Recognition of and Response to Dementia Syndrome in Primary Care: Part 2

Abstract

This second of two articles on the recognition of and response to dementia syndrome in general practice focuses on the long-term support of patients and their families. It includes guidance on the use of cholinesterase inhibitors, the role of psychosocial interventions and the need to organize systematic follow-up. Sources of support for meeting carers' needs are discussed, including ways of managing behavioural and psychological symptoms that appear in the middle phase of the disease trajectory. Discussion of the issues underlying relocation to a care home, and the practicalities of end-of-life care, lead into ways of assessing the quality of care provided in general practice.