Clinical Case Database / Category: Patient Management

Rehabilitation in a cognitively impaired patient

Publication details

Lynn Poynter MBChB, MRCP, Michael Vassallo MD, FRCP (Lond), FRCP (Edin), DGM, MPhil, PhD (Soton)
Foundation Years Journal, volume 3, issue 9, p.24 (123Doc Education, London, November 2010)


Mrs EW, an 84-year-old woman, was admitted to the Emergency Department after being found on the floor by her home help. The patient had a past history of dementia and was at risk of falls. After initial management and investigation for possible causes of falls the patient wanted to go home. There were concerns raised about her safety by her daughter who wanted her mother to be admitted to a residential home. The focus of this case based discussion is on rehabilitation in patients with cognitive impairment and discharge planning.

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Lynn Poynter MBChB, MRCP

Specialist Registrar in Geriatric and General Medicine, Royal Bournemouth Hospital

Michael Vassallo MD, FRCP (Lond), FRCP (Edin), DGM, MPhil, PhD (Soton)

Consultant Physician and Foundation Programme Director
in Royal Bournemouth Hospital and Honorary Senior Clinical Lecturer
in Southampton University


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About the Clinical Cases Database

T​he 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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