Cognitive Assessment
Dementia and delirium are common in this population: it is probably expedient to include some kind of screen for cognitive impairment as part of every encounter with an older person. This does not need to be formal testing (using a tool like the Confusion Assessment Method or the MiniCog – see Cognitive Impairment module).
A few questions to assess memory, orientation, and attention – “How did you get here?”, “where are you?” “What is today’s date?” – will often turn up some surprising responses that will have a big impact on your assessment and disposition planning.
Discussion: Cognitive Assessment
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Cognitive assessments can tell you a lot of thing about the injury.
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cog assessments are important
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agreed
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Always include these questions
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good
CAM mini cog
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cognitive infomation
sounds good
agree
mini cog is great
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cognitive assessments can help with identifying delirium or dementia
Pt. wearing slip on slippers, for safety should have a closed back heel to prevent slipping off. You can hear his slippers on the floor, showing a fair/poor step clearance. Good upright posture.
evolve mental health assessment is a good resource
A good history from the family and Mini-Cog are very beneficial
Mini Cog is a nice tool
It’s rough to evaluate at times.
need to know how differ diferente pathologic conditions
hay que saber como aplicar las pruebas y cuales existen
lo importante es tener las herramientas pero mejor es saberlas aplicar
Need to differentiate between delirium, dementia or delirium superimposed on dementia
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Cognitive assessment and good history will help in getting a clear picture of the patients medical issues and the need for psychosicial care.
A combination of collateral history, Mini-Cog and CAM and can differentiate between delirium, dementia or delirium superimposed on dementia
If possible, i try to ask their family members how they find their loved one, typical for the patient or is there a slight change?
I will often use the mini-Cog – it’s quick and easy (around 2-3 mins). If +ve, I ask the FP to perform more intensive neuropsych testing or to refer.
the CAM tool should be used however a corroborative history from family and or care givers is also needed