Donepezil use for advanced Alzheimer's disease--a case study from a long-term care facility

J Am Med Dir Assoc. 2003 Jul-Aug;4(4):216-9. doi: 10.1097/01.JAM.0000075830.81747.72.

Abstract

The following case describes a severely demented, elderly male patient who was placed in a nursing home when he became unmanageable in an assisted-living facility. Upon admission to the nursing facility, the patient was diagnosed with relatively severe Alzheimer's disease (AD)treated with the cholinesterase inhibitor donepezil in the context of a clinical study. This report illustrates that donepezil, and perhaps by analogy other cholinesterase inhibitors as well, can be efficacious in treating the cognitive, functional, and behavioral impairment associated with advanced AD.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Activities of Daily Living
  • Aged
  • Alzheimer Disease / diagnosis
  • Alzheimer Disease / drug therapy*
  • Cholinesterase Inhibitors / therapeutic use*
  • Disease Progression
  • Donepezil
  • Double-Blind Method
  • Drug Monitoring
  • Geriatric Assessment
  • Humans
  • Indans / therapeutic use*
  • Long-Term Care / methods
  • Male
  • Mental Status Schedule
  • Neuropsychological Tests
  • Nootropic Agents / therapeutic use*
  • Piperidines / therapeutic use*
  • Quality of Life
  • Severity of Illness Index
  • Skilled Nursing Facilities*
  • Treatment Outcome

Substances

  • Cholinesterase Inhibitors
  • Indans
  • Nootropic Agents
  • Piperidines
  • Donepezil