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Chapter 22 - Assessment of Cognition and Capacity

Published online by Cambridge University Press:  28 April 2020

Peter C. Whitfield
Affiliation:
Derriford Hospital, Plymouth
Jessie Welbourne
Affiliation:
University Hospitals, Plymouth
Elfyn Thomas
Affiliation:
Derriford Hospital, Plymouth
Fiona Summers
Affiliation:
Aberdeen Royal Infirmary
Maggie Whyte
Affiliation:
Aberdeen Royal Infirmary
Peter J. Hutchinson
Affiliation:
Addenbrooke’s Hospital, Cambridge
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Summary

The cognitive consequences of traumatic brain injury are wide ranging in severity and presentation. Early assessment of cognition can give indication of severity of injury, prognosis, can guide communication with the patient and inform rehabilitation. At later stages in recovery, cognitive assessment, as part of a wider evaluation, can be used to identify neuroanatomical areas of injury, quantify areas of cognitive deficit and discriminate between influences on cognitive functioning (e.g. primary impact of the brain injury, psychological disturbance, impact of other physical factors such as pain or fatigue). Cognitive assessment can also assist in predicting recovery and the likely future impact on daily living skills, inform adjustments that may need to be made to rehabilitation programmes and measure change as the patient recovers and responds to rehabilitation.

Type
Chapter
Information
Traumatic Brain Injury
A Multidisciplinary Approach
, pp. 275 - 289
Publisher: Cambridge University Press
Print publication year: 2020

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References

Bishop, LC, Temple, RO, Tremont, G, Westervelt, HJ, Stern, RA. Utility of the neuropsychological evaluation in an acute medical hospital. Clin Neuropsychol 2003;17(4):468–73.Google Scholar
Harvey, PD. Clinical applications of neuropsychological assessment. Dialogues in Clinical Neuroscience 2012;14(1):91–9.CrossRefGoogle ScholarPubMed
Hodges, J. Cognitive assessment for clinicians. 3rd edn. New York: Oxford University Press;2017.Google Scholar
Wood, RLL, Rutterford, NA. Demographic and cognitive predictors of long-term psychosocial outcome following traumatic brain injury. J Int Neuropsychol Soc 2006;12(3):350–8.CrossRefGoogle ScholarPubMed
Studerus-Germann, AM, Engel, DC, Stienen, MN, von Ow, D, Hildebrandt, G, Gautschi, OP. Three versus seven days to return-to-work after mild traumatic brain injury: a randomized parallel-group trial with neuropsychological assessment. Int J Neurosci 2017;127(10):900–8.Google Scholar
Galton, C, Erzinclioglu, S, Sahakian, BJ, Antoun, N, Hodges, JR. A comparison of the Addenbrooke’s Cognitive Examination (ACE), conventional neuropsychological assessment, and simple MRI-based medial temporal lobe evaluation in the early diagnosis of Alzheimer’s disease. Cogn Behav Neurol 2005;18(3):144–50.CrossRefGoogle ScholarPubMed
Scheid, R, Walther, K, Guthke, T, Preul, C, von Cramon, DY. Cognitive sequelae of diffuse axonal injury. Arch Neurol 2006;63(3):418–24.CrossRefGoogle ScholarPubMed
Lezak, MD, Howieson, DB, Bigler, ED, Tranel, D. Neuropsychological assessment. 5th edn. New York:Oxford University Press;2012.Google Scholar
Folstein, MF, Folstein, SE, McHeugh, PR. Mini-mental state: a practical method for grading the cognitive state of outpatients for the clinician. J Psychiatric Res 1975;12:189–98.Google Scholar
Noone, P. Addenbrooke’s Cognitive Examination–III. Occupational Med 2015;65:418–20.CrossRefGoogle ScholarPubMed
Matías-Guiu, JA, Valles-Salgado, M, Rognoni, T, Hamre-Gil, F, Moreno-Ramos, T, Matías-Guiu, J. Comparative diagnostic accuracy of the ACE-III, MIS, MMSE, MoCA, and RUDAS for screening of Alzheimer disease. Dement Geriatr Cogn Disord 2017;43(5–6):237–46.CrossRefGoogle ScholarPubMed
Mental Capacity Act. Code of Practice issued by the Lord Chancellor on 23 April 2007 in accordance with sections 42 and 43 of the Act; 2005.Google Scholar
Dimond, B. Legal aspects of mental capacity. a practical guide for health and social care professionals. Malden, MA: Blackwell;2016.CrossRefGoogle Scholar
McMillan, TM. Neuropsychological assessment after extremely severe head injury in a case of life or death. Brain Injury 1996;11:483–90.Google Scholar
McMillan, TM, Herbert, C. Neuropsychological assessment of a potential ‘euthanasia’ case: a 5 year follow up. Brain Injury 2000;14:197203.Google Scholar
Mental Welfare Commission for Scotland. Right to treat: delivering physical heath care to people who lack capacity and refuse or resist treatment. Mental Welfare Commission for Scotland; July 2011Google Scholar
Grisso, T, Applebaum, PS. Assessing competence to consent to treatment. New York:Oxford University Press;1998.Google Scholar
Herbert, C.Assessment of capacity in clients with executive dysfunction. In Oddy, M, Worthington, A, eds. The rehabilitation of executive disorders: a guide to theory and practice. Oxford: Oxford University Press;2009.Google Scholar
Whyte, M, Wilson, M, Hamilton, J, Primrose, W, Summers, F. Adults with Incapacity (Scotland) Act 2000: implications for clinical psychology. Clin Psychol 2003;31:58.Google Scholar

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