Oksengård A R, Braekhus A, Engedal K, Laake K
Geriatrisk avdeling, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1997 Oct 20;117(25):3678-80.
Dementia and confusion are frequently overlooked by general practitioners. A memory clinic was established at the Department of Geriatric Medicine, Ullevål Hospital in September 1990 with the intention of creating a standardized programme for diagnosing dementia and cognitive impairment in the elderly in an out-patient setting. The activities and services offered by the clinic are described: diagnoses, information to patients, their family and staff in the primary health care system about the symptoms and treatment of dementia. In addition, advice is given on follow-up care and how to apply for care through the national health service. There has been a great demand for the services of the Memory Clinic, and we believe that the methods used are adequate in an out-patient setting. The concept could easily be transferred to other specialist clinics involved with the elderly, and parts of the programme could also be used by general practitioners.
痴呆和意识模糊常常被全科医生忽视。1990年9月，于勒沃尔医院老年医学科设立了一个记忆门诊，目的是制定一套标准化方案，以便在门诊环境中诊断老年人的痴呆和认知障碍。文中描述了该门诊提供的活动和服务：诊断、向患者、其家属以及初级卫生保健系统的工作人员提供有关痴呆症状和治疗的信息。此外，还就后续护理以及如何通过国家医疗服务体系申请护理提供建议。对记忆门诊服务的需求一直很大，我们认为所采用的方法在门诊环境中是足够的。这一理念可以很容易地推广到其他涉及老年人的专科门诊，该方案的部分内容也可供全科医生使用。
