Neurocognitive DLA

Question 1

What are the neurocognitive disorder diagnoses?

Answer 1

Diagnoses:
(1) Delirium (as described in lecture)
(2) Neurocognitive Disorder (NCD): Decline in at least one cognitive domain
BPM2 SGU (C)
a) Major NCD: “Significant decline (deficits interfere with independence in daily activities)
b) Mild NCD: “Modest” decline (deficits do NOT interfere with the capacity for independence in daily activities

Question 2

What are the neurocognitive disorder subtypes?

Answer 2

For a NCD, specify the etiological subtype in the
diagnosis:
NCD Etiological Subtypes (DSM-5)
● Alzheimer’s Disease

● Vascular disease 
● Frontotemporal lobar degeneration 
● Prion disease
● Lewy body disease
● Traumatic brain injury
● Substance/medication use 
● HIV infection
● Another medical condition
● Huntington’s disease 
● Parkinson’s disease 
● Multiple etiologies
● Unspecified

Example: A patient with Alzheimer’s dementia has significantly compromised ADLs.
DSM-5 Diagnosis: “Major neurocognitive disorder due
to Alzheimer’s Disease”

Question 3

What are amnesia and dementia diagnosed?

Answer 3

Based on DSM-5, both amnesia and dementia patients get the same diagnosis– “NCD” (Major or Mild, based on severity of deficits).

►Nonetheless, the terms “Amnesia” and “Dementia” are still commonly used

Memory Deficit Amnesia
Multiple Cognitive Deficits Dementia
Major/Mild NCD due to… Major/Mild NCD due to