Idiopathic normal pressure hydrocephalus (iNPH) is known as a “treatable dementia”. In contrast to evident improvement of gait disturbance after surgery, improvement of dementia appears to be equivocal. Herein, we investigate shunt effectiveness on long-term care (LTC). Among 83 patients in SIN2(Study of idiopathic normal pressure hydrocephalus-2), 69 patients, whose LTC data were recorded, were subjected in this study. Data were analysed using generalized linear mixed model.
Disability in LTC significantly improved 12 months after surgery. Dementia in LTC was improved, but were not statistically significant. Random effects did not affect estimates of outcomes. Further investigations for improvement of dementia in iNPH are necessary.
[Purpose] We examined the actual situation of refusal of consultation in dementia and how to deal with
[Subjects and methods] We clinically examined the pathophysiology and outcomes of 11 refusal cases experienced in the past 5 years.
[Results] At our hospital, about 1.8% of people with dementia refused to see doctor.
It was thought that a certain number of people with dementia would be refused consultation. Through consultation activities such as home visits, we succeeded in receiving medical examinations in 5 cases.
In 5 cases, we adopted home-visit medical care.
[Conclusion] Refusal to see a doctor is an important issue in dementia care, it is important to deal with it early.