Aide memoire: What should a memory clinic or a memory assessment service look like?

2016 ◽  
Vol 34 (2) ◽  
pp. 141-146 ◽  
Author(s):  
T. O’Carroll ◽  
K. Glynn ◽  
D. Lyons ◽  
K. Looney
Keyword(s):  
Memory Impairment ◽  
Multidisciplinary Approach ◽  
Diagnosis And Treatment ◽  
Memory Clinic ◽  
Early Assessment ◽  
Allied Health Professionals ◽  
Memory Assessment ◽  
Memory Clinics ◽  
Global Ageing

With the global ageing of our societies and the predicted increase of cognitive impairment and dementia, there is increasing interest in the role and scope of memory clinics or memory assessment services in the early assessment, diagnosis and management of all subtypes of dementia. Memory clinics generally attempt to provide a multidisciplinary approach to the diagnosis and treatment of memory impairment and dementia. However, little consensus exists about the profile or complement of staff that would constitute an ideal memory clinic, and services vary widely in terms of their organisation, remit and functioning. The purpose of this article is to highlight the variation amongst the existing complement of memory clinics in Ireland. The 17 models are compared in terms of their core multidisciplinary service and services available on referral. The Irish National Dementia Strategy recommends a well-coordinated service that provides early diagnosis and treatment, and one with good links to local support agencies. However, many of the services in Ireland lack input from relevant allied health professionals. This article also focusses on one privately funded memory clinic in Ireland which aims to bridge the gap between accurate diagnosis, holistic assessment and follow-up through comprehensive multidisciplinary input. The challenges facing this service are discussed, with particular reference to the difficulties encountered when providing community follow-up by a private sector clinic.

scholarly journals Should old age psychiatry develop memory clinics? A comparison with domiciliary work

2004 ◽  
Vol 28 (3) ◽  
pp. 78-82 ◽  
Author(s):  
S. Simpson ◽  
D. Beavis ◽  
J. Dyer ◽  
S. Ball
Keyword(s):  
Old Age ◽  
Clinical Implications ◽  
Memory Clinic ◽  
Retrospective Case ◽  
Memory Clinics ◽  
Old Age Psychiatry ◽  
Psychiatric Complications ◽  
To Receive ◽  
Case Note Review

Aims and MethodMemory clinics have become very popular in old age psychiatry and there is some pressure for them to be developed in old age services. However, there is little evidence to suggest that they are more advantageous over the traditional domiciliary visits or who should be seen in clinic. This was a naturalistic comparison of 76 consecutive new referrals to a memory clinic, with 74 consecutive new domiciliary requests within the same service over the same period of time. A retrospective case note review collected the clinical features and an 18-month prospective follow-up examined the subsequent clinical management.Clinical ImplicationsThe two groups were characterised more by their similarities than their differences. However, the domiciliary group had greater behavioural and psychological complications. The memory clinic patients were less likely to receive psychotropic medication and here more likely to be followed up.ResultsWe conclude that memory clinics might be less suitable for patients with prominent psychiatric complications. Memory clinics could complement the domiciliary model by providing early psychosocial/neuropsychiatric approaches, although this is likely to lead to an increased clinical case-load.

Child development services: A multidisciplinary approach to professional education via videoconference

2002 ◽  
Vol 8 (3_suppl) ◽  
pp. 19-21 ◽  
Author(s):  
Antoinette Fitzgerald ◽  
Maggie Bailey ◽  
Anthony C Smith ◽  
Kerri Webb ◽  
Diane Keating ◽  
...  
Keyword(s):  
Child Development ◽  
Professional Education ◽  
Health Professionals ◽  
Multidisciplinary Approach ◽  
Response Rate ◽  
Allied Health Professionals ◽  
Technical Aspects ◽  
Case Discussions ◽  
Complex Cases

summary We have piloted a monthly series of multidisciplinary case discussions via videoconference in the area of child development. The project provided a forum for clinical discussion of complex cases, peer review, professional development and networking for allied health professionals and paediatricians. Six sites in Queensland participated in the project; each site presented at least one case for discussion. The videoconferences ran for 90 min each and were attended by an average of 26 health professionals. The response rate for a questionnaire survey was 71%. The respondents rated the effectiveness of case summaries and the follow-up newsletter very positively. Despite some early difficulties with the technical aspects of videoconferencing, the evaluation demonstrated the participants’ satisfaction with the project and its relevance to their everyday practice.

scholarly journals Assessment of Memory among Traumatic Brain Injury Patients during Follow-Up at a Tertiary Health Care Facility in Rural Setting

