Assessment of Cognitive Functioning

Question 1

why do we need to consider cognitive functioning?

Answer 1

diagnosis
prognosis
treatment

Question 2

definition of disorientation

Answer 2

Unable to locate themselves in time and place

Question 3

definition of Antero-grade Amnesia

Answer 3

: inability to remember new events/experiences occurred after brain injury

Question 4

what is the purpose of bedside assessment?

Answer 4

to raise the possibility of cognitive impairments which may need further assessment/onward referral and may impact treatment/consent.

Question 5

what is ACE III?

Answer 5

Addenbrooke’s Cognitive Examination- III (ACE-III)

- screening assessment

Question 6

how long does ACE III last?

Answer 6

15 mins

Question 7

what does ACE III include?

Answer 7

language, memory, executive functioning, visuospatial/perceptual

Question 8

what are the assessment considerations?

Answer 8

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.

Question 9

what does the clinical interview/ formal assessment involve?

Answer 9

a test of memory, language, processing speed
attention
exucutive functioning
personalisty
insight
visual spatial