Aspect of care | Recommendations |
---|---|
Pre‐assessment and communication | Many professionals required over time |
Important to convey the diagnosis to the individual and family and remain open to review and modify this diagnosis | |
Important to obtain rapport | |
Need to find out what supports are required | |
Checking if the individual has capacity | |
History taking | Collateral history important |
Symptom onset and type | |
Frontotemporal dementia symptoms (such as loss of empathy, apathy, behavioural changes) | |
Physical health and other medical conditions | |
Function: eg, activities of daily living | |
Drug and alcohol history | |
Family history | Obtain a three‐generational history of young‐onset dementia |
Physical examination | Including neurological examination |
Risk assessment | Occupational risks, driving, other risky behaviour eg, gambling |
Psychiatric assessment | Previous psychiatric history and symptoms |
History of learning disability or intellectual disability | |
Neuroimaging | Magnetic resonance imaging (at the minimum) |
Neuropsychological assessment | Screening testing, not just Mini Mental State Examination (eg, ACE‐R or NUCOG) |
Palliative care | Support is required from diagnosis to end of life care |
ACE‐R = Addenbrooke's Cognitive Examination Revised; NUCOG = Neuropsychiatry Unit Cognitive Screening tool.
Adapted from O'Malley et al. 25