Publications

Treatment Practices of Mild Cognitive Impairment in California Alzheimer’s Disease Centers

Mild cognitive impairment (MCI) is a cognitive syndrome that lies on the continuum between normal aging and dementia. MCI is very common and affects approximately 19% of elders over 65 years of age1. Compared to elders with normal cognition, MCI patients are at a 3-5 times increased risk for developing Alzheimer's Disease (AD) and have a greater rate of mortality2, 3. With the aging of many countries' populations and subsequent expansion of MCI prevalence and incidence, finding treatments that improve MCI symptoms and delay [...]

Pharmacological Treatment of Behavioral and Psychological Symptoms of Dementia (BPSD) in Nursing Homes: Development of Practice Recommendations in a Swiss Canton

Objectives: In 2002, the canton of Fribourg, Switzerland,implemented a coordinated pharmaceutical care service in nursing homes to promote rational drug use. In the context of this service, a project was conducted to develop recommendations for the pharmacological management of behavioral and psychological symptoms of dementia (BPSD) in nursing home residents. Design and Methods: Selected evidence-based guidelines and meta-analysis sources related to the management of depression, insomnia, and agitation in dementia patients were systematically searched and evaluated. Evidence and controversies regarding [...]

Du delirium au syndrome démentiel : prise en charge médicamenteuse dans les EMS fribourgeois

Le syndrome démentiel et l’état confusionnel aigu (ECA) comptent parmi les affections les plus fréquentes chez la personne âgée en établissements médico-sociaux (EMS), dont la moyenne d’âge dépasse les 80 ans. La prise en charge de ces pathologies nécessite une approche coordonnée interdisciplinaire tout au long du processus de soins, du diagnostic à l’application d’un traitement sûr et adéquat. Sur la base d’une systématique de recherche de littérature, le présent article décrit et commente des recommandations pratiques élaborées sous la forme d’algorithmes décisionnels pour la prise en charge médicamenteuse [...]