NCD Gen Mgt- 15C

Question 1

Name 2 disease modifying treatments for ALZ and Vascular dementias

Answer 1

• Antioxidants: Vit E 400 iu qd; high dose causes vascular disease
• Management of vascular/life style risk factors; eg, HTN, DM, smoking, exercise etc

Question 2

List general clinical issues for management of NCDs

Answer 2

• Safety
• core symptoms NCD
• issues beyond symptoms NCD
• manage/minimize drugs that may contribute to cognitive impairment or delirium

Question 3

Identify areas beyond NCD core symptoms that should be addressed

Answer 3

• safety concerns
• meeting basic needs
• monitoring for caretaker burnout and need for respite
• palliative care counseling
• advance planning/directive needs

Question 4

Clinical risk assessment for driving with best evidence

Answer 4

• Clinical Dementia Rating score
• CDR<0.5 (very mild) moderate driving risk
• CDR =1 (mild) significant driving risk; consider stopping