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Diagnosing mild cognive impairment and demena in primary care Pim van den Dungen

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Page 1: UITNODIGING ]Pv} ]vPu]o }Pv] À ]u ] u v v u v ]v ]u Ç · } }( }Pv] }vv ]Pv} ] ]v ]u Ç v (} ÁÇ }]u }À Z ] v . }v }( } o Á] Z }Pv] À ]u ] u v } u v ÁZ}uÇ v . ( }u u oÇ X

Diagnosing mild cognitive impairment

and dementia in primary care

Pim van den Dungen

Diagnosing m

ild cognitive im

pairment and dem

entia in prim

ary care Pim

van den Dungen

In countries with a gatekeeper system, family doctors are the first to contact when someone’s cognitive functions may be declining. However, still many home-dwelling people are only diagnosed with dementia when it has already reached an advanced stage. This asks for more insight into the process of recognition and diagnosis in primary care and for ways to improve the identification of people with cognitive impairment or dementia who may benefit from timely care.

In this thesis, the following questions are addressed:

• Are Dutch family doctors aware of the presence or absence of cognitive impairment among their patients?

• How accurate are the dementia diagnoses that are registered in medical records? And how accurate are family doctors’ dementia diagnoses in consecutive patients presenting for consultation?

• What proportion of people with and without cognitive impairment wants to be informed about a diagnosis of dementia? What arguments are given for and against disclosure?

• Can we improve family doctors’ recognition of mild cognitive impairment and dementia by training them to diagnose these conditions and by having practice nurses perform case finding among older people in whom doctors suspect cognitive impairment? And what is the effect of such case finding and subsequent care on the mental health of older people and their close relatives?

UITNODIGING

Voor het bijwonen van

de openbare verdediging van

mijn proefschrift

DIAGNOSING MILD COGNITIVE IMPAIRMENT

AND DEMENTIA IN PRIMARY CARE

Pim van den Dungen

Vrijdag 13 mei om 13.45 uur

in de aula van

de Vrije Universiteit

De Boelelaan 1105

te Amsterdam

Na afloop bent u van

harte welkom

op de receptie ter plaatse

Paranimfen

Freek Broekhuijse

Marco van Gelderen

[email protected]

Pim van den Dungen

Newtonstraat 15-1

1098GX Amsterdam

[email protected]

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