Transcript MEMORY CLINIC CORK REPORT 2011

THE CORK MEMORY CLINIC
DEPT OF PSYCHIATRY
CORK UNIVERSITY HOSPITAL
AN UPDATE 2011
Dr Owen Egan MD, BSc, MRCPsych
Dr Eleanor Mullan, Consultant Psychiatrist
Memory Clinic
 Developed in South Lee Mental Health
Service (SLMHS) Psychiatry of Old Age (POA)
 Psychiatry of Old Age commenced 2001
 SLMHS POA only one in Cork or Kerry
 Memory Clinic - Established May 2004
Demographics
>65 years
Dementia
Suffers
1850
18500
Population
South Lee
168,000
Population
Cork and
Kerry
580,000
Referral Pathway for Memory
Problems
Psychiatry
of old age
GP
Geriatric
Medicine
Neurology
General
Adult Psych
Referral Source to Memory Clinic
GP
Geriatric
Medicine
General
Adult
Psychiatry
Memory
Clinic
Consultants
from other
specialties
Criteria for Assessment at
Memory Clinic
• > 65 yrs - South Lee Residents with
memory difficulties
•>65 yrs for rest Cork andKerry -2 appointments
(To be discussed )
•< 65 yrs are currently not seen
Features of the Clinic
Alternate
Wednesdays
Elective CT Scan
Slots on the day
2 Clinical Rooms
8-10 review patients
1 Consultant + 2
NCHDs
2-3 new patients
Immediate (on site)
geriatric
assessment if
necessary
Phlebotomy
CXR ECG
Psychiatric
Assess
Carer Needs
Cognitive
ASSESSMENTS
Collateral
Physical
CT Scan
Bloods
Assessment Process
Assessment
1st Appoint
MDT
Meeting
Diagnosis
Information
Provision
Second
Appointment
Information Provision
 Diagnosis
 Prognosis
 Carer Support
 Services
 Advice
- Legal +Financial + Risks
Services
Statutory
HSE
Statutory
Social
Voluntary
Home Help
ASI
Cork Branch
Carers support
group
Psychology
OT
Meals on
Wheels
Respite Care
Cork ALZ
Federation
Carer Assoc
CMHN
SLT
Day Care
Out of catchment Area Assessment
1st
Appointment
• Information gathering
• Examination
• CT Scan
• Bloods
2nd
Appointment
• Results
• Prognosis
• Service Information
• Discharge
New Developments
Extent service
<65

Collaboration
Setting up
database
FUTURE
Genetic
Screening
