ABSTRACT

References 382

There has been a steadily increasing number of publications concerning mild cognitive impairment (MCI) in recent years. The majority of these papers focus on diagnostic issues and prediction of risk for future cognitive decline. More recently, the topic of prevention of dementia has taken centre stage in the MCI literature. In addition to pharmacological trials, non-pharmacological approaches investigating the role of environmental factors are being trialled in MCI. However, publications discussing how to best manage the patient with MCI outside research studies are rather sparse. With increasing awareness and knowledge in the population in relation to Alzheimer’s disease (AD), specialists and memory clinics receive more and more referrals of younger patients, who, often still in the workforce, worry about their cognitive function. Managing adults with subjective memory complaints and MCI requires flexibility and spans patients from midlife to very old age. This chapter focuses on the current practical issues of managing the patient with MCI.