The neuropsychological evluation process Flashcards
Two purposes in preliminary conversation
General idea of patient’s state of consciousness
Establish fundamental complaints of the phenomenon
Screening scales
Cognitive screening
Utilization
Advantages
Disadvantages
Cognitive screening
Preliminary step to global evaluation
Utilization of screening scales
It has extended into various fields
Advantages of screening scales
It allows for the rapid identification of cases susceptible to deterioration
Disadvantages of screening scales
Some cases may go unnoticed (obtaining normal scores)
Montreal Cognitive Assessment (MOCA) (objetivo)
Detectar trastorno neurocognitivo leve y estadios tempranos de demencia.
Puede usarse en personas de distintas culturas, edades y escolaridades.
Mini-mental State Examination (objetivo)
Detectar deterioro cognitivo leve o demencia.
Su puntuación es altamente influenciada por la edad y escolaridad.
Examples of cognitive screening
MOCA y Mini-mental
Functional capacity
The functional person understands attributes related to health and independence.
Intrinsic capacity: physical, mental and psychological capacities. Nucleous on genetic inheritance, health characteristics (habits or age-relateg changes)
Environment: environmental and cultural factors that can function as facilitators or barriers.
Examples of functional capacity scales
LAWTON Index: Instrumental Activities of Daily Living (Lawton and Brody)
Barthel Index: Basic Activities of Daily Living
Lawton Index: Instrumental Activities of Daily Living (objetivo)
Identificar el grado de independencia de la persona mayor para la realización de las actividades instrumentales de la vida diaria.
Barthel Index: Basic Activities of Daily Living
Evaluate or assess the level of independence that a person has performing basic activities.
Evaluates ten basic activities.
Global Deterioration Scale GDS by Reisberg
One of most popular classifications to assess Neurocognitive disorder (Dementia)
Fllows the theory of retrogenesis (cognitive abilities are lost in the reverse order of their acquisition).
Detemines 7 degrees of deterioration.