Dementia Guide

DESCRIPTION:
IMPORTANT: This app is intended for use by qualified healthcare professionals only. Always seek the advice of a qualified clinician before making any medical or prescribing decisions.

Dementia Pro Guide is a comprehensive evidence-based clinical reference for the assessment and management of dementia. Built for neurologists, geriatricians, old age psychiatrists, GPs, and allied health professionals working with patients with dementia and their families.

DIAGNOSIS AND TYPES
- Comparison table of all dementia subtypes
- Cognitive assessment tools
- Alzheimer's disease
- Vascular dementia: post-stroke dementia, small vessel disease pattern, CADASIL (NOTCH3 mutation), cognitive profile differences from AD
- Dementia with Lewy Bodies
- Frontotemporal dementia
- Investigations

DRUG TREATMENT
- Donepezil (Aricept).
- Rivastigmine (Exelon)
- Galantamine (Reminyl XL)
- Full AChEI side effects management table
- Memantine (Ebixa)
- NICE NG97 prescribing criteria: full table by drug, indication, MMSE threshold, and prescriber
- When to stop dementia drugs
- DLB-specific drug guidance

BPSD MANAGEMENT
- Non-pharmacological first-line approaches
- Identifying and treating BPSD triggers
- Agitation pharmacology
- Antipsychotic risks in dementia:
- Psychosis management
- Depression
- Apathy versus depression
- Sleep disturbance

DRIVING AND LEGAL
- DVLA driving rules
- Mental Capacity Act 2005
- Common capacity decisions in dementia
- Lasting Power of Attorney
- Advance Decision to Refuse Treatment (ADRT): legal requirements for validity, when legally binding
- Deprivation of Liberty Safeguards (DoLS): when to apply, supervisory body, authorisation duration
- Safeguarding adults: types of abuse, signs, who can abuse, referral pathway, financial abuse, carer stress and burnout

DEMENTIA IN HOSPITAL
- 4AT tool: full scoring guide for rapid delirium assessment — alertness (0-4), AMT4 orientation (0-2), attention months backwards (0-2), acute change/fluctuation (0-4)
- Delirium versus dementia comparison table
- Delirium causes
- Anticholinergic burden (ACB) scoring table
- High-risk medication table
- Hospital environment
- Safe discharge checklist

YOUNG-ONSET DEMENTIA
- Comprehensive differential diagnosis table
- Extended investigation screen
- CJD recognition:
- Autoimmune encephalitis

PREVENTION AND RISK REDUCTION
- Lancet Commission 2020
- He