Cognition - Hovland Flashcards
What emotional factors influence cognition?
Grief Depression Anxiety Stress Psychoses Addiction
Hallucination vs delusion?
Hallucinations: perception of phenomena in the absence of stimuli (can be any type of stimuli)
Delusions
Strongly held belief despite evidence to the contrary
What is clanging?
Patient rhymes nonsensically in their speech
What is tangentiality?
Responses are completey in left field from questions
What is derailment?
The individual is able to answer the question directly, but quickly drifts into a series of loosely related topics
What is neologism?
Syntax of sentence and structure is good, but a lot of words are just made up…
What does Dr. Hovland want us to know about heart failure and cognition?
Heart failure can have a big effect on cognition.
Patients may not be able to understand materials that are designed to educate them about their own disease due to their cognitive loss
Why is it important for primary care physicians to pay attention to mental function of older patients and NOT just treat physical symptoms?
FM doctors are in a perfect spot to be able to see these problems and address them as they come up. Problems will be worse if they go unnoticed for long
Older patients with the biggest complaints about memory loss…
probably don’t have Alzheimer’s.
Interesting.
The congitive impairtment article decided that what test is the gold standard for assessing cognitive decline in the elderly?
There isn’t one
Use clinical judgment in combination with the tests that are out there
What is praxis?
Integrity of learned movements
“Show me how you use a hammer”
If you showed a patient pictures of famous movie stars and close friends to see if she recognizes them, what are you testing?
Gnosis: perceptual integrity and recognition.
Could also see if they recognized different colors
