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School of Occupational Therapy Master's Capstone Projects (2016-2021)

2016

Cognition

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Comparison Of Four Cognitive Screening Tools: Clinical Utility In A Skilled Nursing Setting And Relationship To Discharge Location, Liliya Bachinskaya, Alina Muller May 2016

Comparison Of Four Cognitive Screening Tools: Clinical Utility In A Skilled Nursing Setting And Relationship To Discharge Location, Liliya Bachinskaya, Alina Muller

School of Occupational Therapy Master's Capstone Projects (2016-2021)

A systematic review of 34 articles was conducted to answer the following clinical questions posed by Joette Jindra, the Director of Rehabilitation, at ManorCare of Tacoma: “Which cognitive screen, out of the four we are currently using, most accurately measures a patient's functional cognitive performance?” and “How well do cognitive tools and measures predict a client’s discharge setting from a skilled nursing facility (SNF)?”. Results indicate the Montreal Cognitive Assessment (MoCA) to be the most clinically useful tool for detecting mild cognitive impairment (MCI) as it demonstrated the greatest sensitivity across studies and diagnoses. The evidence did not support the …


Cognition In Clients With Acute Tetraplegia: Why Assessment Matters, Olivia Allen, Michael Dewilde, Jon-Erik Golob May 2016

Cognition In Clients With Acute Tetraplegia: Why Assessment Matters, Olivia Allen, Michael Dewilde, Jon-Erik Golob

School of Occupational Therapy Master's Capstone Projects (2016-2021)

The authors of this research project collaborated with Sarah Bicker, OTR/L, an acute care therapist working at Harborview Medical Center in Seattle, WA to investigate two clinical questions: [1] “What is the correlation between high-level (C1-C7) spinal cord injury (SCI) and cognitive impairment?” [2] “Which assessments are most effective for evaluating cognition in adult clients who have very limited motor and/or verbal abilities and could potentially be used with clients who have acute high-level spinal cord injuries?” A review of the research revealed that common comorbidities, including orthostatic hypotension, sleep apnea, and traumatic brain injury, often affect cognition in clients …