scholarly journals A Pilot to Investigate the Feasibility of Mobile Cognitive Assessment of elderly patients and caregivers in the home

2015 ◽  
Vol 02 (03) ◽  
pp. 246-256 ◽  
Author(s):  
Dilip Kulkarni ◽  
Srilata Moningi

AbstractNeuro-cognitive dysfunction quite frequently occurs after major surgery particularly in elderly patients. Cognitive function monitoring becomes an important tool in the perioperative period, especially for patients undergoing neurosurgical procedures as these patients are at a greater risk because of the nature of surgery. Many cognitive assessment tools were described, but selecting a tool or combination of tools to assess depends on preoperative patient condition, availability of informant and post-operative course. The cognitive functioning monitoring is crucial for risk stratification to allow for subsequent prophylaxis, surveillance, and treatment of post-operative cognition dysfunction.


2016 ◽  
Vol 46 (1) ◽  
pp. 30-50 ◽  
Author(s):  
Baptiste Brossard

Based on the observation of around seventy memory consultations, this article provides an analysis of cognitive assessment in the elderly in a Goffmanian perspective. During these interactions, patients run the risk of losing their credibility, given that what they say is both solicited by the geriatrician in order to spot potential daily difficulties and examined as potential signs of dementia. After having described how observed consultations work, the author presents the main strategies that patients seem to develop when doctors place their credibility in doubt and concludes with some reflections about interpretive issues regarding the elderly patients’ behavior during medical assessment.


2021 ◽  
Vol 5 (3) ◽  
pp. 153-157
Author(s):  
Huiling Liu ◽  
Cuiqing Liu ◽  
Chuang Hu ◽  
Xuling Li ◽  
Yahui Zhao ◽  
...  

Objective: To analyze the application of the Mini-Mental State Examination (MMSE) scale in cognitive assessment of elderly patients in a general ward. Methods: Elderly patients who underwent nephrosurgery and thoracic surgery between July 2015 to June 2019 were eligible for the study. A total of 713 patients enrolled and data were collected for the assessment of cognitive status. We analyzed the relationship between cognitive impairment, degree of cognitive impairment, age, and gender. Result: In the 713 cases of cognitive ability assessment by the MMSE, there was cognitive impairment in 21 (4.04%) male patients, and 10 (5.18%) female patients. In addition, the analysis of the correlation between cognitive impairment and gender showed a P value of 0.51, which was not statistically significant. In the participants age research, the average age of the patients in the cognitive normal group was 72.30±6.50 years old, and the average age of the patients in the cognitive impairment group was 78.61±6.90 years old. Their p value was <0.0001, which was statistically significant. Conclusion: There is a correlation between cognitive impairment and age. Therefore, the MMSE helps detect cognitive impairment and potential safety hazards in elderly patients. It is convenient for medical staff to take corresponding measures in time to ensure the safety of the patients.


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