Acute Care Setting 7
Protocol 7.1: Function-Focused Care (FFC) Interventions (cont.)
VI. RELEVANT PRACTICE GUIDELINES
Several resources are now available to guide adoption of evidence-based nursing interventions to enhance function in older adults.
1. Agency for Healthcare Research and Quality, National Guideline Clearing- house; http://www.guideline.gov/
2. McGill University Health Centre. Research & Clinical Resources for Evi- dence Based Nursing (EBN); http://www.muhc-ebn.mcgill.ca/
3. National Quality Forum; http://www.qualityforum.org/Home.aspx 4. Registered Nurses Association of Ontario. Clinical Practice Guidelines Pro-
gram; http://www.rnao.org/Page.asp?PageID=861&SiteNodeID=270&BL _ExpandID
5. University of Iowa Hartford Center of Geriatric Nursing Excellence (HCGNE).
Evidence-Based Practice Guidelines; http://www.nursing.uiowa.edu/hartford/
nurse/ebp.htm
Protocol 7.1: Function-Focused Care (FFC) Interventions (cont.)
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eDUcATIOnAL OBjecTIVes
On completion of this chapter, the reader should be able to:
1. discuss the importance of assessing cognitive function 2. describe the goals of assessing cognitive function
3. compare and contrast the clinical features of delirium, dementia, and depression 4. incorporate the assessment of cognitive function into daily practice
OVeRVIeW
Cognitive functioning comprises perception, memory, and thinking—the pro- cesses by which a person perceives, recognizes, registers, stores, and uses infor- mation ( Foreman & Vermeersch, 2004). Cognitive functioning can be affected, positively and negatively, by illness and its treatment. Consequently, assessing an individual’s cognitive functioning is paramount for identifying the presence of spe- cific pathological conditions, such as dementia and delirium, for monitoring the effectiveness of various health interventions, and for determining an individual’s readiness to learn and ability to make decisions (Foreman & Vermeersch, 2004).
Despite the importance of assessing cognitive functioning, physicians and nurses routinely fail to assess an individual’s cognitive functioning (Foreman & Milisen, 2004). This failure to assess cognitive functioning has profoundly serious conse- quences that include the failure to detect a potentially correctable condition of cognitive impairment and death (Inouye, Foreman, Mion, Katz, & Cooney, 2001) and outcomes that could be prevented or minimized by early recognition of their existence afforded by the routine assessment of cognitive functioning (Foreman &
Milisen, 2004).