Screening of patients with cognitive impairment when entering a rehabilitation unit

Porte, Patrice; Lahmi, Karine; Auque, Jean-Michel; Carnet, Yves; Galliou, Alain; Preux, Pierre‐Marie; Labourdette, Marc; Zawieja, Philippe; Métais, P

doi:10.1111/j.1447-0594.2011.00715.x

Cited by 4 publications

(4 citation statements)

References 28 publications

(29 reference statements)

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“…This expansion was done because the mapping system was meant to elicit an overview of how the dementia care system is constructed in relation to the stages of the disease. Screening and case finding were regarded as important since they open the way for early diagnosis and treatment (Porte et al., ). Also, standard diagnostics were included as a care and service activity because of their importance in developing a proper care plan.…”

Section: Discussionmentioning

confidence: 99%

Dementia Care in Eight European Countries: Developing a Mapping System to Explore Systems

Hallberg

Leino‐Kilpi

Meyer

et al. 2013

J of Nursing Scholarship

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Section: Discussionmentioning

confidence: 99%

Dementia Care in Eight European Countries: Developing a Mapping System to Explore Systems

Hallberg

Leino‐Kilpi

Meyer

et al. 2013

J of Nursing Scholarship

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“…14,15 Therefore, diagnosing dementia on the basis of MMSE scores alone seems to be flawed. In cases of cognitive function deterioration, [16][17][18][19][20] new diagnostic criteria for dementia based on emotional function may be an effective tool for the care of dementia patients.…”

Section: Introductionmentioning

confidence: 99%

Emotional function in dementia patients

Fujii

Butler²,

Sasaki

2014

Psychogeriatrics

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Behavioural and psychological symptoms of dementia, which can be considered as hyperreactivity of the emotional functioning of dementia, can be alleviated or aggravated by the behavioural and psychological symptoms of the caregiver. Comfortable stimulations of emotional function through sensory stimulations are effective methods for alleviating behavioural and psychological symptoms of dementia. Although cognitive function deteriorates with age, emotional function is often retained even in advanced years. Thus, it is recommended that care in patients with dementia be focused mainly on the stimulation of emotional function (e.g. sympathy and empathy, which are human traits), rather than relying solely on the stimulation of cognitive function.

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“…The aim of rehabilitation is to restore functional capacity in people who have sustained major disability, including managing activities of daily living and returning home . Cognitive impairment is a common comorbidity in patients admitted for inpatient rehabilitation . Older people make up most of the population requiring rehabilitation .…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Cognitive impairment is a common comorbidity in patients admitted for inpatient rehabilitation. [3][4][5] Older people make up most of the population requiring rehabilitation. 1 Cognitive impairment is associated with decreased participation in rehabilitation, poorer functional outcomes, increased length of stay and decreased rates of discharging home.…”

Section: Introductionmentioning

confidence: 99%

The relationship between cognition and functional outcomes in rehabilitation: FIMCog vs. MoCA

Zakharova-Luneva

Cooke

Okano

et al. 2020

Geriatrics Gerontology Int

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Aim To understand the relationship between scores on two standardized measures of cognition, the Montreal Cognitive Assessment (MoCA) and the cognitive subscale of the Functional Independence Measure (FIMCog), and whether these scores can predict functional outcomes in rehabilitation. Methods Retrospective data analysis was conducted on all inpatients admitted to a general rehabilitation unit within a 6‐month period (N = 477). The average age of patients was 74 years. The Functional Independence Measure (FIM) was completed for all patients on admission and discharge. The MoCA was administered to patients on clinical suspicion of cognitive impairment. The MoCA was completed with 116 patients. Cognitive status was assessed using FIMCog and MoCA. The motor subscale of FIM was used to assess functional status in calculating the motor Rehabilitation Functional Gain (mRFG) and motor Rehabilitation Functional Efficiency (mRFE) scores. Discharge destination was also used as an outcome measure. Results There was a moderate correlation between FIMCog and MoCA scores on admission (r = 0.49, P < 0.001). Higher FIMCog and MoCA scores were associated with higher mRFG and mRFE scores. There was an indication that patients with higher MoCA scores were more likely to be discharged to a private residence (adjusted odds ratio 1.11; 95% confidence interval: 0.99, 1.25, P = 0.072). Cut‐off points of <25 on the MoCA (sensitivity 88.9%, specificity 48.9%), and <29 on the FIMCog (sensitivity 77.8%, specificity 53.3%) predicted those patients who were less likely to discharge to a private residence. Conclusions FIMCog and MoCA scores on admission were moderately correlated, and strongly correlated with functional rehabilitation outcomes. The FIMCog and MoCA had moderately high utility in predicting discharge destination. Geriatr Gerontol Int 2020; 20: 336–342.

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Screening of patients with cognitive impairment when entering a rehabilitation unit

Abstract: These findings show the interest of generalizing cognitive impairments screening when entering a rehabilitation unit, in coordination with memory consultations and general practitioners.

Cited by 4 publications

References 28 publications

Dementia Care in Eight European Countries: Developing a Mapping System to Explore Systems

Dementia Care in Eight European Countries: Developing a Mapping System to Explore Systems

Emotional function in dementia patients

The relationship between cognition and functional outcomes in rehabilitation: FIMCog vs. MoCA

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