Description: This informative book on the clinical evaluation and management of patients with dementia at the Cognitive Function Clinic at the Walton Centre for Neurology and Neurosurgery, a regional neuroscience center in Liverpool, U.K., summarizes the work and data gathered at the clinic over a 14-year period. Although this might seem parochial, the clinic has an apparent large catchment area and is clinically focused as opposed to cherry picking patients, as happens in research-focused clinics. There have been significant advances in the understanding of the dementias and this book describes how these advances can be brought to the bedside at a community dementia clinic. Written and edited by a clinician, this is a welcome addition to the neurology and psychiatry literature.
Purpose: The author states that the purpose of this second edition is "to summarize work undertaken in the setting of the Cognitive Function Clinic" and to "address neurological contributions to the diagnosis and management of dementia through a longitudinal examination of the work undertaken in a dedicated neurological dementia clinic." The author has produced a very informative and pragmatic book.
Audience: The target audience is "neurologists, psychiatrists, geriatricians, primary care physicians, and those working in the fields of neuropsychology, psychology, occupational therapy, speech and language therapy and nursing."
Features: The 10 chapters cover such topics as referral patterns, diagnostic accuracy studies, the history and neurological examination, cognitive screening instruments, noncognitive screening instruments and scales, clinical investigation, descriptions of cognitive syndromes, comorbidities, and dementia disorders, and the management of patients with dementia. Each chapter ends with timely and relevant citations of the scientific literature.
Assessment: This is an informative and practical book. I truly enjoyed the chapter on the neurological examination. Anyone involved in taking care of patients suffering from dementia would benefit from reading this illuminating second edition.