Monitoring

Your Organisational Guidance

ebpracticenet urges you to prioritise the following organisational guidance:

Guide de pratique clinique pluridisciplinaire relatif à la collaboration dans la dispense de soins aux personnes âgées démentes résidant à domicile et leurs aidants prochesPublished by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2017Multidisciplinaire richtlijn voor thuiswonende oudere personen met dementie en hun mantelzorgersPublished by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2017

Patients should be seen at least every 6 months to evaluate for functional and cognitive change. Issues such as daily drug treatment, functional status, comorbid illnesses, new signs and symptoms, carer burden, and need for future respite care or nursing home placement should be discussed. Continuation of drug treatment may be discussed if the disease progresses without apparent symptomatic benefit or plateau. Home safety risk assessment should be made at every visit.

Driving status should be reassessed at least every 6 months. The American Academy of Neurology and UK Royal College of Psychiatrists have published guidelines for assessment of driving risk in dementia.[293][294] Clinicians remain subject to local reporting requirements and associated liability when diagnosing any driver with dementia.

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