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[Approach to the rational management of patients with dementia].

In senile dementia the clinical presentation is not only determined by the mental deficits but also by affective, behavioral and somatic symptoms. Some sequelae are regularly associated with the process and the course of dementia, and therefore largely predictable and preventable. Identification of the complications commonly associated with this disease complex allows prevention and early treatment of states incriminating the natural course of the disease. By this approach a rational management of senile dementia can be achieved.