Why Cognition Matters: Impact of Cognitive Impairment on Safety and Independent Living Skills

Transcription

1 Why Cognition Matters: Impact of Cognitive Impairment on Safety and Independent Living Skills Presented by: Dr. William Mansbach CEO & Founder Mansbach Health Tools, LLC

2 Highlights on Prevalence in the Community Over 5 million Americans have Alzheimer s disease (AD), anticipated to be million by 2050 Numbers are vastly greater if you include other dementias and people with Mild Cognitive Impairment (MCI) 15-20% of people 70 and older have MCI

3 Highlights on Prevalence in Long-term Care 10-20% cognitively normal 20-30% MCI 50-60% dementia Note: Less than 12% of ER patients are evaluated using validated cognitive screening tools (based on recent studies).

4 Impact on Caregivers 15 million caregivers of people with dementia Caregiver burden = increased risk in mood, health, and cognitive declines What is ANTHEM?

5 What is Cognition? Cognition is the sixth vital sign Cognition is at the center of our experience Cognition consists of multiple domains Cognition is a fluid process Cognitive Task Manager

6 Highlight on the Cognitive Task Manager (CTM) Attentional abilities Contextual memory Executive functions CTM as predictor of home safety and independent living skills

7 Review of the Cognitive Continuum The Three Cognitive Stages: Bird s Eye View Normal: Inefficiencies but not pathology MCI: The four subtypes Amnestic (amci) Executive (emci) Multi-domain (mmci) Undifferentiated (umci) MCI conversions to dementia Dementia: Mild, Moderate, & Severe

8 The BCAT Approach The BCAT Approach is a unique applied concept for assessing and working with people who have memory and other cognitive impairments. It is designed for any clinical and residential setting in which cognitive functioning and cognitive impairment is a central issue. The BCAT Approach integrates the BCAT Test System, BCAT Brain Rehabilitation Modules, the BCAT Working Memory Exercise Book, and the MemPics series.

9 The Four Components of the BCAT Approach The Test System rapidly, yet comprehensively, assesses current cognitive functioning and depression/anxiety. Online Brain Rehabilitation modules are guided by Test System scores.

10 The Four Components of the BCAT Approach (continued) The BCAT Working Memory Exercises approaches are developed based on patient cognitive capabilities and can be used for acute and post-acute phases of rehab. The MemPics series are designed to produce meaningful engagement in persons with cognitive impairment.

11 The BCAT Test System Descriptions The BCAT was designed as a multi-domain cognitive screening tool that assesses orientation, verbal recall, visual recognition, visual recall, attention, abstraction, language, executive functions, and visuo-spatial processing. Cognitive staging, Memory Factor Score, and Executive Functions Score provide essential clinical information. The BCAT-SF was designed as a shorter version of the full BCAT and can be administered in three minutes or less.

12 The BCAT Test System Descriptions (continued) The BADS was designed as a "process" screening instrument to very rapidly assess depression and anxiety status. It can be administered in three minutes or less. The Kitchen Picture Test of Judgment (KPT) was designed as a visually presented test of practical judgment. It can be administered in less than five minutes. The BCIS was developed not only to track cognitive changes in severely demented patients specifically, but to provide information to better manage behavior problems. It can be administered in less than three minutes.

13 A Close-up of the Main BCAT Sensitive to full cognitive continuum (normal, MCI, dementia) with score ranges Particular emphasis on Mild Cognitive Impairment (MCI) MCI subtypes (amnestic, executive, multi-domain and undifferentiated)

14 A Close-up of the Main BCAT Memory and Executive Functions Factors Full, Memory Factor, Executive Functions Factor scores Helps predict: ADL, IADL, falls, residential placement, person-centered ability to participate in care decisions Interactive website scoring program with test report

15 The BCAT Short Form (BCAT SF): What is it? Abbreviated version of the full BCAT Can be administered in about three (3) minutes Pulls from the three full BCAT clusters Attention Contextual memory Executive functions

16 The BCAT Short Form (BCAT SF): What is it? Has six items 21 points Can be scored online Has a test report Cut score differentiating dementia, MCI (without subtypes), and normal

17 Psychometrics for the BCAT and BCAT-SF Note: These tests have been validated and normed in multiple clinical settings. Each patient population is associated with specific psychometric values.

18 BCAT Interventions for Enhancing Safety and Independence BCAT Working Memory Exercise Book Online Brain Rehabilitation MemPics Book Series

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