Difference between revisions of "Dooley-etal2018"

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(Created page with "{{BibEntry |BibType=ARTICLE |Author(s)=Jemima Dooley; Nick Bass; Rose McCabe |Title=How do doctors deliver a diagnosis of dementia in memory clinics? |Tag(s)=EMCA; In Press; D...")
 
 
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|Author(s)=Jemima Dooley; Nick Bass; Rose McCabe
 
|Author(s)=Jemima Dooley; Nick Bass; Rose McCabe
 
|Title=How do doctors deliver a diagnosis of dementia in memory clinics?
 
|Title=How do doctors deliver a diagnosis of dementia in memory clinics?
|Tag(s)=EMCA; In Press; Dementia; Diagnosis; Memory; Medical EMCA;
+
|Tag(s)=EMCA; Dementia; Diagnosis; Memory; Medical EMCA
 
|Key=Dooley-etal2018
 
|Key=Dooley-etal2018
 
|Year=2018
 
|Year=2018
 
|Language=English
 
|Language=English
 
|Journal=The British Journal of Psychiatry
 
|Journal=The British Journal of Psychiatry
 +
|Volume=212
 +
|Number=4
 +
|Pages=239–245
 
|URL=https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/how-do-doctors-deliver-a-diagnosis-of-dementia-in-memory-clinics/749EE7909A8B1F1C88C35DA8E66A83C7
 
|URL=https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/how-do-doctors-deliver-a-diagnosis-of-dementia-in-memory-clinics/749EE7909A8B1F1C88C35DA8E66A83C7
 
|DOI=https://doi.org/10.1192/bjp.2017.64
 
|DOI=https://doi.org/10.1192/bjp.2017.64

Latest revision as of 18:38, 10 October 2019

Dooley-etal2018
BibType ARTICLE
Key Dooley-etal2018
Author(s) Jemima Dooley, Nick Bass, Rose McCabe
Title How do doctors deliver a diagnosis of dementia in memory clinics?
Editor(s)
Tag(s) EMCA, Dementia, Diagnosis, Memory, Medical EMCA
Publisher
Year 2018
Language English
City
Month
Journal The British Journal of Psychiatry
Volume 212
Number 4
Pages 239–245
URL Link
DOI https://doi.org/10.1192/bjp.2017.64
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

Download BibTex

Abstract

Background Dementia diagnosis rates are increasing. Guidelines recommend that people with dementia should be told their diagnosis clearly and honestly to facilitate future planning.

Aims To analyse how doctors deliver a dementia diagnosis in practice.

Method Conversation analysis was conducted on 81 video-recorded diagnosis feedback meetings with 20 doctors from nine UK memory clinics.

Results All doctors named dementia; 59% (n = 48) approached the diagnosis indirectly but delicately (‘this is dementia’) and 41% (n = 33) approached this directly but bluntly (‘you have Alzheimer's disease’). Direct approaches were used more often with people with lower cognitive test scores. Doctors emphasised that the dementia was mild and tended to downplay its progression, with some avoiding discussing prognosis altogether.

Conclusions Doctors are naming dementia to patients. Direct approaches reflect attempts to ensure clear diagnosis. Downplaying and avoiding prognosis demonstrates concerns about preserving hope but may compromise understanding about and planning for the future.

Notes