A geriatrician and social worker are facilitating a family meeting for the children and wife of a 79-year-old man who has been diagnosed with Alzheimer disease
What goal of treatment will the clinicians most likely prioritize in their interactions with the family?
A)
Modest reversal of brain plaque formation and improved symptomatology through cholinesterase inhibitors
B)
Surgical treatment of the underlying ischemic changes that underlie the manifestations of the man's disease
C)
The use of medications such as donepezil and rivastigmine to slow the progression of the disease
D)
Cognitive and behavioral therapy to counteract the agitation, depression, and suspiciousness associated with Alzheimer disease
Ans:
C
Feedback:
Cholinesterase inhibitors like donepezil and rivastigmine may slow the progression of Alzheimer's but do not reverse the organic brain changes that characterize the etiology. Ischemic changes are associated with vascular dementia, and cognitive therapy is of limited use in treatment.
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