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cl:2-major-neurocog-disorder [2019/03/20 21:19]
admin ↷ Links adapted because of a move operation
cl:2-major-neurocog-disorder [2020/04/30 22:11]
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-~~NOTOC~~ 
-====== Major Neurocognitive Disorder ====== 
  
-===== Diagnostic Criteria ===== 
-<WRAP group> 
-<WRAP half column> 
-==== Criterion A ==== 
-Evidence of **//​significant//​** cognitive decline from a previous level of performance in one or more cognitive domains (complex attention, executive function, learning and memory, language, perceptual-motor,​ or social cognition) based on: 
-  - Concern of the individual, a knowledgeable informant, or the clinician that there has been a significant decline in cognitive function; and 
-  - A substantial impairment in cognitive performance,​ preferably documented by standardized neuropsychological testing or, in its absence, another quantified clinical assessment. 
- 
-==== Criterion B ==== 
-The cognitive deficits **//​interfere with independence in everyday activities//​** (i.e., at a minimum, requiring assistance with complex instrumental activities of daily living such as paying bills or managing medications). 
- 
-==== Criterion C ==== 
-The cognitive deficits do not occur exclusively in the context of a delirium. 
- 
-==== Criterion D ==== 
-The cognitive deficits are not better explained by another mental disorder (e.g., [[mood:​1-depression:​home|major depressive disorder]], [[psychosis:​schizophrenia-scz|schizophrenia]]). 
-</​WRAP>​ 
-<WRAP half column> 
-==== Specifiers ==== 
-<​accordion collapsed="​false">​ 
-<panel icon="​fa fa-search-plus"​ size="​xs"​ title="​Etiology Specifier">​ 
-  * Major or Mild Neurocognitive Disorder Due to [[geri:​dementia:​alzheimers|Alzheimer’s Disease]] 
-  * Major or Mild [[geri:​dementia:​frontotemporal|Frontotemporal Neurocognitive Disorder]] 
-  * Major or Mild Neurocognitive Disorder With [[geri:​dementia:​lewy-body|Lewy Bodies]] 
-  * Major or Mild [[geri:​dementia:​vascular|Vascular Neurocognitive Disorder]] 
-  * Major or Mild Neurocognitive Disorder Due to [[:​cl:​tbi|Traumatic Brain Injury]] 
-  * [[cl:​psychiatric-side-effects-of-medications|Substance/​Medication-Induced]] Major or Mild Neurocognitive Disorder 
-  * Major or Mild Neurocognitive Disorder Due to [[cl:​hiv|HIV Infection]] 
-  * Major or Mild Neurocognitive Disorder Due to [[geri:​dementia:​creutzfeldt-jakob-disease-cjd|Prion Disease]] 
-  * Major or Mild Neurocognitive Disorder Due to [[geri:​dementia:​parkinsons|Parkinson’s Disease]] 
-  * Major or Mild Neurocognitive Disorder Due to [[cl:​huntingtons-disease|Huntington’s Disease]] 
-  * Major or Mild Neurocognitive Disorder Due to Another Medical Condition 
-  * Major or Mild Neurocognitive Disorder Due to Multiple Etiologies 
-  * Unspecified Neurocognitive Disorder 
-</​panel>​ 
- 
-<panel icon="​fa fa-signal"​ size="​xs"​ title="​Severity Specifier">​ 
-  * **Mild**: Difficulties with instrumental activities of daily living (e.g. - housework, managing money) 
-  * **Moderate**:​ Difficulties with basic activities of daily living (e.g. - feeding, dressing) 
-  * **Severe**: Fully dependent 
-</​panel>​ 
- 
-<panel icon="​fa fa-user"​ size="​xs"​ title="​Behaviour Specifier">​ 
-**Specify:​** 
-  * **Without behavioral disturbance**:​ If the cognitive disturbance is not accompanied by any clinically significant behavioral disturbance. 
-  * **With behavioural disturbance** (//specify disturbance//​):​ If the cognitive disturbance is accompanied by a clinically significant behavioural disturbance (e.g., psychotic symptoms, mood disturbance,​ agitation, apathy, or other behavioural symptoms). 
-</​panel>​ 
-</​accordion>​ 
- 
-</​WRAP></​WRAP>​ 
- 
- 
- 
-===== Resources ===== 
-== For Clinicians == 
-  * [[https://​www.bcmj.org/​articles/​twelve-tips-assessing-and-managing-mild-cognitive-impairment-and-major-neurocognitive|Balogh,​ K., & Wong, R. Y. (2017). Twelve tips for assessing and managing mild cognitive impairment and major neurocognitive disorder in older people. British Columbia Medical Journal, 59(3), 158-164.]]