Mental health

Role of a medical review

Question 8: For people with dementia, what is the role of a medical review (including comorbid physical and mental conditions and medication use)?

  • Population: people with dementia
  • Interventions: physical assessment
  • Comparison: placebo/a comparator
  • Outcomes:
    • cognitive functioning
    • functional status
    • behavioural and psychological symptoms of dementia
    • quality of life.


People with dementia should receive an initial and a regular medical review (at least very 6 months) and appropriate care.
Strength of recommendation: STRONG

In people with dementia presenting with behaviour symptoms, a complete physical assessment and medication review should be performed to identify any possible underlying precipitants for these symptoms. Appropriate management of these precipitants should be undertaken before considering use of psychotropic medicines and nonpharmacological interventions.
Strength of recommendation: STRONG

Evidence profile