PMID- 20541853
OWN - NLM
STAT- MEDLINE
DCOM- 20110628
LR  - 20161018
IS  - 1768-3122 (Electronic)
IS  - 0248-8663 (Linking)
VI  - 32
IP  - 3
DP  - 2011 Mar
TI  - [Key points of the follow-up plan in the care of Alzheimer's disease patients].
PG  - 154-8
LID - 10.1016/j.revmed.2010.03.455 [doi]
AB  - The following article presents the main points of the follow-up plan of 
      Alzheimer's disease (AD) and related syndromes patients. The general objective of 
      this follow-up plan is to improve the quality of live of these subjects and their 
      family. The key points are assessments of cognitive decline, functional decline 
      and complications such as behavioural and psychological symptoms of dementia 
      (BPSD), malnutrition and gait and balance disorders. In clinical practice, 
      different tools are available, but frequency of evaluation is not consensual. 
      However, the aim of this follow-up is to detect, prevent and treat complications 
      and to improve the use of residual functional abilities in basic activities of 
      daily living. The physician also needs to detect and prevent caregiver's 
      exhaustion and to consider the ethical issues raised by the disease. The care 
      plan is based on non pharmacological and pharmacological measures. The non 
      pharmacological approach must be implemented first. The place of anti-dementia 
      drugs is considered. Lastly, this follow-up plan aims to limit iterative 
      admissions to emergency room and to increase the access to geriatric units. 
      Communication and collaboration between specialist, family practitioner and 
      caregivers are needed in order to reach the objective of quality of life 
      improvement in AD patients.
CI  - Copyright (c) 2010 Societe nationale francaise de medecine interne (SNFMI). 
      Published by Elsevier SAS. All rights reserved.
FAU - Hein, C
AU  - Hein C
AD  - Service de medecine interne et gerontologie clinique, CHU Purpan Casselardit, 170 
      avenue de Casselardit, Toulouse, France. hein.c@chu-toulouse.fr
FAU - Sourdet, S
AU  - Sourdet S
FAU - Piau, A
AU  - Piau A
FAU - Villars, H
AU  - Villars H
FAU - Nourhashemi, F
AU  - Nourhashemi F
FAU - Vellas, B
AU  - Vellas B
LA  - fre
PT  - English Abstract
PT  - Journal Article
TT  - Enjeux et moyens du suivi des malades souffrant de la maladie d'Alzheimer.
DEP - 20100611
PL  - France
TA  - Rev Med Interne
JT  - La Revue de medecine interne
JID - 8101383
SB  - IM
MH  - Alzheimer Disease/complications/*therapy
MH  - Follow-Up Studies
MH  - Humans
EDAT- 2010/06/15 06:00
MHDA- 2011/06/29 06:00
CRDT- 2010/06/15 06:00
PHST- 2009/12/11 00:00 [received]
PHST- 2010/02/10 00:00 [revised]
PHST- 2010/03/03 00:00 [accepted]
PHST- 2010/06/15 06:00 [entrez]
PHST- 2010/06/15 06:00 [pubmed]
PHST- 2011/06/29 06:00 [medline]
AID - S0248-8663(10)00690-9 [pii]
AID - 10.1016/j.revmed.2010.03.455 [doi]
PST - ppublish
SO  - Rev Med Interne. 2011 Mar;32(3):154-8. doi: 10.1016/j.revmed.2010.03.455. Epub 
      2010 Jun 11.