Memory Loss: A Practical Guide for Clinicians - Expert Consult

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Overview

Memory Loss combines expert guidance, case studies, and diagnostic tests to help you effectively diagnose Alzheimer’s disease and other common dementias. Drs. Andrew E. Budson and Paul R. Solomon cover the essentials of physical and cognitive examinations, laboratory and imaging studies, and the latest treatment approaches. The practical text, diagnostic tests, and online access to a downloadable image bank at www.expertconsult.com are the tools you need to consistently make accurate diagnoses.

• Access the fully searchable text online at expertconsult.com, along with a downloadable image bank.
• Confidently diagnose and treat Alzheimer’s disease and other common dementias through in-depth coverage of clinically useful diagnostic tests and the latest treatment approaches.
• Tap into the expertise of key leaders in the field for clear and practical guidance.
• See how to evaluate and manage both common and uncommon conditions with a full range of detailed case studies.
• Confirm your diagnoses easily with diagnostic tests.
• Carry the book with you and consult it conveniently thanks to its compact, portable format.

A practical guide mirroring clinical workflow intended to be used as a tool for accurately diagnosing dementia for all clinicians. Includes case studies and tests.

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Editorial Reviews

Doody's Review Service
Reviewer: Eric Gausche, MD (University of Illinois at Chicago College of Medicine)
Description: With this book, the authors provide a resource for clinicians who will be caring for the "more than 5 million individuals with memory loss...whether their degree is in medicine, psychology, nursing, social work, or therapies." They succeed admirably, covering the basics of dementia evaluation, differential diagnosis, treatment (pharmacological and nonpharmacological), and psychosocial issues.
Purpose: The purpose is twofold. First, "Primary care providers, nurses, psychologists, and students will find this book a very practical, clinically oriented guide that helps them know what to do when sitting in the office with a patient complaining of memory loss." Second, "Specialists...will find this book a wealth of up-to-date information regarding the latest diagnostic tools and treatments for their patients with memory loss." With the aging of the population, the recognition and treatment of dementias will increasingly come to be a set of essential skills for any clinician. Overall, this book meets its first objective admirably. It almost meets its second objective, but overall the book appears more useful for generalists than specialists.
Audience: Although the book is written for both generalists and specialists, students and experienced clinicians, the more appropriate audience appears to be students and generalists, rather than neurological or neuropsychiatric specialists. Both authors are authorities in the area of neurodegenerative dementias.
Features: The book covers the daunting subject of the evaluation, differential diagnosis, and treatment of patients with dementing illnesses. All chapters start with a point-by-point summary of the content, rapidly orienting readers. Section II on several of the main dementias is excellent. A topic that could have been better covered is that of rapidly progressive dementia, which has a different differential diagnosis and workup beyond that of dementias with a more insidious onset. The book addresses this topic once, in Box 11.2: Differential Diagnosis of Rapidly Progressive Dementias, but there is no real discussion. A feature that some will find useful, but I found distracting, is the frequent use of boxes set apart from the main text. Take, for example, Chapter 12: Other Disorders. In this chapter, which is 12 pages long, there are four such boxes. Two of them are completely appropriate (Box 12.3: Common Classes or Properties of Medication Causing Cognitive Dysfunction and Box 12.4: Contact Sports that Have Been Associated with Multiple Concussions), as they are long lists that are not easy to integrate into the body of the text. However, the other two boxes serve to disengage readers from the flow of the text, and the information they present could have been easily incorporated: 12.1: Rule of Thumb (a description of the old cliche that poor insight into memory problems is indicative of dementia of the Alzheimer's type) and 12.2: Pseudodementia (a paragraph on the concept of depressive pseudodementia). These are, however, nitpicks about a book that is, overall, well written and useful. Another potential shortcoming is the authors' laudable ambition to engage readers at all levels of expertise. The need to cover sufficient background material to engage students and generalists leaves less room for material more pertinent for specialists and subspecialists.
Assessment: This is a very good addition to the books on dementias. It is written in a clear style, albeit with some distracting elements in the layout. It will be very useful to readers who are students or generalists, but neurological or neuropsychiatric specialist may want more detail than this book provides.
From the Publisher
The cohesive text is an appealing blend of personal experience and clinical anecdotes, and is supported by a firm command of the rapidly changing clinical literature. The writing is crisp, lucid and, above all, practice-oriented … Budson and Solomon are especially adroit in identification of controversies, knowledge gaps, and areas in which diagnostic criteria are ill-defined or difficult to apply (eg, fluctuating cognition in dementia with Lewy bodies). Readers are not abandoned without guidance; ambiguities are resolved by confident descriptions of personal approaches to specific situations … The book is an incredible compilation of practical advice. (Lancet Neurology, March 2012)

