Challenges in Managing Dementia in a Primary Care Setting: A Case Report

  • Noor A Aziz UKM Medical Centre
  • M Leelavathi UKM Medical Centre
  • Hizlinda Tohid UKM Medical Centre
  • Majmin S Hamzah Dr
Keywords: dementia, elderly, primary care

Abstract

Dementia is a condition that is frequently associated with ageing. However, many fail to recognise that dementia is a treatable condition if detected early. This case report illustrates a 64-year-old man who was initially presented in a primary health care (PHC) centre in Kuala Lumpur Malaysia, with gradual changes in his behaviour. Initial assessment concluded that he suffered from depression and he was treated accordingly. However, over time his condition deteriorated and the diagnosis was re-evaluated from depression to dementia when he developed poor cognitive and memory function. The patient defaulted on his follow-up appointments due to poor understanding of the illness and poor family support.

Author Biographies

Noor A Aziz, UKM Medical Centre
MD (UKM) MMed (FamMed) (Mal) MPhil (UK) Fellow in Stroke Rehabilitation (UK) Associate Professor Department of Family Medicine
M Leelavathi, UKM Medical Centre
Senior Lecturer/Family Medicine Specialist Department of Family Medicine
Hizlinda Tohid, UKM Medical Centre
Trainee Lecturer Department of Family Medicine
Majmin S Hamzah, Dr
Senior Lecturer/Family Medicine Specialist Department of Family Medicine
Published
2009-07-29
Section
Case studies