Assessment of Cognitive Functioning Flashcards
why do we need to consider cognitive functioning?
diagnosis
prognosis
treatment
definition of disorientation
Unable to locate themselves in time and place
definition of Antero-grade Amnesia
: inability to remember new events/experiences occurred after brain injury
what is the purpose of bedside assessment?
to raise the possibility of cognitive impairments which may need further assessment/onward referral and may impact treatment/consent.
what is ACE III?
Addenbrooke’s Cognitive Examination- III (ACE-III)
- screening assessment
how long does ACE III last?
15 mins
what does ACE III include?
language, memory, executive functioning, visuospatial/perceptual
what are the assessment considerations?
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.
what does the clinical interview/ formal assessment involve?
a test of memory, language, processing speed attention exucutive functioning personalisty insight visual spatial