Initial Assessment of Patient Cognition in a Rehabilitation Hospital

Authors

  • Nancy Le MS RN CNRN,

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    • The authors are all affiliated with Braintree Hospital in Braintree, MA: Nancy Le is a nurse practitioner in neurology; Colleen Venti is a continuing care nurse; and Elaine Levin is a staff nurse.

  • Colleen R. Venti BSN RN CRRN,

    Search for more papers by this author
    • The authors are all affiliated with Braintree Hospital in Braintree, MA: Nancy Le is a nurse practitioner in neurology; Colleen Venti is a continuing care nurse; and Elaine Levin is a staff nurse.

  • Elaine R. Levin RN CRRN

    Search for more papers by this author
    • The authors are all affiliated with Braintree Hospital in Braintree, MA: Nancy Le is a nurse practitioner in neurology; Colleen Venti is a continuing care nurse; and Elaine Levin is a staff nurse.


Braintree Hospital, 250 Pond Street, PO Box 9020, Braintree, MA 02184

Abstract

A descriptive study was undertaken to ascertain that the cognitive assessment done by nursing staff on patients' admission to a rehabilitation hospital specifically relates to the rehabilitation population. The study took place on a 40-bed general rehabilitation unit. Eighteen patients were evaluated consecutively using a modified mental status examination. Findings demonstrated that the initial cognitive assessment of the rehabilitation patient should include level of consciousness, orientation, insight, recall, attention, visual-spatial skills, affect, and speech. In this article, the authors describe the study results and illustrate the implications for rehabilitation nursing in a case study.

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