Assessment of cognitive function Flashcards
What is PTA? (post traumatic amnesia)
Period of recovery following traumatic brain injury
disorientation
antero-grade amnesia
Define disorientation
Unable to locate themselves in place/time
Define anterograde amnesia
Inability to remember new events or experiences occurred after brain injury
Why do we assess cognitive function?
Help to quickly deliver medical treatment care plan eg driving, work judge capacity of patient assess risk of patient Help make diagnosis
Why do we do bedside assessment?
Raise possibility of cognitive function impairments which may lead to needing further assessment/onward referral and may impact treatment/consent
3 ways to do a bedside assessment
observe
interview
screening assessment
Things that are looked for with cognitive function
memory executive function personality attention language processing speed
Screening assessments used
MMSE?
MOCA
Hodges
ACE 3
What does ACE 3 include and what are its advantages?
language, memory, executive function, perceptual
15 mins, more sensitive
What are some things to consider when assessing the cognitive function of a patient?
hearing, language - do they speak English? fatigue, delirium environment eg noise, privacy eyesight anxiety
What does clinical neuropsychology deal with?
impact of injury/disease on cognition, emotion and behaviour
What we look for in history taking
onset Alleviating/exacerbating psychiatric PMH family developmental eg ADD presenting problem legal implications
