Exam 2: MCI & Dementia Flashcards
(52 cards)
what is MCI?
an early, but abnormal, state of cognitive impairment
now called mild neurocognitive disorder (MND)
diagnostic criteria for MCI/MND
- memory complaint verified by an informant
- objective memory impairment for age
- relatively preserved general cognition for age
- relatively no difficulty with activities of daily living
- not demented
Ax of MCI/MND
- typically conducted by a neurologist or neuropsychiatrist
- variety of tests used to test various domains of cognitive functioning
- standardized cutoff scores for MCI are not available on all Ax boundaries
SLP’s role in MCI/MND
- early detection, intervention, & education
- using reliable and valid screening measures
- providing evidence based interventions
- educating patients and caregivers about EB interventions & recommendations
MCI Screening Tools
MMSE
AQT
MoCA
SLUMS
Info about MCI Screening Tools
3-5 mins
can be used across languages
provides specialized measures of processing speed that require rapid naming of dual-dimension stimuli
evaluates cognitive functions that underlie recognition, executive attention, and working memory
MCI is an early, but abnormal state of
cognitive impairment
The AQT, in conjunction with the MMSE or MoCA or SLUMS, could be used to
screen for MCI
Dementia Management
encompasses assessment, treatment, and documentation of services related to: cog-comm deficits & feeding/swallowing deficits
all dementia services must be
reasonable
necessary
evidence based
initial Ax for persons with dementia
- establish baseline levels of Fx in comparison to prior levels of Fx
- Set functional, measurable and realistic short-term objectives and long-term goals
- clarify whether interventions will be restorative, maintenance-based, or both
12 risk factors that, when managed can decrease the onset of dementia by 40%
- less education
- hypertension
- hearing impairment
- smoking
- obesity
- depression
- physical inactivity
- diabetes
- infrequent social contact
- excessive alcohol consumption
- head injury
- air pollution
degenerative neurologic disorders
dementia syndrome
vascular disease (blood vessels)
dementia syndrome
metabolic disorders
dementia syndrome
tumors
dementia syndrome
trauma
dementia syndrome
infections
dementia syndrome
psychiatric disorders
dementia syndrome
Alzheimer’s disease
degenerative neurologic disorder
primary progressive aphasia (PPA)
degenerative neurologic disorder
Pick’s disease (frontotemporal dementia)
degenerative neurologic disorder
Huntington’s disease
degenerative neurologic disorder
Progressive Supranuclear palsy (PSP)
degenerative neurologic disorder
