euro-dementia-care-2017-posters-abstracts

Page 56

Volume 7, Issue 4(Suppl)

J Alzheimers Dis Parkinsonism, an open access journal

ISSN: 2161-0460

Euro Dementia Care 2017

September 18-19, 2017

Dementia and Dementia Care

September 18-19, 2017 Dublin, Ireland

International Conference on

J Alzheimers Dis Parkinsonism 2017, 7:4(Suppl)

DOI: 10.4172/2161-0460-C1-028

Understanding patient profiles: A snapshot audit of cognitive impairment in a rehabilitation setting

Aisling Davis

Clontarf Hospital, Ireland

Introduction

: Older adults account for 12% of the total population (Central Statistics Office, 2013). The patient profile in Clontarf

hospital is changing and there is an increase in geriatric rehabilitation patients. These patients are more likely to have cognitive

impairment than their younger contemporaries.

Methodology

: A real time snap shot audit was completed on 15th February 2017 to reflect current patient profiles. All patients in

the organisation were reviewed and data regarding cognitive assessments and scores were gathered. 5 wards and 143 patients were

included.

Results

: 68 patients (48%) had received a cognitive assessment. Only 2 patients scored as "normal" (≥82/100 on ACE-R (Addenbrookes

Cognitive Exam), ≥26/30 on MOCA(Montreal Cognitive Assessment)). Therefore 66 patients scored as "cognitively impaired"- which

is 46% of patients within the organisation.

Sub groups

• MOCA(n=32) 5 scored severe (≤10), 12 moderate (11-20) and 16 mild (21-25).

• MOCA BLIND(n=3)1 scored severe (≤10/22) and 2 scored moderate (11-18)

• ACE-R(n= 21): 2 scored severe(≤45/100), 9 moderate(46-65) and 10 mild (66-81)

• Mini ACE-R(n=6):2 scored moderate (≤20/30) and 3 mild (21-25)

• MMSE(n=4):1 scored severe and 3 mild (20-24).

Conclusion

: Almost half the patients in the organisation had cognitive assessment scores that would indicate a degree of cognitive

impairment. This is a significant finding and concern for a rehabilitation hospital. This increased insight into cognitive status can

provide therapist with increased understanding of patient profiles and highlights the urgent need to adapt rehabilitation practice to

cater for these patients. It may be of benefit to standardise cognitive assessments to allow for more direct comparisons to be made,

however it is important to note that OTs’ are guided by their clinical reasoning abilities in order to match the appropriate assessment

to the patient..