Dementia is a major challenge for the NHS, with one in six people in their eighties developing the condition. For many people, fear and stigma surrounds the condition, so the GP's role as the first port of call is crucial.

In this episode of the Clinical Update podcast, MIMS Learning’s Rhiannon and Sangeeta draw on the expertise of MIMS Learning’s professional clinical writers and speakers to discuss how primary care can approach the initial assessment process, key differentials such as delirium and depression, and important modifiable risk factors, including hearing loss.

This episode also covers the challenge of 'therapeutic nihilism', latest research on antipsychotic use, and practical approaches to polypharmacy in patients with cognitive impairment.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to:

• Describe the GP's role in the initial assessment of suspected dementia, including history taking and cognitive assessment tools.
• Distinguish presentations of dementia from key differentials, including delirium and depression.
• Recall key modifiable risk factors for dementia, such as smoking, social isolation, and unmanaged hearing loss.
• Understand the risks associated with antipsychotic use in people with dementia and NICE recommendations for their use.
• Recognise 'therapeutic nihilism' and how primary care can support patients and carers through positive language and use of social prescribing.
• Apply a structured approach to medication reviews for patients with dementia.

Presenters

Rhiannon Ashman

Deputy editor, MIMS Learning

Sangeeta Krishnan

Medical editor, MIMS Learning

You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

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