Evaluating a psychogeriatric domiciliary visit service: views of general practitioners.
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Biomedical subjects
Publications and source records attributed to M W Orrell.
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Alterations in routine and environment can affect clinical state in patients suffering from cognitive impairment. A method for rating life events for changes in routine and environment is described and found to be highly reliable even when used by inexperienced raters after brief training.
An elderly lady, of superior verbal intelligence and with no severe psychiatric condition, severely neglected herself, and required prolonged day patient care. Brain scans showed selective frontal atrophy, and both traditional and new computerised neuropsychological testing demonstrated severe frontal dysfunction.