July 06, 2021
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In this video perspective internist Pamela Kushner, MD, FAAFP, discusses how cognitive impairments can affect a patient’s ability to understand their health needs.
Kuschner, a clinical professor at the University of California Irvine and director of the Kushner Wellness Center, summarized her presentation at the workshop Evolving Concepts in the Management of Diabetes and Cardiorenal Metabolic Diseases, held June 18-19 in Dallas.
“The first time you look into diagnosing dementia or cognitive impairment, you want to rule out pathogenic causes,” Kushner told Healio Primary Care. “Is there a drug that could be the cause? Is there any depression that could be causing this? Is there an underlying disease that could be causing it or a lesion in the brain? ”She said.
If none of these problems are identified as the cause, the next step is to examine a patient’s daily activity level. “Do you shower regularly? Are you brushing your teeth? ” said Kushner. “Can you feed yourself?
“All of this has to do with establishing a baseline and deciding, ‘Where can we go from here?'” She said.
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