Lecture 44 Assessment of Cognitive Function Flashcards Preview

Neurology > Lecture 44 Assessment of Cognitive Function > Flashcards

Flashcards in Lecture 44 Assessment of Cognitive Function Deck (9)
Loading flashcards...
1
Q

What is the purpose of bedside assessment

A

• Purpose: to raise the possibility of cognitive impairments which may need further assessment/onward referral and may impact treatment/consent.

2
Q

How is bedside assessment carried out

A

o Observation
o Clinical Interview (patient & relative)
o Screening Assessments

3
Q

Name types of screening assessments you would use during bedside assessment

A

MMSE
ACE-III
MOCA

4
Q

Describe MMSE

A

Widely used, however: insensitive to mild impairment or focal deficit, lack of executive assessments

5
Q

Describe ACE-III

A

Sensitivity to mild impairment, differentiation between organic brain disease (dementias), executive assessment
o 15mins
o Includes: language, memory, executive functioning, visuospatial/perceptual
o More sensitive

6
Q

Describe MOCA

A

10 min screening tool, freely available, better sensitivity and specificity than MMSE

7
Q

What needs to be taken into considerations during bedside assessment

A
  • Environmental Factors – privacy, noise, disturbances.
  • Physical Factors – Confusion/delirium, PTA, Fatigue, Illness/infection.
  • Psychological – Anxiety/Mood, Effort/Confidence
  • Accessibility – Language, Eyesight/Hearing, Disability
  • Pre-morbid Factor – Pre-morbid functioning, Education, Occupation, prior injuries/TBI, lifestyle factors.
8
Q

Treatment and common referrals

A
  • Quantifying and monitoring change
  • Pre & Post surgery assessments (tumour, epilepsy)
  • Impact of medication of cognition
  • Rehab potential
  • Behavioural management
  • Cognitive rehabilitation
  • Support and education incl. Families
  • Advice on return to work/education
  • Advice on care requirements
9
Q

What is involved in Formal assessment

A
Memory
Language
Processing speed
Attention/concentration
Executive functioning 
Personality
Insight
Visual spatial

Decks in Neurology Class (44):