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Co-Morbid Medical Illnesses as a Cause for Dementia and Decline

Activity Details
  • Credit Amounts:
    • CME: 1.25
    • CNE: 1.25
    • Other: 1.25
  • Cost: Free
  • Release: Apr 14, 2020
  • Expires: Apr 13, 2023
  • Estimated Time to Complete:
    1 Hour(s)  15 Minutes
  • Average User Rating:
    ( Ratings)


Gregory A.  Jicha Gregory A. Jicha, MD, PhD
Professor, Neurology
Alzheimer's Disease Research Center
Sanders-Brown Center on Aging
University of Kentucky College of Medicine
Lexington, Kentucky

Elaine R.  Peskind Elaine R. Peskind, MD
Friends of Alzheimer's Research Endowed Professor
Professor, Psychiatry and Behavioral Sciences
Associate Director, Alzheimer’s Disease Research Center
University of Washington
Seattle, Washington

Needs Statement

Co-morbid chronic health conditions may be responsible for the appearance of dementia or sudden changes in cognitive, behavioral, and psychiatric symptoms of disease. Such disease states are often overlooked and go untreated as the worsening or appearance of symptoms is erringly attributed to the underlying dementia state. Recognizing and treating co-morbid medical conditions remains a conundrum in persons with dementia that may not always express their symptoms in an understandable way.

Our data demonstrates that 1 out of 3 patients experiencing cognitive decline have a treatable medical condition other than a degenerative dementia responsible for their symptoms, yet these are overlooked by their primary care providers. Comorbid urinary tract infections, pneumonia, arthritic flair ups with intense pain are all well recognized causes of abrupt worsening of dementia; yet some providers have not been educated on the effects of such illnesses and how they interact with an underlying dementia syndrome.

Target Audience

This is for ALL Certified Nursing Facilities personnel in Kentucky.


Upon completion of this educational activity, participants will be able to:

  • Assess acute and chronic health comorbidities on cognitive, behavioral, and psychiatric symptoms that may or may not be associated with an underlying degenerative dementia
  • Demonstrate newly acquired skills utilizing a series of cases in the diagnosis and management of co-morbid medical conditions that may be responsible for or be exacerbating dementia symptoms in the aged population
  • Improve diagnosis and management of chronic health conditions that are distinct, yet interact with underlying dementia conditions


The University of Kentucky College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

ACGME Competencies

  • Patient care

IPE Competencies

  • Values/Ethics for Interprofessional Practice
  • Roles/ Responsibilities

The University of Kentucky, College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC).

This educational activity is offered for a maximum of 1.25 ANCC contact hours.

The Kentucky Board of Nursing (KBN) approves The University of Kentucky, College of Nursing (UKCON) as a provider as well. ANCC and KBN approval of a continuing nursing education provider does not constitute endorsement of program content nor commercial sponsors. The University of Kentucky does not approve commercial products. This educational activity is offered for a maximum of 1.5 KBN contact hours.

Provider #: 3-0008-12-21-0033. In order to receive credit, participants complete this CNE activity and submit a credit application and evaluation form online. Certificates may be printed once the evaluation is completed.

UK Healthcare CECentral certifies this activity for 1.25 hours of participation.

Faculty Disclosure

Elaine R. Peskind, MD (Speaker) has relevant financial relationships with commercial interests as follows:
Avanir, Acadia, and Esai - Scientific Advisory Board - Consultant Fee
Takeda - Adjudication Committee - Consultant Fee

No other speaker, planner, or content reviewer has any relevant financial relationships to disclose. 

The material presented in this course represents information obtained from the scientific literature as well as the clinical experiences of the speakers. In some cases, the presentations might include discussion of investigational agents and/or off-label indications for various agents used in clinical practice. Speakers will inform the audience when they are discussing investigational and/or off-label uses.

Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.


In collaboration with UK Sanders-Brown Center on Aging.