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Cognitive Impairment 

Cognitive Impairment
Chapter:
Cognitive Impairment
Author(s):

Abraham A. Brody

DOI:
10.1093/med/9780190204747.003.0053
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date: 15 December 2019

Dementia and Down syndrome are increasingly prevalent causes of cognitive impairment. They are responsible for significant mortality, in an aging population.. The economic cost of dementia is more than cancer and heart disease combined. Despite the prevalence and cost, palliative care is significantly underutilized in this population. Palliative care specialists have limited knowledge about how to provide gold-standard, evidence-based practice. This chapter discusses the identification, clinical presentation, and differential diagnosis of cognitive impairment; prognosis; management of dementias and their neuropsychiatric symptoms; approaches to functional decline; how to identify other symptoms when the patient cannot subjectively report; how to provide spiritual support and work with caregivers; and hospice eligibility and considerations.

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