![]() ![]() It may be of benefit to standardise cognitive assessments to allow for more direct comparisons to be made, however it is important to note that OTs’ are guided by their clinical reasoning abilities in order to match the appropriate assessment to the patient. 9 Scoring and Interpretation of Scoresedit edit source The. This increased insight into cognitive status can provide therapist with increased understanding of patient profiles and highlights the urgent need to adapt rehabilitation practice to cater for these patients. The MoCA is popular screening tool used to determine if cognitive impairment is present. This is a significant finding and concern for a rehabilitation hospital. Results Data was available for 1144 participants, mean (SD) age 68.57 (☗.23) years. Conclusion: Almost half the patients in the organisation had cognitive assessment scores that would indicate a degree of cognitive impairment. Those with a MoCA-Blind score of <19/22 were considered to have cognitive impairment. MOCA BLIND(n=3)1 scored severe (≤10/22) and 2 scored moderate (11-18).MOCA(n=32) 5 scored severe (≤10), 12 moderate (11-20) and 16 mild (21-25). Cognitive decline, indicated by Montreal Cognitive Assessment (MoCA) scores below 26 after a 2-year follow-up, has been observed in 30 of SWEDDs·(Wyman-Chick et al.It can help identify those at risk for developing Alzheimer's disease and other forms of dementia. The total possible score is 30 points a score of 26 or above is. Therefore 66 patients scored as "cognitively impaired"- which is 46% of patients within the organisation. The Montreal Cognitive Assessment (MoCA) is a test used by healthcare providers to evaluate people with memory loss or other symptoms of cognitive decline. Time to administer the MoCA is approximately 10 minutes. Only 2 patients scored as "normal" (≥82/100 on ACE-R (Addenbrookes Cognitive Exam), ≥26/30 on MOCA(Montreal Cognitive Assessment)). Results: 68 patients (48%) had received a cognitive assessment. All patients in the organisation were reviewed and data regarding cognitive assessments and scores were gathered. ![]() Methodology: A real time snap shot audit was completed on 15th February 2017 to reflect current patient profiles. These patients are more likely to have cognitive impairment than their younger contemporaries. The patient profile in Clontarf hospital is changing and there is an increase in geriatric rehabilitation patients. Demographic factors must be considered when interpreting this measure.Introduction: Older adults account for 12% of the total population (Central Statistics Office, 2013). These findings highlight the need for population-based norms for the MoCA and use of caution when applying established cut scores, particularly given the high failure rate on certain items. ![]() Normative data stratified by age and education were derived. Most frequently missed items included the cube drawing (59%), delayed free recall (56% <4/5 words), sentence repetition (55%), placement of clock hands (43%), abstraction items (40%), and verbal fluency (38% <11 words in 1 minute). First, we derived norms for (1) subtests and cognitive domains of the in-person Montreal Cognitive Assessment having a maximum score of 30 (MoCA-30) and (2) the total MoCA-22 score, obtained from the in-person MoCA-30 by summing the subtests that do not require visual input to a maximum. Total scores were lower than previously published normative data (mean 23.4, SD 4.0), with 66% falling below the suggested cutoff (<26) for impairment. Data on 157 participants of the Center for Healthy Aging Longevity Study aged 90 + were analyzed. Frequency of missed items was also reviewed. Pearson correlations and analysis of variance were used to examine relationship to demographic variables. Normative data were generated by age and education. A MoCA score of 26 or higher is generally considered normal, while a score of 18 to 25 can indicate mild cognitive impairment, and 10 to 17 can indicate moderate impairment. The MoCA was administered to 2,653 ethnically diverse subjects as part of a population-based study of cardiovascular disease (mean age 50.30 years, range 18-85 Caucasian 34%, African American 52%, Hispanic 11%, other 2%). Example: 19/22 converts back to 30 by performing the following equation: (19x30) 22. To provide normative and descriptive data for the Montreal Cognitive Assessment (MoCA) in a large, ethnically diverse sample. The MoCA Blind is scored out of 22 but is converted back to 30. ![]()
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