

Bronwyn Copeland

Consultant Psychiatrist

Bronwyn is a Consultant Psychiatrist Mental Health Services for Older People Tauranga Hospital and a senior lecturer at the University of Auckland.

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The Goodfellow Unit podcast is funded in part by the Royal New Zealand College of General Practitioners.

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