Additional Assessments Additional Assessments Clinicians are encouraged to communicate with the interprofessional team about other resources and next steps in terms of additional assessments that could be provided. The Canadian Best Practice Guidelines 2012 makes reference to additional assessments in Table 7.2B: Summary of Select Screening Tools for Assessment of Vascular Cognitive Impairment in Stroke Patients: http:// strokebestpractices.ca/wp-content/uploads/2013/03/Table7.2B-EN.pdf Other resources the clinician may refer to are: o Stroke Engine www.strokengine.ca/assess/assessmenttool-domains-en.html o Evidenced Based Review www.ebrsr.com http://www.ebrsr.com/uploads/Module-12_cognition.pdf MMSE Background
MMSE was developed to identify dementia, delirium and cognitive changes over time A score of < 26 is an indication of cognitive deficit It lacks sensitivity in detecting mild cognitive impairment and early stages of dementia Additional limitations of the MMSE in the stroke population: Ineffective in differentiating between focal and diffuse lesions Only available in English Performance is dependent on age and education factors Insensitivity to right-sided lesions Mackenzie, G., Gould, L., Ireland, S., LeBlanc, K. and Sahlas, D. (2011) Detecting cognitive impairment in clients with mild stroke or transient ischemic attack attending a stroke prevention clinic, Canadian Journal of Neuroscience Nursing, 33(1) 2011 study by MacKenzie et al. examined 20 patients diagnosed with likely TIA in a stroke prevention clinic All were screened for cognitive function MMSE was administered upon admission to the study and the MoCA
was administered 2 weeks later - scores were then compared Findings demonstrated that the MoCA was more sensitive than the MMSE in determining the presence of mild cognitive impairments Comparison of MMSE and MoCA Scores Instrument Participants scoring in Normal Range (> 26) Mean Score Standard Deviation MMSE 90%
27.9 2.15 MoCA 45% 23.65 4.082 P=<0.05 Mackenzie, G., Gould, L., Ireland, S., LeBlanc, K. and Sahlas, D. (2011) Detecting cognitive impairment in clients with mild stroke or transient ischemic attack attending a stroke prevention clinic, Canadian Journal of Neuroscience Nursing, 33(1) MoCA and the MMSE MoCA is a more sensitive screening tool than MMSE in detecting
the presence of cognitive impairment in acute stroke population. Possible Reasons for Increased Sensitivity: Memory testing involves more words, fewer learning trials and longer delayed recall? More numerous and demanding tasks to assess for visuospatial processing, executive functions, and language abilities. By adjusting the cut off scores it is sensitive to mild post Stroke cognitive impairment (MMSE & MOCA are similar) Godefory et al, Stroke, 2011, (42)
STANFORD-BINET Intelligence Scale evolusi 1904 1905 1908 1911 1916 Binet mendapat tugas dari pemerintah Perancis Terbit skala Binet yang terdiri 30 item Terbit hasil revisi bersama Theodore Simon Ada pembatasan usia subjek Ada pengelompokan item Perluasan proses mental yang diukur...
U.S Expansion and the Spanish American War (1898)Key Terms Imperialism: the actions used by one nation to exercise economic and political domination of a strong nation over other weaker nations Annexation: incorporating a territory within the domain of a country....
5.4 Deleting a Module To delete a specific module of a page, click on the Delete inside the Content module menu. Use this facility with outmost care since modules will be permanently removed once deleted.
Angela . Genge. was employed with Novartis from January 2014 to July 2014. The data has been previously presented as a poster at the 2ndCongress of European Academy of Neurology; May 28-31, 2016, Copenhagen, Denmark.
Competencies. The foster parent knows how to assist in treatment of children with mental health or behavioral disorders, including discussion of feelings and concerns, problem solving, empathic listening, behavior management, de-escalation, sanctioned physical restraint, and assault prevention.
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