Generic Abilify

MEMORY CLINIC: MONITORING PEOPLE WITH SIGNIFICANT MEMORY LOSS

There will be some people who are on the borderline of having significant memory loss. This group of people can be monitored over a period of time; definite evidence of memory loss will emerge in some (in the absence of other reasons) and the diagnosis of dementia can be made. Within this group (and they do not proceed on to dementia) are those people with benign 'senile' forgetfulness. In this condition there is the intermittent but often frequent inability to remember names, unimportant events and the location of things. A good portrayal of someone with the condition is the Margaret Rutherford character in the film The VIPs. In such people there is no major memory or other defects when formal testing is performed.
The last major grouping will be those in which there is clear evidence of memory loss, often with support of behaviour changes (from carers or direct observation). There may be some insight on the part of the sufferer into the problem (especially in multi-infarct dementia). In addition to memory loss the dementias can also produce other impairments and these too are assessed; examples include difficulty naming objects or finding the right word, failure to understand a written or spoken sentence, trouble dressing, not knowing which bits of clothing go where, emotional lability and personality deterioration.
The memory clinic should not just act as the place where a diagnosis is made - that is only a small part of its role. Following diagnosis there should be ample time for explanation and counseling from all the professionals, including experienced social workers. Where necessary the person and carers should be guided into the various support networks that exist to help any given problem. The memory clinic should act as the centre of a network, where referrals for help and advice come in, and also go out to other agencies perhaps better suited to a particular problem. The memory clinic will also have a research and educational role, developing a pool of people who may be suitable for specialized research projects, medical, psychiatric and social. The clinic should run courses on management, treatment, etc., and hence disseminate the expertise it develops. Health authority and social services should see it as the resource centre for all aspects of care of the elderly mentally infirm.

*77/128/5*
GENERAL HEALTH

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