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Why attend a memory clinic? What do patients and their families want and/or expect?
Maree Mastwyk1, Briony Dow2,3, Kathryn A Ellis4
1Clinical Research Group, Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australia. maree.mastwyk@florey.edu.au.
Objective:
To explore which symptoms led people to seek a memory clinic assessment and what they wanted and expected from that assessment. Did the patient and family want and/or expect diagnostic disclosure and, if so, why?
Methods:
Patients scheduled for memory clinic appoint-ments received two questionnaires by post prior to clinic attendance - one for the patient, one for the next-of- kin - regarding symptomatology, wants, expectations and rationale.
Results:
Ninety-two per cent of patients (n = 47) and 88% (n = 43) of next-of-kin wanted the patient to be informed of the diagnosis; 84% (n = 43) of patients and 86% (n = 42) of next-of-kin expected the patient to be informed. Rationales for diagnostic disclosure were categorised under themes of planning, treatment, information, coping strategies and rights.
Conclusions:
Patients and families want diagnostic disclosure in order to plan, receive treatment, receive help and learn strategies to cope. This knowledge is seen as the patient's right.
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