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  Center on Frail and Vulnerable Elders University of Michigan School of Nursing January 23, 2007

Welcome | Membership | Resources

  Resources of Interest    
Understanding Dementia
Assessment & Diagnosis
Health & Behavioral Matters
Intervention Strategies, Tools, Medications, & Models
Dementia, Culture and Ethnicity
Caregiving
End-of-Life Issues
Dementia Training
Feedback Please!

Assessment & Diagnosis


Assessment

Pathology

Online

Medical Illustrations; Brain anatomy, Alzheimer's progression, plaques www.ahaf.org/alzdis/about/adabout.htm

Clinical Features and imaging of brain pathology
www.acnp.org/g4/GN401000146/CH143.html

Books

Dementia progression animation with CD-ROM
Taubman RA11.B15A25127 no.02-3782 National Institute on Aging, National Institutes of Health. (2002). Alzheimer's Disease: Unraveling the Mystery. Bethesda : NIH.

Journals

Cummings, J. (1995). Lewy body diseases with dementia - pathophysiology and treatment. Brain and Cognition, 28(3), 266-280.

Grace, E.A., Rabiner, A., Busciglio, J. (2002). Characterization of neuronal dystrophy induced by fibrillar amyloid beta: Implications for alzheimer's disease. Neuroscience, 114(1), 265-273.

Perl, D.P. (2000). Neuropathology of Alzheimer's disease and related disorders. Neurologic Clinics, 18(4).


The Dementia Work-up & Diagnostic Tests

Online

American Association for Geriatric Psychiatry explains dementia work-up and PET scan use
www.aagponline.org
, go to Health Care Professionals, then Fact sheets, then PET scans

Cleveland Clinic Journal of Medicine, the meaning of Alzheimer's diagnositc tests
http://www.clevelandclinicmeded.com/ccjm/Sept2000/alzheimermin.htm

Handy assessment resource book on-line by the American Geriatrics Society geriatricsatyourfingertips.com

Books

Includes mental status, functional, and driving status assessments, as well as dementia differential diagnosis.
Gallo, J., et al. (2000). Handbook of geriatric assessment. Gaithersburg : Aspen. Taubman RC953.G3512000.

Storandt, M. & VandenBos, G. (1994) Neuropsychological assessment of dementia & depression in older adults: A clinician's guide (1 st ed). Washington D.C. : American Psychological Association. Taubman RC524.N491

Journal

Study supports electroencephalogram (EEG) criteria of diagnosing Creutzfeldt-Jacobs Disease Steinhoff, B., et al. (2004). Diagnostic value of periodic complexes in Creutzfeldt-Jakobs disease. Annals of Neurology, 56(5), 702-708.

Screening instrument is tested against EEG tested group
Brinkmeyer, J., et. al. (2004). EEG and the test for early detection of dementia with discrimination from depression (TE4D): a validation study. International Journal of Geriatric Psychiatry, 19(8), 749-753.

Robinson, B. (1997). Guidelines for initial evaluation of the patient with memory loss. Geriatrics, 52(12), 30-39.


Differential Diagnosis

"Rule Out" Process

Online

Dementia "rule-out" guidelines by the American Medical Directors Association. www.guideline.gov

Diagnostic criteria for multiple types of dementia and for depression

E-medicine article with Differential diagnosis list with links for each Dx
http://www.emedicine.com/neuro/topic714.htm

SCOPA-COG assessment tool reliable to assess dementia r/t Parkinson's www.neurology.org/cgi/reprint/61/9/1222.pdf Marinus et al. (2000). Assessment of cognition in Parkinson's disease. Neurology, 61,1222-1228.

Journal

Guide for Advanced Practice Nurses of differential diagnosis by recognizing clinical presentation of the four D's Insel, K. & Badger, T. (2002). Deciphering the 4D's: cognitive decline, delirium, depression and dementia. Journal of Advanced Nursing , 38(4), 360-368.

Differential diagnosis comprehensive table, also Continuing Education quiz Arnold , E. (2004). Sorting out the three D's: Dementia, delirium, and depression. Nursing , 34(6), 36-42.

Unique presentation of vascular dementia r/t neuropathophysiologic factors that affect functional impairment Boyle, P. et al. (2003). Cognitive and neurologic predictors of functional impairment in vascular dementia. American Journal of Geriatric Psychiatry, 11(1), 103-106.

Roman G. (2001) Diagnosis of vascular dementia and Alzheimer's disease. International Journal of Clinical Practice. Supplement. (120):9-13.

Fahy, M. et al. (2003). Secrets and lies: the dilemma of disclosing the diagnosis to an adult with dementia. Age and Aging , 3, 439-441.

Books

APA. (2001).Diagnostic and statistical manual of mental disorders (4 th ed.). Washington , D.C. : American Psychiatric Press.
Taubman RC455.2.C4D5411
You will need to accept conditions of use and then use the STATref site to search for the resource at http://online.statref.com/EULA/EULA.aspx?

Case studies with discussion on various types of dementia including Alzheimer's and Parkinson's related.
DSMIV Casebook: A learning companion to the diagnostic and statistical manual of mental disorders 4 th ed. (1 st ed.). editor Switzer, R. et. al, Washington , D.C. : American Psychiatric Press. Taubman RC455.2.C4A515

Comprehensive, a step beyond the APA DSMIV criteria.
Taubman RC4552C4D761
First, M.B., & Tasman, A. (2004). DSM-IV-TR Mental disorders: Diagnosis, etiology, and treatment. West Sussex : John Wiley & Sons, Ltd.


Center on Frail and Vulnerable Elders
University of Michigan School of Nursing, 400 North Ingalls Building, Ann Arbor, MI 48109-0482
(734) 615-3714, email: agingprograms@umich.edu
 
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