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Untitled Prezi

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on 23 February 2015

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Transcript of Untitled Prezi

Cognition refers to the working of the mind, through which we are able to make sense of the world.
It includes speed of thought, memory, understanding, concentration, ability to solve problems and the use of language.
MMSE
Inform/refer to MDT
Assessing
Who do we see?
Degenerative diseases
Cerebrovascular diseases
Trauma
Neurogenetic
Mild cognitive impairment
Delirium
What is Cognition?
Lobes of the brain...
Frontal
Parietal
Occipital
Temporal
Cerebellum
Interact with surroundings
React to environment
Judgements on daily routines
Memory for habits and motor activities
Emotional responses
Visual attention
Touch perception
Goal directed voluntary movements
Manipulation of objects
Vision
Coordination & voluntary movement
Balance & equilibrium
Some memory for reflex motor acts
Hearing
Memory
Visual perceptions
Categorizing of objects
Cognitive Hierarchy
Executive
functioning
Memory
Information Processing
Visual Processing
Attention
Delirium
Mini-mental state examination
MOCA
Montreal cognitive assessment
Takes 10-12 minutes

26+ considered normal

Due to large language component not suitable to use with aphasia
Characterised by:
acute, fluctuating change in mental state
inattention
altered levels of consciousness
ICD10
20%-30% of people on medical wards have delirium

10%-50% of people having surgery develop delirium
It can be reversible if diagnosed and treated early enough
Takes approximately 7-8 mins
27-30 no impairment
20-26 mild
10-19 moderate
0-9 severe
highly educated may score well but
not recognise a family member
MMSE v's MOCA
Both are brief screening tools which can be completed by an untrained professional
MOCA can be used with someone who is currently not demented but at risk of progressing and getting worse
One study found 58% of patients with a normal MMSE score were found to have a mild impairment using the MOCA
Why does it matter?
Ability to learn new information
Ability to follow directions
Ability to retrieve old information (memory)
Capacity consent to medical treatment
Capacity to make personal care decisions
Will impact on our treatment and ultimately a patient's future
Consider:
Safety
Appropriate sessions Further MDT treatment
Signpost
Assess
Document!
cognition
Thanks for listening
Observations


Insight and judgement:

Do they have an understanding/awareness of:

current medical/social/financial circumstances?

functional abilities/challenges?

Decision making abilities/strategies
Functional abilities - are they engaging?

General appearance - is the person clean?

Emotional state - what is their mood like?
Is behaviour consistent with mood?

Memory - do they have carryover?
Are they retaining information?
Observations
PD & Dementia
Stroke & vascular dementia
Spinal cord & head injury
Huntington's disease & muscular dystrophy
What can we do?
Full transcript