2021 ◽  
Author(s):  
Anamika Singh ◽  
Raj Kumar ◽  
Ahmad Ansari ◽  
Naresh Pal Singh ◽  
Amit Kant Singh
Keyword(s):  
Traumatic Brain Injury ◽  
Memory Impairment ◽  
Memory Loss ◽  
Uttar Pradesh ◽  
Memory Test ◽  
Term Memory ◽  
Memory Assessment ◽  
Discharge From Hospital ◽  
Memory Status

Abstract Background Head injury is an important public health problem nowadays. Traumatic brain injury (TBI) results from external force that leads to damage to brain tissue. Main causes of TBI are motor vehicle collisions and fall from height. One of the primary symptoms after TBI is impaired word retrieval. Therefore, this study was undertaken to assess memory impairment in TBI patients following treatment to asses a residual memory status to declare them apt for official works if improved enough. Objectives The purpose of this study was to assess memory impairment in TBI patients to assess the residual memory status following treatment. Materials and Methods The study was conducted in Outpatient Department (OPD) of Neurosurgery, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh. The TBI patients were assessed by predesigned memory assessment questionnaire during their follow-up following discharge from hospital. Results A total of 65 patients with TBI were assessed, of which 21 (32.3%) cases had frontal lobe injuries with 9 of 21 having memory loss (42.9% cases). The temporoparietal lobe was affected in 10 (15.4%) cases out of which 5 developed memory loss, that is, 50% cases. The multiple lobes were involved in 24 (36.9%) cases, out of which memory impairment occurred in 9 cases, that is, 37.5%. Four of total five cases (80%) of diffuse axonal injury had memory loss. Further, 16.9% (n = 11) TBI patients were unable to perform digit span test (immediate memory test), 44.6% (n = 29) cases could not perform three-word recall at 5 minutes (short-term memory test), and 15.4% (n = 10) cases could not perform (long-term memory test). Conclusion The study showed that memory assessment is required in TBI patients for instituting proper rehabilitation measures and to allow them for sensitive memory-related work following discharge from hospital.

Concomitants of Depressive Symptoms in Memory Clinic Patients

GeroPsych ◽  
2020 ◽  
pp. 1-8
Author(s):  
Eva-Marie Kessler ◽  
Varinia Frank ◽  
Arne Klostermann ◽  
Oliver Peters ◽  
Thomas Schäfer
Keyword(s):  
Depressive Symptoms ◽  
Sleep Quality ◽  
Memory Impairment ◽  
Minor Depression ◽  
Memory Clinic ◽  
Younger Age ◽  
Memory Clinics ◽  
Explained Variance ◽  
Lower Education ◽  
Subjective Cognitive Complaints

Abstract. This paper investigates how depressive symptoms are related to a comprehensive range of factors including sex, age, education, family history with dementia, subjective cognitive complaints (SCC), objective cognitive impairment, and sleep quality. The sample consisted of 958 memory-clinic patients of a large innercity academic memory clinic in Germany. In line with studies from other countries, 53.1% suffered from minor depression and 11.1% from major depression. In the linear regression (25% explained variance), younger age, lower education, and bad sleep quality were found to be predictors of depressive symptoms, while sleep quality turned out to have the largest effect; SCC and objective memory impairment were insignificant. Results underline the importance of memory clinics as gatekeepers to manage depression beyond the assessment of dementia.

scholarly journals Clinical referral patterns and cognitive profile in mild cognitive impairment

2008 ◽  
Vol 192 (1) ◽  
pp. 59-64 ◽  
Author(s):  
Jane A. Lonie ◽  
Lucie L. Herrmann ◽  
Claire L. Donaghey ◽  
Klaus P. Ebmeier
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Visual Memory ◽  
Memory Impairment ◽  
Amnestic Mild Cognitive Impairment ◽  
Cognitive Profile ◽  
Memory Clinic ◽  
Amnestic Mci ◽  
Memory Clinics ◽  
Increased Sensitivity

BackgroundThere is current interest in exploring the different subtypes of mild cognitive impairment (MCI), in terms of both their epidemiology and their cognitive profile.AimsTo examine the frequency of MCI subtypes presenting to a memory clinic and to document detailed neuropsychological profiles of patients with the amnestic subtype.MethodConsecutive tertiary referrals (n = 187) were psychiatrically evaluated; 45 patients met criteria for amnestic mild cognitive impairment (aMCI). A subgroup of 33 patients with aMCI as well as 21 healthy controls took part in a thorough neuropsychological examination.ResultsOf the patients who were examined in greater neuropsychological detail, ten had pure aMCI (none with visual memory impairment only). Fifteen met criteria for non-amnestic MCI. Fifteen had normal neuropsychological profiles. Using more than one test increased sensitivity to detect episodic memory impairment.ConclusionsAmnestic MCI is an important diagnosis in secondary and tertiary memory clinics. There is scope to improve the efficacy and sensitivity of the clinical assessment of this impairment.

