ACPIN

Cognitive Screening
What is cognitive screening ?
people suspected to have dementia / stroke wards
-

OTS
Generally done by
-

I/ I1

cognitive screening gives indication at

.

might
-

an what

be not
methodologically

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robust
going on
-

I
→ ¥
more robust measures take multiple hours to

came out
§
Montreal cognitive Assessment (MOCA)

developed to omen
early signs of dementia not
- -

deriqhed for Letter

me with those acutely unwell number
sequencing
-

who are

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Best indicator for stroke

population set .

shifting :

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However ,

We don't me it
you cannot use the

for diagnostic
Moat without a menu Inhibition
)
flexibility
alternate between letters t numbers

purposes . more to
cognitive
give us some clues about cognition of the patient Comprehension -
have to understand task

Inattention min the

final letters 1 numbers
may
MOCA Sustained attention
I on side of page .

literally -
need to be able to read I write

motor control -
of pen to hit
targets

Cube
Drawing
vision need reasonable eyesight 1 stability of gaze ,
-

determine orientation of lines

spatial neglect 1 visual inattention -

couldn't see all the

curse

need to able to is
perception be perceive what curse
-

construction
-
need to replicate 1 funny construction

different type of wise

man control of pen

-

clock
Drawing
spatial judgement -

spacing numbers

communion

motor control -
of pen 1 dexterity
semantic representational knowledge understand what
-

Executive functioning a crook is

typically human behaviours frontal lobe Graphical linguistic system

- -

planning
.

Apathy Recall .

why set of instructions

decision -

making .
multi -

tasking syntax procuring -

hand
pointing at It and 2 not 10 and 11

judgement
'

Impulsivity
-

sequencing
-
 Language Expect similar scores between numbers and wands

'
Normal speech t
language processing and production
is dependent upon interactions between Backwards numbers -

working memory as well as attention

sensory
'

motor letters sequence

-
sustained attention

Cognitive procures
-

forget
.

task goal
-

perseveration
-
verbal or minor Kanin stop repeating)

Impairments can lead to -

Aphasia .
disturbance in
camphrensn.cn/ production Language 11

of speech Repeating sentences

Apraxia -

animating disorder due to

sequencing
✓
Working memory '
Short term memory
- - hold it mind I repeat

✓
and
programing of speech musculature language comprehension
✓ selective attention
Dyslexia -
disordered reading
✓ proven
Dysgrapnia -

impaired writing syntax

Word Retrieval .

SALT team investigates : V Initiation

of word expression
r
Expressive language strategy to access to fit rules
'

sounds ✓
phonology correct speech sell monitoring of errors 1 incorrect
'
- -

✓
'

semantics .
accurate use of word
meanings
short term memory of tune

f procuring speed 60 seconds

syntax grammatically sentences only complete
'

correct to
-
-

written determined
language by memory
'
-

Abstraction
of word meanings and spellings and writing
→
not a domain ; part of executive function
movements cognitive a .

Difficulty presents as person describing in concrete terms

Receptive language rather than

articulating overall quality .

Reading understanding different levels of

'
-

→
written communication Be aware of how you speak -
ie more direct , wh

'

Auditory comprehension
-

understanding euphimnins 1 metaphors, more literal

content of spoken word

Memory
Naming umbrella them for complex ,
overlapping processes
semantic knowledge understanding of what
things mean
-

Perception -
make error but naming similar object memory
'

sensing
'

speed of procuring -

may be slow to name short -

term working long -

term

wand retrieval alien

pomicnlow wand in lexical system
-

1 I
taprenin of language
-

unoomprenensibhel no sound explicit implicit

Attention may miss lion but not other two animals
episodic procedural learning
-
, - -

Attention

Attentional span -

encoding capacity of STM

/ semantic

Autobiographical
Prospective
/ priming
Associative

non -
associative
learning
learning
selective attention .

ability to focus on
target
and manage distractions Addressed by MOCA

Divided attention .

switching component tanks

 Explicit memory -
memories that are consciously
.
consider how findings relate to
function
stored and recalled lomi du other factors may be play
'

which at

episodic memory memories for personal events score is

cognition deficit t nm
neurological factors
-
-
-

€E|
&
it linked to specific time and context

semantic memory .

memory for facts

autobiographical memories recalled from across a

-

person's life

prospective remember in the

remembering to
-

future

Verbal recant learning

✓ Attention -
remember first I last words

✓ learning
✓
strategy ie
grouping
-

✓
speech production to
speak out loud
-

✓ verbal recall
recognition vs recall
-

4
easier

But tells you were proud breaking down

Encoding → Storage → Retrieval

poor recall =
issues with memory encoding ,

storage or retrieval

Better recall I ones =

likely memory retrieval issue

Poor recall I ones =

likely memory encoding / Storage
issue

Non -

Neurological counts for poor MOCA scores

Anxiety '

language barrier / accents

pain
dehydration
'
.

Fatigue '

education

-
Iv confidence -

infection

Hearing Distractions
'
.

.
Motivation -

stress

Face masks
lighting
'

environment 1
.

Ul motor control
'

Summary
-

Be curious about the end score .

what sections
poorly
answered
'

of cognition
'

No pure test
.

Interventions for single cognitive domains be

'

can

problematic