Mild cognitive impairment

Date Published: 
Wednesday, December 15, 2021

Dr Bronwyn Copeland on the role of primary care in diagnosing and managing mild cognitive impairment (MCI).



  • 00:00 Intro
  • 00:42 MCI - a definition
  • 02:36 How many New Zealanders will be affected by MCI?
  • 03:46 How does normal ageing differ from MCI?
  • 04:56 Does MCI always progress to Alzheimer’s disease or dementia?
  • 06:11 When a patient presents with a memory concern, what clues are we looking?
  • 07:29 What validated screening tools are available?
  • 08:32 What investigations should we consider?
  • 10:24 Proven prevention strategies
  • 12:01 a role for diet
  • 15:28 Lifestyle strategies
  • 16:56 medications
  • 20:28 Can MCI be diagnosed and managed in  primary care?
  • 22:38 education and support for family
  • 23:36 take home messages


Take-home messages

  • General practice is in a really good position to change the trajectory of the patient.
  • Educate the family members and care givers
  • Reassess in 6-12 months’ time




Bronwyn Copeland
Consultant Psychiatrist

Bronwyn is a Consultant Psychiatrist Mental Health Services for Older People Tauranga Hospital and a senior lecturer at the University of Auckland.

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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.