Special Clinic Services
Special Clinic services
Deva Institute offers special clinic facilities for people who has having complaints related to memory, stress, addictions, and sexuality. Thefollowing special clinics run:
- Recent or Remote, Names/ Events/Recall
- Learned Behaviours
- Anger/Aggression
- Fear/Anxiety/Mood disturbed
- Personality changes
- Changes in biofunctions
Instrumental Work related Activity
Day to Day affair, Planning & Decision makings
Practical
- Dressing/Feeding/Grooming
- Personal hygiene
Physical problems : falls /Injuries/Surgery. Impact on work & family /Risk Assessment.
Acute / Subacute / Insidious.
- Predisposing
- Precipitating
- Perpetuating
- Expressed emotions.
- Distress in caregivers.
To r/o w/o organicity/drug/occupational exposure/substance use /medical comorbidity /Genetic disorder/Degenenative /Infective pathology/ movement problems
EXAMINATION
PHYSICAL SIGNS
Temperature, Pulse/BP, RR, Pallor/Oedema/Cyanosis/Icterus /Signs of Nutritional Deficiency /Abnormal, Pigmentation/Any other physical deformity/manifestation of Systemic Disease
SYSTEMIC EXAMINATION: CVS /Rs/PA
Cognitive functions
- Orientation : T/P/P
- Attention: Serial sever digit substract
- Memory: Recent /Remote /Recall
- Language : Naming /Reading/ Comprehension /Repetition
- Executive functions: Fluency /Decision making /Praxis imitation/ Complex tasks
- Visuospatial function, clock drawing, and Frontal Lobe tests.
Rating Scales : MMSE/ MOCA /ACE
Moter /Sensory /Reflexes/ Abnormal movements /gait
Sensory Assesment: Vision / Hearing /Fundoscopy
- PSYCHOLOGICAL ASSESSMENT
- PSYCHOLOGICAL ASSESSMENT
- INVESTIGATIONS
CBC/ VIT B 12 /Folate/LFT/RFT / TFT/ Lipid profile/ Ceruloplasmin/Heavy Metal /Homocysteine/MMA/Drug Levels.
Immunoassay : TPHA / HIV / HBsAg
Brain Imaging : EEG / PET /SPECT
Pharmacological Intervention:
- Definitive
- Behavioural & psychological Symptoms
- Comorbidity & Medical treatment
- Individual/Group Cognitive training
- Psychoeducation
- Family intervention
- Address Burn Out &Attitude related Issues
