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Cognition - Coggle Diagram
Cognition
Components of Cognition
What is a cognitive Screen
General consideration:
Age
Medical/health status
Communication/Language
Previous level of education
Cultural Considerations
Environment for testing
Vision/ Hearing
Use guidelines/scripts to ensure consistency
Screening Tools
CLock Drawing Test (CDT)
Montreal Cognitive Assessment (MOCA)
Mini-Mental State Examination (MMSE):
Quantitative for adults
Standardised--> provide scoring instructions and consistent admin guidelines
Brief tool- 10 minute
if administered correctly, MMSe is standardised
Purpose:
Evaluate level of cognition/ impairment, immediate recall, short term verbal memory, language construct ability
Can screen for dementia (NOT SOLE ASSESSMENT)
track cognitive progress/decline/monitor responses to treatment
Precautions:
May not detect mild cognitive impairment
not diagnostic tool
no account of education, pre-morbid level, visual, hearing/language problems
Dont be over reliant on cut off scores} affectable by depression/psychiatric disorders
cant differentiate brain part/dementia type
Folstein's MMSE:
Brief guidelines
Standardised MMSE:
12 questions, 2 sections
a) Verbal responses (Orientation, memory, attention)
b) Ability to name/follow verbal and Written commands, write sentence spontaneously and copy polygon (Difficult for individuals with visual impairment)
Administration:
Initial introduction and explanation of rationale ( ensure wearing glasses/ hearing aids)
Full instructions + Clear to patient prior to commencement and during assessment
All items to be prepared in advance e.g. watch, hearing aid, pen etc
MUST follow order of questions, commence with
"I am going to ask you some questions and give you some problems to solve
please try to answer as best you can
no prompting
reassure individual
can write down questions for individuals with hearing difficulties
Rowland Universal Dementia Assessment Scale (RUDAS)