Dementia: Assessment, Management and Support (NICE NG97)

NICE NG97 provides comprehensive guidance on the assessment, diagnosis, management and support of people with dementia and their carers.

Key Recommendations

• Diagnose dementia using cognitive testing (MMSE, MoCA) and imaging as appropriate
• Offer AChE inhibitors (donepezil, rivastigmine, galantamine) for mild-moderate Alzheimer's
• Memantine for moderate-severe Alzheimer's or if AChE inhibitors not tolerated
• Post-diagnostic support including dementia adviser and carer support
• Review antipsychotics every 3 months — avoid or minimise due to increased mortality risk
• Advance care planning discussions early in the disease course
• Structured activity and cognitive stimulation therapy for mild-moderate dementia