Cognitive Prescriptions

Heaton

Eaves

et al. 2011

Self Cite

Nearly 50% of older adults experience difficulty with sleeping, and 21% of older adults also experience cognitive complaints to which sleep difficulties can also contribute to poorer cognitive functioning. Combined, such sleep difficulties and age-related cognitive declines can contribute to poorer performance on everyday activities necessary for independence, quality of life, and successful aging. Activities that may be especially compromised are driving, instrumental activities of daily living, and employment. In nursing practice, it is necessary to understand the relationship between sleep and cognition and what contributes to poorer sleep hygiene and cognitive functioning, whether it is medications and polypharmacy, comorbidities, habits and lifestyle factors, or negative mood. Such an understanding can help nurses provide evidence-based interventions to improve sleep and cognition in older patients. In research, nurses must devise and test ways to improve sleep hygiene and cognitive functioning in older patients with methods such as sleep hygiene education and speed-of-processing training to ameliorate everyday functioning and quality of life.

Section: Implications For Nursing Researchmentioning

confidence: 99%

Sleep and Cognition on Everyday Functioning in Older Adults

Heaton

Eaves

et al. 2011

Self Cite

“…The effects of combining cognitive remediation therapy with cognitive behavioral therapy, a complementary therapy, or both, should be investigated. This combined approach is compatible with the concept of individualized cognitive/behavioral prescriptions, which have been proposed by Vance and his colleagues in patients with HIV/AIDS and in a geriatric population (Vance et al, 2011).…”

Section: Implications For Researchmentioning

confidence: 82%

“…To maximize the concept of a healthy lifestyle, individualized strategies for each BCS can be developed in the form of a cognitive prescription (Vance, Eagerton, Harnish, McKie-Bell, & Fazeli, 2011). Cognitive prescriptions consist of individualized behavioral programs, written in the form of a set of instructions similar to a prescription or formalized behavioral plan, that patients are directed to follow to improve brain health and cognitive functioning.…”

Section: Implications For Nursing Practicementioning

confidence: 99%

Attention and Memory Deficits in Breast Cancer Survivors

Frank

Jukkala

et al. 2014

Self Cite

Breast cancer survivors (BCSs) commonly report deficits in attention and memory, cognitive functions crucial for daily optimal functioning. Perceived deficits are reported before, during, and after adjuvant therapy and affect quality of life throughout survivorship. Deficits of attention and memory are particularly disruptive for BCSs working or attending school who report that subtle impairment diminishes their confidence and their performance at all levels of occupation. Chemotherapy and endocrine therapy contribute to attention and memory deficits, but research findings have not fully established the extent or timing of that influence. Fortunately, potential interventions for attention and memory deficits in BCSs are promising. These include cognitive remediation therapies aimed at training for specific areas of deficit, cognitive behavioral therapies aimed at developing compensatory strategies for areas of deficit, complementary therapies, and pharmacologic therapies.

“…Possible strategies for alleviating cognitive deficits include healthy lifestyle changes (cognitive prescriptions), complementary therapies, pharmacologic treatments, cognitive remediation therapy, or a combination of these options (Frank et al, 2014). Vance, Eagerton, Harnish, McKie-Bell, and Fazeli (2011) suggest that healthy living including adequate sleep, good nutrition, intellectual activity, physical exercise, and socialization has positive effects in both healthy aging and in patients with HIV/AIDS. These basic elements may be presented to patients in the individualized form of a cognitive ''prescription'' designed by the clinician.…”

Section: Interventions For Cognitive Deficits In Bcsmentioning

confidence: 99%

Cognitive Deficits in Breast Cancer Survivors After Chemotherapy and Hormonal Therapy

Frank

Triebel

et al. 2015

Self Cite

Adjuvant treatments, specifically chemotherapy and hormonal therapy, have dramatically increased breast cancer survival, resulting in increased attention to the residual effects of treatment. Breast cancer survivors (BCS) frequently report that cognitive deficits are a particular source of distress, interfering with many aspects of quality of life. The literature on neuropsychological performance measures in BCS supports the reality of subtle cognitive deficits after both chemotherapy and hormonal therapy. This premise is supported by recent imaging studies, which reveal anatomical changes after chemotherapy as well as changes in patterns of neural activation while performing cognitive tasks. This review suggests that, even when performance on neuropsychological performance measures is within normal limits, BCS may be using increased cognitive resources in the face of reduced cognitive reserve. Potential interventions for cognitive deficits after adjuvant therapy include prescriptions for healthy living, pharmacotherapy, complementary therapy, and cognitive remediation therapy directed toward specific cognitive deficits or a combination of several strategies.