Clinical Case Database / Category: Clinical Care
Assessment and management of frontal lobe impairment on a general hospital ward
Publication details
Dr Robyn Thomas, MB BS, Dr Sana Shahid, MB BS, Dr Jim Bolton, MB BS, BSc(Hons), FRCPsych
Foundation Years Journal, volume 5, issue 10, p.5 (123Doc Education, London, December 2011)
Abstract
Frontal lobe impairment can occur as a result of a number of different illnesses, or following trauma. Often, impairment first manifests as a change in a patient's behaviour or personality. This can cause distress for both the patient and their relatives. We describe the case of a man with frontal lobe dysfunction whose behaviour posed challenges for his management on a medical ward.
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Authors
Dr Robyn Thomas, MB BS
Core Trainee in Psychiatry
Dr Sana Shahid, MB BS
Foundation Doctor
Dr Jim Bolton, MB BS, BSc(Hons), FRCPsych
Consultant Liaison Psychiatrist & Honorary Senior Lecturer,
Department of Liaison Psychiatry,
St Helier Hospital, Wrythe Lane,
Carshalton, Surrey SM5 1AA
jim.bolton@swlsg-tr.nhs.uk
References
1. David AS. Basic concepts in neuropsychiatry. In: David AS, Fleminger S, Kopelman MD, et al eds. Organic Psychiatry, 4th edition. Oxford UK: Blackwell Publishing 2009; 3-27.
2. Hodges JR. Cognitive assessment for clinicians, 2nd edition. Oxford UK: Oxford University Press 2007.
3. Folstein MF, Folstein SE, McHugh PR. (1975) ''Mini-mental state''. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 2007; 12:189e98.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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