Related Experiment Video
Updated: Aug 15, 2026
10:32
Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 24, 2014
Cognitive impairment on a rehabilitation service
Archives of Physical Medicine and Rehabilitation
|November 1, 1986
Summary
Cognitive impairment is common in elderly rehabilitation patients, with 64% scoring low on the Cognitive Capacity Screening Examination (CCSE). Many physicians were unaware of this impairment, highlighting the need for routine cognitive screening.
Area of Science:
- Gerontology
- Neuroscience
- Rehabilitation Medicine
Background:
- Rehabilitation often necessitates intact cognition for effective patient participation.
- Cognitive impairment prevalence in acute rehabilitation settings, particularly among the elderly, requires investigation.
Purpose of the Study:
- To determine the frequency of cognitive impairment in elderly patients on an acute rehabilitation ward.
- To assess physician awareness of cognitive deficits in these patients.
Main Methods:
- The Cognitive Capacity Screening Examination (CCSE) was administered to 81 patients (aged 44-99).
- Patient demographics, prior dementia history, and physician awareness were recorded.
- Statistical analysis compared CCSE scores based on age and dementia history.
Main Results:
- 52 patients (64%) exhibited cognitive impairment (CCSE score < 20).
- Cognitively impaired patients were significantly older (p < 0.05).
- Physicians were unaware of cognitive impairment in 15% of all screened patients, and 15% of cognitively impaired patients.
Conclusions:
- Routine CCSE screening is valuable for identifying cognitive impairment in rehabilitation patients.
- Early detection of cognitive deficits can improve rehabilitation planning and outcomes.
- The minimal time and cost of CCSE screening outweigh the benefits of early identification.
Related Concept Videos
01:19Restorative Care
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
01:30Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:30Cognitive Development During Adulthood
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
01:30Negative and Cognitive Symptoms of Schizophrenia
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
01:29Intellectual Disability
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
01:25Learning Disabilities
Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
Dyslexia is a...
Dyslexia
Dyslexia is a...