Neuropsychological Assessments of Dementia in Down Syndrome and Intellectual Disabilities by Vee P. Prasher

Author:Vee P. Prasher
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

The diagnostic process leads to a formulation that brings together information from the various assessments and investigations and finally determines the likely cause of the observed clinical changes and sets them in the context of the individual. This is then the basis for developing an individualized care plan given the diagnosis and knowledge of the individual and his surroundings.

Incorporated in the CAMDEX-DS pack, are CAMDEX, DSM-IV, and ICD-10 criteria for dementia. Each set of criteria takes the form of a systematic checklist (as illustrated in Fig. 7.2). This is included as an aid to summarizing the information gained using the assessment schedule, as it relates directly to each criterion. The numbers of the relevant questions from the informant interview associated with each criterion are presented, and the amount of decline (slight or great) can be recorded. A judgment can then be made as to whether each criterion is met, and a diagnosis made on the basis of this information, in conjunction with information from physical and mental state examinations, cognitive assessments and other investigations. As stressed above, the aim of the CAMDEX-DS is not to provide a substitute for good clinical practice by rather to provide a framework to support the diagnostic process.

Fig. 7.2Example diagnostic criterion

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