The Memory Clinic: A New Approach to the Detection of Dementia

1987 ◽  
Vol 150 (3) ◽  
pp. 359-364 ◽  
Author(s):  
T. J. M. Van der Cammen ◽  
J. M. Simpson ◽  
R. M. Fraser ◽  
A. S. Preker ◽  
A. N. Exton-Smith
Keyword(s):  
Memory Impairment ◽  
The Elderly ◽  
Research Unit ◽  
Experimental Basis ◽  
Memory Clinic ◽  
New Approach ◽  
Early Dementia ◽  
Memory Clinics ◽  
University College London ◽  
Geriatric Research

Memory impairment is a salient and early feature of developing dementia, but in practice is often not recognised until it has reached an advanced stage. The operation described is of a Memory Clinic opened on an experimental basis at the Geriatric Research Unit, University College London, in 1983, with the aim of identifying the causes of memory impairment in the elderly, with particular reference to the early detection of dementia. It proved possible to identify a group of people with early dementia who had previously been undiagnosed, and also to reveal deficiencies in the utilisation of existing services. Memory clinics would be a valuable addition to geriatric and psychogeriatric services.

AAC Supports for Individuals With Rett Syndrome Across the Lifespan

2015 ◽  
Vol 24 (3) ◽  
pp. 74-85
Author(s):  
Sandra M. Grether
Keyword(s):  
Rett Syndrome ◽  
Communication Skills ◽  
Preliminary Analysis ◽  
Multidisciplinary Approach ◽  
Motor Deficits ◽  
Complex Profile ◽  
Communication Behaviors ◽  
The Individual

Individuals with Rett syndrome (RS) present with a complex profile. They benefit from a multidisciplinary approach for diagnosis, treatment, and follow-up. In our clinic, the Communication Matrix © (Rowland, 1990/1996/2004) is used to collect data about the communication skills and modalities used by those with RS across the lifespan. Preliminary analysis of this data supports the expected changes in communication behaviors as the individual with RS ages and motor deficits have a greater impact.

Multidisciplinary Approach of a Very Rare Infected Verrucous Carcinoma of the Scrotum

2019 ◽  
Vol 70 (4) ◽  
pp. 1476-1478
Author(s):  
Laura Raducu ◽  
Adelaida Avino ◽  
Cristina-Nicoleta Cozma ◽  
Sorin Nedelea ◽  
Andra-Elena Balcangiu-Stroescu ◽  
...  
Keyword(s):  
Adjuvant Therapy ◽  
Rare Disease ◽  
Chronic Inflammation ◽  
Male Patient ◽  
Multidisciplinary Approach ◽  
Verrucous Carcinoma ◽  
Surgical Excision ◽  
Diagnosis And Treatment ◽  
Wide Surgical Excision ◽  
The Right

Verrucous carcinoma of the scrotum is an extremely rare disease and most cases are thought to result from poor hygiene and chronic inflammation. Currently, it has not been well characterized, the etiology, diagnosis and treatment remaining poorly understood. We present the case of a 50-year-old male patient diagnosed with verrucous carcinoma of the right hemiscrotum. Wide surgical excision was performed. Favorable outcomes can be achieved by surgery, even without any adjuvant therapy, but patients should be carefully followed up.

PRIMARY MELANOMA OF THE GALLBLADDER MANIFESTED BY ACUTE CHOLECYSTITIS. DESCRIPTION OF A SINGLE CASE

2018 ◽  
Vol 64 (2) ◽  
pp. 253-255
Author(s):  
Oleg Kit ◽  
Yevgeniy Kolesnikov ◽  
Roman Myagkov ◽  
Leonid Kharin ◽  
Yevgeniya Nepomnyashchaya
Keyword(s):  
Acute Cholecystitis ◽  
Mucous Membrane ◽  
Cutaneous Melanoma ◽  
Multidisciplinary Approach ◽  
Single Case ◽  
Primary Melanoma ◽  
Metastatic Lesions ◽  
Long Term Follow Up

Most of melanomas of the gallbladder are metastatic lesions of cutaneous melanoma. Primary melanomas of the gallbladder are described as single, polypoid, intraluminal masses emanating from the mucous membrane. The most important characteristic is the absence of melanoma damage to the skin. If it is not possible to localize primary melanoma a multidisciplinary approach to diagnostic search comes to the fore. Predicting for primary melanoma of the gallbladder is a difficult task due to the small number of cases and the absence of long-term follow-up for this category of patients.

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