Assessment of Mental Status

Finney, Glen R.; Minagar, Alireza; Heilman, Kenneth M.

doi:10.1016/j.ncl.2015.08.001

Cited by 54 publications

(30 citation statements)

References 34 publications

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“…The scale quantifies physical activity duration by a combination of the minutes of exercise per week and the intensity of this exercise (i.e., heavy, modest, or none) [ 36 ]. Baseline global cognitive function was assessed with the Mini Mental State Exam [ 37 ]. Because of the well-established impact of executive function on various aspects of gait [ 7 , 38 ] we also evaluated baseline executive function using two widely used measures, Category Fluency and the Trail Making Test [ 39 , 40 ].…”

Section: Methodsmentioning

confidence: 99%

Can Tai Chi training impact fractal stride time dynamics, an index of gait health, in older adults? Cross-sectional and randomized trial studies

et al. 2017

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PurposeTo determine if Tai Chi (TC) has an impact on long-range correlations and fractal-like scaling in gait stride time dynamics, previously shown to be associated with aging, neurodegenerative disease, and fall risk.MethodsUsing Detrended Fluctuation Analysis (DFA), this study evaluated the impact of TC mind-body exercise training on stride time dynamics assessed during 10 minute bouts of overground walking. A hybrid study design investigated long-term effects of TC via a cross-sectional comparison of 27 TC experts (24.5 ± 11.8 yrs experience) and 60 age- and gender matched TC-naïve older adults (50–70 yrs). Shorter-term effects of TC were assessed by randomly allocating TC-naïve participants to either 6 months of TC training or to a waitlist control. The alpha (α) long-range scaling coefficient derived from DFA and gait speed were evaluated as outcomes.ResultsCross-sectional comparisons using confounder adjusted linear models suggest that TC experts exhibited significantly greater long-range scaling of gait stride time dynamics compared with TC-naïve adults. Longitudinal random-slopes with shared baseline models accounting for multiple confounders suggest that the effects of shorter-term TC training on gait dynamics were not statistically significant, but trended in the same direction as longer-term effects although effect sizes were very small. In contrast, gait speed was unaffected in both cross-sectional and longitudinal comparisons.ConclusionThese preliminary findings suggest that fractal-like measures of gait health may be sufficiently precise to capture the positive effects of exercise in the form of Tai Chi, thus warranting further investigation. These results motivate larger and longer-duration trials, in both healthy and health-challenged populations, to further evaluate the potential of Tai Chi to restore age-related declines in gait dynamics.Trial registrationThe randomized trial component of this study was registered at ClinicalTrials.gov (NCT01340365).

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Section: Methodsmentioning

confidence: 99%

Can Tai Chi training impact fractal stride time dynamics, an index of gait health, in older adults? Cross-sectional and randomized trial studies

et al. 2017

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“…There is insufficient evidence to establish a single tool as a valid criterion standard for assessment of capacity, and the use of any of these assessment tools represents only a part of the clinical assessment of capacity. [29][30][31][32][33] There is significant variability in the clinical application of assessment tools for the assessment of capacity. 34 (Table).…”

Section: Decisional Capacitymentioning

confidence: 99%

Refusal of Emergency Medical Treatment: Case Studies and Ethical Foundations

Marco

Brenner

Kraus

et al. 2017

Annals of Emergency Medicine

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Informed consent is an important component of emergency medical treatment. Most emergency department patients can provide informed consent for treatment upon arrival. Informed consent should also be obtained for emergency medical interventions that may entail significant risk. A related concept to informed consent is informed refusal of treatment. Patients may refuse emergency medical treatment during their evaluation and treatment. This article addresses important considerations for patients who refuse treatment, including case studies and discussion of definitions, epidemiology, assessment of decisional capacity, information delivery, medicolegal considerations, and alternative care plans.

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“…The definition of cognitive impairment frequently varies between studies [5,7] and is regularly pooled under one term; dementia-an umbrella term for a range of neurodegenerative and vascular brain disorders. Normal and impaired cognitive capacity are often differentiated by accepted tools, such as the mini-mental state examination (MMSE), the Montreal cognitive assessment (MoCA), and clinical dementia rating (CDR) [8]. Studies are rarely more specific about diagnoses.…”

Section: Introductionmentioning

confidence: 99%

Combining diagnostic memory clinic with rehabilitation follow-up after hip fracture

et al. 2020

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Aim To specify the various diagnoses of cognitive disorders detected in post-hip fracture follow-up. Findings Previously undiagnosed cognitive disorders are common in older hip fracture patients and are associated with impaired physical functioning and poor nutritional status. Message The assessment of cognitive impairment is important alongside the comprehensive evaluation of hip fracture rehabilitation.

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Assessment of Mental Status

Cited by 54 publications

References 34 publications

Can Tai Chi training impact fractal stride time dynamics, an index of gait health, in older adults? Cross-sectional and randomized trial studies

Can Tai Chi training impact fractal stride time dynamics, an index of gait health, in older adults? Cross-sectional and randomized trial studies

Refusal of Emergency Medical Treatment: Case Studies and Ethical Foundations

Combining diagnostic memory clinic with rehabilitation follow-up after hip fracture

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