... reCognition, diagnosis and management revised January 30, 2008Cognitive impairment in the elderly – reCognition, diagnosis and management revised January 30, 2008Diagnostic Code: 290Summary of themostcommonadverseeventsbyAChEItype11AChEI ... 11 End -of- Life Care a. Reviewpatient/familyexpectationsforquality of life and intensity of care and supportb. Discuss initiation or revision of advance care planning with patient and family ... 290ItisestimatedthatAD and relateddementiasaffect8% of Canadiansovertheage of 65.Nationally,thistranslatestoapproximately420,000people.PendingavalidateddementiaregistryinBritishColumbia,itisestimatedthatbetween51,000 and 64,000peoplearecurrentlyaffected,approximately41,000 of whomarefemale.Dementiaprevalenceispositivelycorrelatedwithage.Historically,2.4% of peopleage65to74,11.1% of peopleage75to84, and 34.5% of those85years and olderinCanadahavesomeform of dementia.Ostbye and Crosse(1994)estimatedthetotalannualnetcost of dementiainCanada(healthcare and paid/unpaidcaregiving)tobe$3.9billion.17Basedonthisstudy,theAlzheimerSociety of Canadarecentlyupdatedthisgureto$5.5billiontoreect2003dollars.18Thecurrent and projectedburden of AD and relateddementiashasledtheNationalAdvisoryCouncilonAging and theAlzheimerSociety of Canadatocallforthedevelopment and implementation of anationalstrategydealingwithdementia.Theirpositionpaperoutlines30recommendationswhichinclude...