"From the point of view of the busy clinician working in the trenches but looking for a practical and cutting-edge guide, Doraiswamy said he cannot think of a better book, noting, ‘This is the clinical book of the year in our field.’" (Alzheimer's Research Forum review, December 2011)

"Few books provide both a comprehensive review and a step-by-step guide. I strongly recommend this book to all those who treat patients with memory loss-physicians, social workers, psychologists, nurses-at every level of training and experience." - P. Murali Doraiswamy, M.D.(Professor & Head, Division of Biological Psychiatry, Duke University, and co-author of The Alzheimer’s Action Plan)

"Memory Loss: A Practical Guide for Clinicians provides the assessment, diagnostic and therapeutic insights clinicians need to provide exemplary care to memory impaired patients. Don’t go to the clinic without it." - Jeffrey L. Cummings, M.D. (Director, Cleveland Clinic Lou Ruvo Center for Brain Health, The Andrea L. and Joseph F. Hahn MD Chair of Neurotherapeutics)

"Designed for easy reference to satisfy the real time needs of clinicians in hectic clinical settings, I’m sure this volume will be dog-eared in short order given its clear no-nonsense style." - Neil W. Kowall, M.D. (Professor of Neurology and Pathology, Boston University School of Medicine, Director, Boston University Alzheimer’s Disease Center,Chief, Neurology Service, Boston VA Healthcare System)

"This book summarizes complex material in a manner that benefits clinical practitioners at all levels. This is an excellent addition to the library of professionals serving older adults." - Maureen K. O’Connor, (Psy.D., ABCN, Chief, Neuropsychology Service, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA)

"This is a very good addition to the books on dementias. With this book, the authors provide a resource for clinicians who will be caring for the more than 5 million individuals with memory loss, whether their degree is in medicine, psychology, nursing, social work, or therapies. Primary care providers, nurses, psychologists, and students will find this book a very practical, clinically oriented guide that helps them know what to do when sitting in the office with a patient complaining of memory loss. Specialists will find this book a wealth of up-to-date information regarding the latest diagnostic tools and treatments for their patients with memory loss."

- Eric Gausche, MD, University of Illinois at Chicago College of Medicine

4 Star- Doody Rating, March 2013

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Product Details

  • ISBN-13: 9781416035978
  • Publisher: Elsevier Health Sciences
  • Publication date: 7/14/2011
  • Pages: 320
  • Sales rank: 959,596
  • Product dimensions: 7.50 (w) x 9.20 (h) x 0.70 (d)

Table of Contents

SECTION I EVALUATING THE PATIENT WITH MEMORY LOSS

CHAPTER 1 Why Diagnose and Treat?...................................................................1

CHAPTER 2 Evaluating the Patient with Memory Loss ............................................4

SECTION II DIFFERENTIAL DIAGNOSIS OF MEMORY LOSS

CHAPTER 3 Alzheimer’s Disease.........................................................................43

CHAPTER 4 Mild Cognitive Impairment ...............................................................71

CHAPTER 5 Dementia with Lewy Bodies (Including Parkinson’s

Disease Dementia) ...........................................................................79

CHAPTER 6 Vascular Dementia and Vascular Cognitive

Impairment ......................................................................................91

CHAPTER 7 Frontotemporal Dementia................................................................104

CHAPTER 8 Progressive Supranuclear Palsy .....................................................118

CHAPTER 9 Corticobasal Degeneration .............................................................128

CHAPTER 10 Normal Pressure Hydrocephalus.....................................................136

CHAPTER 11 Creutzfeldt-Jakob Disease..............................................................143

CHAPTER 12 Other Disorders..............................................................................148

SECTION III TREATMENT OF MEMORY LOSS

CHAPTER 13 Goals of Treatment.........................................................................163

CHAPTER 14 Cholinesterase Inhibitors................................................................166

CHAPTER 15 Memantine (Namenda) ...................................................................184

CHAPTER 16 Vitamins, Herbs, Supplements, and Anti-Inflammatories...................193

CHAPTER 17 Future Treatments of Memory Loss .................................................199

CHAPTER 18 Non-Pharmacological Treatment of Memory Loss ............................214

SECTION IV BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS

OF DEMENTIA

CHAPTER 19 Evaluating the Behavioral and Psychological

Symptoms of Dementia...................................................................220

CHAPTER 20 Caring for and Educating the Caregiver...........................................228

CHAPTER 21 Non-Pharmacological Treatment of the Behavioral and

Psychological Symptoms of Dementia .............................................236

