Dementia is a progressive neurological condition characterised by a decline in cognition, memory, language and social functioning. It is most common in older people, affecting almost 10% of Australians aged 65 years or above.
After reading this article, pharmacists should be able to:
Competencies (2016) addressed: 1.1, 1.4, 1.5, 3.1, 3.2, 3.3, 3.5.
Accreditation code: CAP1904B
Mrs Atkins, 78 years old, lives at home with her 80-year-old husband. She was diagnosed with Alzheimer’s disease (AD) about five years ago, and has progressed to moderate stage disease. She is dependent on her husband for most activities of daily living. Her extensive medical history includes hypertension, heart failure, hypercholesterolaemia, depression, osteoporosis, urge incontinence and constipation. Over the past few months Mrs Atkins has become increasingly agitated, has wandered outside the home twice, and has fallen repeatedly. She has been referred to you for a medication review. Her medication list is as follows:
|Donepezil||10 mg at night||Alzheimer’s disease|
|Amitriptyline||150 mg at night||Major depression|
|Temazepam||10 mg at night||Insomnia|
|Atorvastatin||10 mg in the morning||Hypercholesterolaemia|
|Alendronate||70 mg on Monday mornings||Osteoporosis|
|Oxybutynin||5 mg at night||Urge incontinence|
|Telmisartan||80 mg in the morning||Hypertension|
|Metoprolol||50 mg in the morning||Chronic heart failure|
|Furosemide||20 mg in the morning when required||Oedema associated with heart failure|
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