Hospital inpatient provision for patients with dementia.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to D Jolley.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Whether posterior cortical atrophy is a distinct entity or a variant of one of the other degenerative processes continues to be debated. We describe five patients four of whom had bilateral changes of posterior cortical atrophy on the CT scan. These four had a cluster of symptoms consistent with parieto-occiptial dysfunction together with a spectrum of dementia. The fifth patient with unilateral changes had optic ataxia, apraxia of gait and dementia. Three of the five patients were heavy drinkers of alcohol but any direct causal link between alcohol and posterior cortical atrophy is tenuous but alcohol could be a consideration in lowering the threshold for dementia in conjunction with other determinants. The study revealed there is little or no difficulty in recognizing posterior cortical atrophy in the early stages and the end stages are sufficiently uniform to reduce the diagnostic uncertainty.
Psychogeriatric services have been established in most Health Districts of the UK. The distribution is unequal and whilst some communities are receiving better and better service, others have little or no specialist help. Psychogeriatricians are still in short supply and carry heavy workloads and many prefer to join well-developed services rather than experience the stresses of pioneer work in unfashionable areas. Centres of excellence might improve the spread of good practice and broaden their research base by seconding senior staff to deprived areas on short-term or longer-term contracts.
Explore the source record for details and available documents.