Moca blind score8/10/2023 It may be of benefit to standardise cognitive assessments to allow for more direct comparisons to be made, however it is important to note that OTs’ are guided by their clinical reasoning abilities in order to match the appropriate assessment to the patient. This increased insight into cognitive status can provide therapist with increased understanding of patient profiles and highlights the urgent need to adapt rehabilitation practice to cater for these patients. This is a significant finding and concern for a rehabilitation hospital. Vision impairment was associated with poorer. Conclusion: Almost half the patients in the organisation had cognitive assessment scores that would indicate a degree of cognitive impairment. Subjects with vision impairment were less likely to have a MoCA-Blind score of 19 (16.8 vs 36.2, p < 0.001). MOCA BLIND(n=3)1 scored severe (≤10/22) and 2 scored moderate (11-18).Therefore 66 patients scored as "cognitively impaired"- which is 46% of patients within the organisation. Only 2 patients scored as "normal" (≥82/100 on ACE-R (Addenbrookes Cognitive Exam), ≥26/30 on MOCA(Montreal Cognitive Assessment)). Results: 68 patients (48%) had received a cognitive assessment. All patients in the organisation were reviewed and data regarding cognitive assessments and scores were gathered. Methodology: A real time snap shot audit was completed on 15th February 2017 to reflect current patient profiles. These patients are more likely to have cognitive impairment than their younger contemporaries. The patient profile in Clontarf hospital is changing and there is an increase in geriatric rehabilitation patients. Loss of the ability to group words into subsets (e.g.Introduction: Older adults account for 12% of the total population (Central Statistics Office, 2013).36-point total score, 12-point recognition score.Biased against visually impaired and poorly educated.Not as useful or sensitive as MMSE or MOCA for initial diagnosis.Pattern of scoring correlates well with – and hence helps determine – the clinical type of dementia.Correlates well with severity of dementia as seen in poor MMSE scores.Associated score then calculated by the assessor.Set the hands and numbers on the face so that a child could read them. Instruct the patient to draw a clock that says 1:45.Designed to elicit executive impairment.Though different suggestive cut-offs for those disadvantaged are available, they are not validated.Still has some bias against people with poor education.More sensitive at detection of mild dementia (100% sensitivity in some studies).More complete assessment of all aspects of cognition, including visuospacial, attention, word-finding.Montreal Cognitive Assessment (MoCA) – click here Copyrighted and should officially only be accessed via the Psychological Assessment Resourcing (PAR).Poor sensitivity at detected mild/early dementia.Discussion and conclusions: Subtest, domain and MoCA-22 norms will aid in evaluation of the oldest-old who cannot complete the MoCA-30 or are tested over the phone. An MMSE score of 27 is equivalent to a MoCA-30 score of 22 and a MoCA-22 score of 16. Limited examination of visuospacial cognitive ability Results: MoCA-22 total score norms are: mean 18.3(standard deviation 2.2).Biased against people with poor education due to elements of language and mathematical testing. Can provide a method of monitoring deterioration over time.Mini Mental State Exam (MMSE) – click here The following are some of the most common tests utilised, but is by no means an exhaustive list. They all have advantages and disadvantages so the best test should be decided on a case-by-case basis, depending on what additional information one hopes to gain. There are a variety of different cognitive function tests that have been designed and validated to help diagnose and subtype dementia.
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