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Assessment Domains for Identifying Cognitive Impairments in Individuals, Lecture notes of Decision Making

Wrexham Glyndŵr UniversityDecision Making

A comprehensive assessment tool for identifying cognitive impairments in individuals, including functional memory and cognition screening, mental status evaluation, and referrals for further assessment and support. The tool helps assessors determine if an individual requires additional services due to developmental disabilities or related conditions, and identifies the level of support required for cognitive impairments such as attention, communication, judgment, and memory.

Typology: Lecture notes

2021/2022

Uploaded on 09/27/2022

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Assessment Domains
Last update: 6/12/2017 Page 1 of 7
Memory & Cognition
About this Domain (Memory & Cognition)
To identify issues associated with dementia, developmental disabilities, brain injury or other
conditions and to identify for assessment, treatment and services.
This domain includes screening tools to help identify the need for referrals for additional assessment
and treatment. It is not the assessor’s role to render a medical diagnosis.
Functional Memory & Cognition
Does the person have a problem with cognitive functioning due to
developmental disabilities or a related condition, which manifested itself during
the developmental period (birth through age 21), by report or by review of
psychological testing results?
No
Undetermined
Yes – Due to developmental disabilities
Enter psychological testing results: (Displays when this option is checked)
Yes – Due to related conditions and Related Conditions Checklist (form DHS-3848A) has been
completed
Enter psychological testing results: (Displays when this option is checked)
Referral for testing: (Displays when “Undetermined” is checked)
Need referral
Referral made – waiting for testing results
Does this person need assistance for increased vulnerability due to behaviors
caused by a cognitive deficit?
No
Yes
(Next 2 questions display when “Yes” is checked)
Describe:
pf3
pf4
pf5

Partial preview of the text

Download Assessment Domains for Identifying Cognitive Impairments in Individuals and more Lecture notes Decision Making in PDF only on Docsity!

Memory & Cognition

About this Domain (Memory & Cognition)

To identify issues associated with dementia, developmental disabilities, brain injury or other conditions and to identify for assessment, treatment and services.

This domain includes screening tools to help identify the need for referrals for additional assessment and treatment. It is not the assessor’s role to render a medical diagnosis.

Functional Memory & Cognition

Does the person have a problem with cognitive functioning due to

developmental disabilities or a related condition, which manifested itself during

the developmental period (birth through age 21), by report or by review of

psychological testing results?

 No

 Undetermined

 Yes – Due to developmental disabilities

Enter psychological testing results: (Displays when this option is checked)

 Yes – Due to related conditions and Related Conditions Checklist (form DHS-3848A) has been

completed Enter psychological testing results: (Displays when this option is checked)

Referral for testing: (Displays when “Undetermined” is checked)

 Need referral

 Referral made – waiting for testing results

Does this person need assistance for increased vulnerability due to behaviors

caused by a cognitive deficit?

 No

 Yes

(Next 2 questions display when “Yes” is checked)

Describe:

Frequency of assistance needed:

 Less than weekly

 One time per week

 Two times per week

 Three times per week

 4 or more times per week but not daily

 Daily

Does the person have a documented diagnosis of brain injury or related

neurological condition that is not congenital?

 No

 Yes

(Next 4 questions display when “Yes” is checked)

Choose one:

 Acquired or traumatic brain injury

 Degenerative or genetic disease that became symptomatic on or after the person’s 18th^ birthday

What is the diagnosis?

The person has an assessed need for one or more of the following:

  • Specialized provider with experience or expertise appropriate to meet the person’s cognitive or behavior impairments
  • Higher amount of units or rate for services due to cognitive or behavior impairments
  • Service only available through the BI Waiver, regardless of whether or not those needs are met by formal waiver services

 No

 Yes

If ‘Yes’ or ‘Unsure’ was selected, the following questions will be displayed:

Cognitive Impairments – Please check all that apply:

Required Severity Level of Support

Attention/Concentration

Awareness

Communication

Judgment

Learning

Memory

Perception

Planning

Problem Solving

Task Completion

Notes/Comments:

Functional Memory and Cognition has been reviewed and updated?

Yes

Mental Status Evaluation

Ask person only. Score 1 for each incorrect response. In scoring, a “No Response” is treated as incorrect. A correct response is 0. For the memory phrase, have the person repeat the phrase twice before continuing.

Now, I’m going to read you a list of questions. These are questions that are often

asked in interviews like this and we are asking them the same way to everyone.

Some may be easy and some may be difficult. Would this be alright?

 Yes

 Refused (score 29)

 N/A (score 30)

If ‘Yes’ was selected, the following questions will be displayed:

Let’s start with today’s date.

Orientation-Memory-Concentration Test (Katzman et al., 1983)

Items MaximumErrors Score Weight Weighted Score

  1. What year is it now? 1 X 4 =
  2. What month is it now? 1 X 3 =

Memory phrase: Repeat this phrase after me… John Brown, 42 Market Street, Chicago

  1. About what time is it? (Within 1 hour) 1 X 3 =
  2. Count backwards 20 to 1 2 X 2 =
  3. Say the months in reverse order* 2 X 2 =
  4. Repeat the memory phrase (Once) 5 X 2 = TOTAL WEIGHTED SCORE

Referrals & Goals (Memory & Cognition)

What is important to the individual?

Referrals Needed:

Assistive Technology (Displays if checked) Cognitive Diagnostic Evaluation (Used for Rule 185) (Displays if checked) Neuropsychological Assessment (Displays if checked) Occupational Therapist (Displays if checked) Ombudsman (Displays if checked) Primary Health Care Provider (Displays if checked) Other (Displays when ‘Other’ is checked) Other (Displays when ‘Other’ is checked)

Assessed Needs and Support Plan Implications

Referrals & Goals (Memory & Cognition) have been reviewed and updated?

Yes