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Cognitive Functional Assessment

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Cognitive / Function Assessment Report The goal of the second visit to my client was to do a comprehensive functional assessment, which is physical and cognitive function, including independent performance of basic Activities of Daily Living (ADLs), social activities, or Instrumental Activities of Daily living (IADLs), the assistance needed to accomplish these tasks and sensory ability, cognitive and capacity to ambulate. I started my assessment with the Lawton Instrumental Activities of Daily Living to assess more complex activities necessary for functioning in a community setting, for example, shopping, housekeeping, cooking, managing finances, transportation and taking medications (King 2015). The Lawton IADL Scale took me 10 minutes to …show more content…

In fact, cognitive functioning is an intellectual activity that leads to knowledge, including all means and mechanisms of acquiring information. According to Barbara King (2015) it involves reasoning, memory, and thinking. It is important to detect specific pathologic illnesses such as dementia and delirium; it also regulates an individual willingness to learn and capability to make decision (p.19). We start up with the Geriatric Depression Scale: Short Form tool to identify my client level of depression. This tool has 15 item and easy to administer and score, since the score goes from 0-5 normal and >5 is suggests depression and > or = 10 is always indicative of depression. My client scored 2 according to his answers, which suggest that my client is normal and do not need further assessment. To confirm my findings, I used the Mini-Cog, which is an assessment instrument for cognitive impairment that combines a 3- item recall test with a clock-drawing test (Doerflinger, 2007). It took me 3 minutes to administer it, and it does no require special equipment, and is relatively not influenced by level of education or language variations. In fact, I told three items to my client and asked to repeat back and remember those three items. Then I asked him to draw a clock face with all of the numbers, and next I asked him to draw in the hands of the clock to indicate a certain time. After the patient has drawn the clock face, I asked him to repeat back the three items that were previously stated, which my client did without problem and gain the score of 3. This score indicates no cognitive

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G- CM met with client for weekly case management, to conduct his 30 day ISP, and to continue working on his housing goals. I- CM continued to assess client’s mental health. CM inquired if client attended his appointment (3/30) with Laurie Garza from LAMP VASH. CM conducted a 30 day ISP with client. CM continued to provide emotion support to the client.

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Clinical neuropsychologists also enlighten on how the impairments have affected everyday activities whilst providing education and a professional opinion on the ability to continue or return to everyday activities that may include working, driving and the ability to make decisions. As a neuropsychologist aims for a holistic health approach, they will also consult other professionals in a broad range of environments (Health line,

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Hello, Melissa~~ Great post~~ Actually, I’m not working now as a RN, so my posting is too uncertain. So after read your post, I could understand the way answer to those questions. I searched many kinds of the assessment tools such as Mini Mental State Examination (MMSE), The Mini-Cog, Cognitive impairment in the elderly (IQCDE) and the cognitive skills such as observation (NOSCA). Mini Mental State Examination (MMSE) can be used to monitor the five screening or cognitive sphere; However, MMSE performance is adversely affected by education, age, language, and language. The MMSE score has criticized the administration taking too long.

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Patient N.B. underwent surgery removing areas of her left anterior temporal-lobe to cure epilepsy, sparing the hippocampus, but removing a large area of her perirhinal cortex (Bowles et al, 2007). Her recollection and familiarity were tested using the remember-know procedure, being presented with a word list and asked to state if she recognised the words and if this was based on specific details or familiarity. Her recollection score was higher than average, whereas her familiarity score was lower than average. The remember-know procedure has been criticised for its reliance on an individual report of recollection and familiarity, resulting in variability (Strack & Forster, 1995). Due to this, NB's receiver operating characteristics (ROC) were tested, relying on confidence ratings of old or new items based on recollection and familiarity by stating that they are two individual processes.

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