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Evidence-based approach to management of fever in patients with end-stage dementia.
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Alzheimer's dementia and related dementias are incurable illnesses for which curative treatment currently does not exist, and the efficacy of remittive treatment is extremely limited. Persons with advanced dementia commonly develop fever and are at high risk for death. We preformed a systematic
Effect of fever-management strategy on the progression of dementia of the Alzheimer type.
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This study was undertaken to determine if the progression of dementia of the Alzheimer type (DAT) is accelerated by an intercurrent infection and if management strategy (aggressive or palliative care) would modify this effect. A prospective cohort study compared the progression of DAT in patients in
[To communicate with who doesn't communicate: an "unexplained" fever in an elderly woman with Alzheimer's dementia at an advanced stage].
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Fever of unknown origin is per se a -diagnostic challenge. In elderly patients with advanced Alzheimer disease the impairment of verbal communication adds another critical element. We describe the clinical case of an elderly woman in which fever, proved secondary to Horton disease, was accompanied
[Nervous complications during Q fever; description of a case with an amentia syndrome].
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[Contribution to the study of the epidemiology of idiopathic amentia with increasing hyperthermia characterized by unfavorable prognosis].
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[An 81-year-old woman with progressive motor disturbance, extrapyramidal features, dementia, and oculomotor palsy].
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We report an 81-year-old woman who presented with motor disturbance in her right hand which was followed by parkinsonism, dementia, and supranuclear gaze palsy. She was well until her age of 73 (1989) when she had an onset of difficulty in using her right hand; she did not have weakness. She also
[Changes in intellectual function during perioperative period evaluated by Hasegawa's Dementia Scale].
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In 190 patients, we studied changes in intellectual status during perioperative period using Hasegawa's Dementia Scale (HDS-R), and analyzed preoperative, intraoperative, and postoperative risk factors. HDS-R is one of the most popular scoring tests for evaluating dementia or delirium. Risk factors
Unexplained high fever in an elderly patient treated with clonidine, duloxetine, and atorvastatin.
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BACKGROUND
Drug-induced fever is a clinical diagnosis and should always be considered when the fever is constant and high without a clear source of infection. Although drug-induced fever has been reported with other centrally acting antihypertensive drugs such as methyldopa, published reports of
[A 68-year-old man with speech disturbance as the initial symptom followed by bradykinesia and dementia. Clinical conference].
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We report a 68-year-old man with progressive speech disturbance and dementia. He was well until 1995, when he noted an onset of difficulty in speech. He was able to name simple objects and understand language, however, he showed great difficulty in spontaneous speech. In 1998, he visited our
Factors affecting sleep among Thai people with dementia attending an outpatient psychiatric department.
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Sleep quality is a well-studied aspect of overall health, especially for those who have other compounded health issues like dementia. This study identified what factors affected sleep quality among Thai people with dementia who attended an outpatient psychiatric department. While we considered
Interventions Associated With the Management of Suspected Infections in Advanced Dementia.
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BACKGROUND
Nursing home (NH) residents with advanced dementia are commonly suspected of having infections. Most episodes are treated with antimicrobials, although evidence supporting bacterial infections is often lacking. The extent to which other interventions are used in managing suspected
Wandering Dementia-A Syndrome with Forensic Implications.
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Wandering behavior in dementia may result in significant injury or death. Search of files at Forensic Science South Australia over a 20-year period (1998-2018) identified nine individuals with dementia who were found deceased having been reported as missing from home/residential facilities (M:F,
Transient appearance of periodic EEG discharges in senile dementia.
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We describe an elderly patient with probable Alzheimer's disease whose EEG and clinical status improved rapidly coincident with normalization of temperature. This finding suggests that her transient illness, of fever, pneumonia and confusional state, triggered the production of this periodic EEG
Delirium and dementia: diagnostic criteria and fatality rates.
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Medically ill patients diagnosed at index admission as delirious, i.e., suffering cognitive decline and an altered state of consciousness, had higher fatality rates than demented, cognitively intact or depressed patients. At a one-year follow-up the death rate of those who had been delirious was
Mortality and adverse health events in newly admitted nursing home residents with and without dementia.
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OBJECTIVE
To evaluate the association between dementia and mortality, adverse health events, and discharge disposition of newly admitted nursing home residents. It was hypothesized that residents with dementia would die at a higher rate and develop more adverse health events (e.g., infections,
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