HOW A MEMORY CLINIC WORKS
To show how a memory clinic works on a practical level (and in case someone you know is referred to one so that you know what to expect), I have set out below how the clinic at the Royal London Hospital (Mile End) functions, based on their own printed scheme.
• Referrals should be discussed on Wednesday morning with regards to suitability for the memory clinic or day hospital. When necessary a domiciliary visit should be carried out.
• Appointments will be dealt with by X. Transport will be arranged if necessary.
• Where necessary notes should be requested from other agencies, i.e. hospitals, social services, GPs and community psychiatric nurses. If there is very little information about the patient, then check with the geriatric office in case any more details are forthcoming.
• Wednesday, prior to the memory clinic, X should check that we have all the notes for the clients coming to the clinic and those for review.
• On Thursday:
9.00 am clients arrive.
9.15 am will be seen by the doctors and the rest of the team.
1.00 pm team meets to discuss client and formulate plan.
• Plan is then explained to client and relatives. Immediately afterwards the team will meet to discuss the review cases and appoint a key worker who will ensure that all services have been arranged. They will also telephone or contact the client or relatives two months after the review to check that services have happened and that no new problems have arisen and report back to the team.
• After the clinic X will keep a record on the clients who have attended and those who have been reviewed.
• The doctor will write to all the services involved on behalf of the team.
• During the memory clinic the roles are:
Nurses will fill in as many details of history (family and medical) as possible. They will give the health education booklet out and discuss with client and carers any worries they may have, explaining conditions if necessary.
Doctors will do the mini-mental assessment, full physical and blood tests and talk to the relatives.
Social worker will talk to relatives regarding social aspects and explain about the relatives' support group.
Occupational therapist assesses client's ADL (activities of daily living).
• Computer memory testing will be done by a member of the team. Domiciliary visits will be done by one or two members of the team, either before or after the memory clinic visit.
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GENERAL HEALTH
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