ABSTRACT

Person-centred care, treating patients as individuals. Planning for a single assessment process with integrated provision of services, and GPs will be mainly involved in the contact assessment. The guidelines go through diagnosis, assessment, principles of care treatments, end-of-life challenges and support for carers. General population screening is not recommended and preventive treatments such as statins, hormone replacement therapy, vitamin E and non-steroidal inflammatory drugs are not advised. In rare cases it is inherited via the AD gene, and there are also connections to the Apo-E gene but no useful diagnostic or prognostic test is yet available. The clinical cognitive assessments recommended are the Mini-Mental State Examination (MMSE), General Practitioner Assessment of Cognition, six-item Cognitive Impairment and the 7-minute screen. Blood tests would routinely include biochemistry, haematology, thyroid function tests as well as vitamin B and folate levels. In the initial stages this is geared towards support for patients and their families.