Vascular dementia

Patients should be seen every 4 to 6 months to monitor progress and mitigate complications. Issues such as daily medication use, functional status, comorbid illnesses, and new signs and symptoms should be discussed. A home safety risk assessment should be made at every visit. The potential need for nursing home placement or additional home-based assistance for caregivers should be assessed.

Driving status should be reassessed at least every 6 months. The American Academy of Neurology has published guidelines for assessment of driving risk in dementia.[71]Iverson DJ, Gronseth GS, Reger MA, et al. Practice parameter update: evaluation and management of driving risk in dementia: report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2010 Apr 20;74(16):1316-24. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2860481 http://www.ncbi.nlm.nih.gov/pubmed/20385882?tool=bestpractice.com Clinicians remain subject to local reporting requirements and associated liability when diagnosing any driver with dementia.