CHAPTER 22 Pharmacological Treatment of the Behavioral and Psychological

Symptoms of Dementia...................................................................247

SECTION V ADDITIONAL ISSUES

CHAPTER 23 Life Adjustments ............................................................................259

CHAPTER 24 Legal and Financial Issues.............................................................266

CHAPTER 25 Special Issues...............................................................................271

SECTION VI CASE STUDIES..............................................275

ONLINE ONLY APPENDICES: (See inside front cover for details)

APPENDIX A Cognitive Test and Questionnaire Forms, Instructions,

and Normative Data

APPENDIX B Screening for Memory Loss

APPENDIX C Our Current Understanding of Memory

Index.....................................................................................................................289

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Sort by: Showing all of 2 Customer Reviews
  • Posted August 21, 2011

    Every practicing clinician or medical student should own this book!

    As a Family Practice physician my practice has an ever increasing amount of elderly patients. Diagnosing and treating dementia has become a daily occurrence and shows no signs of slowing. "Memory Loss: A Practical Guide for Clinicians" has literally become my bible in the work up of patients with dementia or other memory changes.
    The book is far and away the best organized, most practical, and most comprehensive resource I have seen in nearly 20 years of practice for evaluation and treatment of dementia and memory problems. Dr. Budson and Dr. Solomon cover EVERY aspect the practicing clinician should be familiar with when dealing with memory problems. One thing that struck me the most about the book was how incredibly easy it is to find the information one might be searching for. The chapters are very concise in the topic or topics each covers and there is extensive cross referencing throughout. The index is very thorough also. These factors alone should be enough to make any time-strapped physician or medical student want to have this book for reference.
    The book is extensively researched (over 6 years in the making from what I gather) and contains excellent "evidence based" conclusions and recommendations. There is, however, ample theoretical musing to satisfy the academic yearning that most physicians still retain to some degree. Don't worry if you have lost your "theory and discussion" predilection, though. The down and dirty diagnosis and treatment of memory problems is still the hallmark of this book. It is phenomenal that two of America's top experts in memory and Alzheimer's are able to write so "understandably" for us non-experts without diluting the content (or "dumbing it down", if you will).
    In addition to sorting through various pharmaceutical treatments for dementia (which is to be expected in any clinical guide) this book is exceptionally detailed and helpful in the initial approach to a patient with possible dementia. There is an extensive section on the "Differential Diagnosis of Memory Loss" which explains, contrasts, and compares various memory disorders. This section does a tremendous job of guiding the Non-Neurologist through the various subtle and not so subtle differences between types of memory loss/cognitive function. There are detailed explanations of various in-office cognitive tests and discussion of the particular limitations and strong points of each.
    Perhaps the most important aspect of the book are the sections devoted to the psychological/social/legal/financial issues that accompany dementia and loss of memory/cognition. Most of us have seen the absolutely devastating effects these terrible maladies can have on friends, family, and loved ones of a patient. Most of us, though, are ill equipped to answer most of the questions that families ask us about these topics. The authors do an outstanding job of sorting through most of the problems/questions the average clinician will be faced with. If it isn't answered directly in the book there is at least a guideline of how to get started finding the answers needed.
    I heartily recommend this book to any and all practicing clinicians and medical students. As our population ages we will indeed see a very large increase in the number of patients with Alzheimer's or other memory problems. This book will serve as an outstanding reference on such matters for years to come.
    Dal

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  • Posted August 10, 2011

    An impressive comprehensive resource

    Memory Loss: A Practical Guide for Clinicians is a comprehensive resource that provides detailed profiles of various disorders that cause memory loss. The authors provide information by way of combining their clinical experience with a research basis. It is an all-inclusive resource for individuals that have a role in working with older adults and those with memory loss, from specialists and primary care physicians, to social workers, students, and caregivers. Sophisticated information is described in very understandable language. The quickstart guides, that provide a quick overview of a topic area in the beginning of a chapter, are extremely useful for quick reference. The authors provide full patient case examples, which allow the reader to apply their knowledge from previous chapters. The chapters follow a natural structured format, starting with the quickstart guide, prevalence, prognosis, diagnostic criteria, risk factors, pathology, common signs and symptoms, differentials, and treatment. The authors provide imaging studies throughout the chapters, which aid in illustrating and understanding the changes in the brain. The book also covers very practical issues such as legal and financial decision-making, caregiver issues, and non-pharmacologic treatment for cognition and behaviors. I would recommend this book to a wide audience including those working in memory, with older adult populations, in general practices, students, and caregivers.

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