Dementia Detection: Identifying Red flags of Cognitive Decline

Dementia Detection: Identifying Red flags of Cognitive Decline - #95

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Dementia is a growing public health concern with timely diagnosis an important part of high-quality care for older adults.

Older adults in a clinical healthcare (inpatient or outpatient) setting.

Identify patient characteristics and check for dementia clues that should prompt further assessment of cognitive function.

  1. Name 3 signs concerning for a neurocognitive disorder
  2. Identify patient features that increase the probability of a neurocognitive disorder
  3. Explain the importance of early diagnosis of dementia and current recommendations regarding screening for cognitive impairment

Alzheimer’s Association.  10 Early Signs and Symptoms of Alzheimer’s. 

Alzheimer’s Association. 2021 Alzheimer’s Disease Facts and Figures.  Alzheimer’s Association. 2021 Alzheimer’s Disease Facts and Figures. Alzheimers Dement 2021;17(3).

Bradford A, Kunik ME, Schulz P, Williams SP, Singh H. Missed and delayed diagnosis of dementia in primary care: prevalence and contributing factors. Alzheimer Dis Assoc Disord. 2009;23(4):306-314. doi:10.1097/WAD.0b013e3181a6bebc

Livingston G, Huntley J, Sommerlad A, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet. 2020;396(10248):413-446. doi:10.1016/S0140-6736(20)30367-6

Palazzo L, Hsu C, Barnes DE, et al. Patient and caregiver perspectives on a tool to increase recognition of undiagnosed dementia: a qualitative study. BMC Geriatr. 2021;21(1):604. Published 2021 Oct 26. doi:10.1186/s12877-021-02523-0

Wang L, Laurentiev J, Yang J, et al. Development and Validation of a Deep Learning Model for Earlier Detection of Cognitive Decline From Clinical Notes in Electronic Health Records. JAMA Netw Open. 2021;4(11):e2135174. Published 2021 Nov 1. doi:10.1001/jamanetworkopen.2021.35174

US Preventive Services Task Force. Screening for Cognitive Impairment in Older Adults: US Preventive Services Task Force Recommendation Statement. JAMA. 2020;323(8):757–763. doi:10.1001/jama.2020.0435


This GFF ___ my competence in geriatrics.

Will Lyon, MD, Resident, Medicine-Geriatrics Residency Program, Medical College of Wisconsin 

Steven Denson, MD, Associate Professor, Division of Geriatric and Palliative Medicine, Medical College of Wisconsin