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Chapter 22 - Assessment of Cognition and Capacity

Published online by Cambridge University Press:  28 April 2020

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

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

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