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Related Issues:
Cognition, mentation, confusion, delirium, dementia, depression
Why Mentation is Important:
Normal Age-Related Changes:
Older adults are at increased risk if they have any of the following:
Conditions
Behavioral Risk Factors
Medication-Related Risk Factors
Chemotherapy-Related Risk Factors
Surgery-Related Risk Factors
Radiation Risk Factors
Cancer Diagnoses
Assessment:
1. Screening Questions
2. Observations
3. Screening Tools
4. Physical Assessment: Standard examination with focus on
Nursing Intervention:
Agrell, B. & Dehljn, O. (1998). The clock-drawing test. Age and Ageing, 27, 399-403.
American Association of Neuroscience Nurses (2007). Neurologic assessment of the older adult: a guide for nurses. Glenview, IL: AANN.
Callahan, C., Unverzagt, F., Hui, S., Perkins, A., & Hendrie, H. (2002). Six-Item Screener to Identify Cognitive Impairment Among Potential Subjects for Clinical Research. Medical Care, 40(9), 771-781.
Del Parigi, A., Panza, F., Capurso, C., & Solfrizzi, V. (2006). Nutritional factors, cognitive decline, and dementia. Brain Research Bulletin, 69(1), 1-19.
Ehlenbach, W.J., Hough, C.L., Cranen, P.K., Haneuse, S.J.P.A., Carson, S.S., Curtis, J.R., & Larson, E.B. (2010). Association Between Acute Care and Critical Illness Hospitalization and Cognitive Function in Older Adults. JAMA, 303(8), 763-770.
Panza, F., Capurso, C., D’Introno, A., Colacicco, A., Frisardi, V., Santamato, A., Ranieri, M., Fiore, P., Vendemiale, G., Seripa, D., Pilotto, A., Capurso, A., Solfrizzi, V. (2008). Vascular risk factors, alcohol intake and cognitive decline. The Journal of Nutrition, Health & Aging, 12(6), 376-381.