The goal of this study is to examine the relation between a standardized observation scale by nurses with the formal results of neuropsychological tests by a neuropsychologist.
ID
Source
Brief title
Condition
- Dementia and amnestic conditions
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The variables concern 1) observation of memory problems and 2)
neuropsychological memory tests.
ad 1) observation of memory problems: two subscales from the Behavior Rating
Scale for Psychogeriatric Inpatients (GIP): Memory and Orientation. Together 11
items, on a 4 point LIkert type scale. To be filled out by nurses, twice a day,
during three days.
ad 2) neuropsychological tests:
- Visual Association Test/VAT (lindeboom & Schmand). Recognizing of anterograde
anamnesia. Score 0-12.
- Rivermead Behavioural Memory Test/RMBT - newspaper (Wilson ea, 1989). Score
0-42.
- Rivermead Behavioural Memory Test/RBMT - route (Wilson ea, 1989). Score 0-12.
- Eight Word Test, Amsterdams' Dementia Screening/ADS6-8WT (Lindeboom & Jonkers
1989, 2003). Score 0-6.
Secondary outcome
The influence of depression and cognition will be examined by using the
Geriatric Depression Scale (GDS; 15 items) and the Mini Mental State
Examination (MMSE/11 items). Duration: 10 minutes.
Background summary
Geriatric nurses observe patients during 24 hours per day on different
complaints like depression, pain, cognitive problems. The idea behind the
observation of cognitive problems is that it gives an indication for cognitive
disorders like demeitia, depression or delirium. However, there are no studies
to support this theory (Foreman et al 2003). In the last 5 years several
studies appeared on the subject of the predictive value of cognitive disorders
through neuropsychological tests on the overall functioning of patients (for
example Owsley et al 2002). The question whether observations during ADL also
predict cognitive disorders is yet to be answered.
The importance of recognotion of memory-problems through observation is
reinforced by the fact that geriatric patients in the hospital are scarcely
indentified (Inouye et al 2001). This means that patients will be adressed as
if there are no memory problems. This could give problems in informing patients
and patient support. Also it might lead to under-diagnosis with a possible
extension of the time spend in hospital (Yound & Inouye 2007). It would be very
useful if in future there would be a simple instrument without much burden for
the presence of memoryproblems in patients during hospitalization.
Study objective
The goal of this study is to examine the relation between a standardized
observation scale by nurses with the formal results of neuropsychological tests
by a neuropsychologist.
Study design
Prospective, non-invasive observational study.
Study burden and risks
The risks are minimal. The measurement instruments are all very common,
developed for the older and vunerable patient and giving little burden.
Patients on the geriatric ward are always observed in relation to different
complaints and symptoms. Thes observations are diagnosis and never experienced
by the patients as a burden..
The neuropsychological testing is standard procedure and takes up to 60
minutes. It is possible that some patients experience the testing as unpleasant
as result of fatique, lack of concentration or the confrontation with their
disability. The neuropsychologists and their assistants are experienced in
testing old and vunerable patients and are very capable in adapting to the
needs of the patients.
Postbus 9101
6500HB Nijmegen
Nederland
Postbus 9101
6500HB Nijmegen
Nederland
Listed location countries
Age
Inclusion criteria
INCLUSION
- speaking Dutch language
Exclusion criteria
EXCLUSION
- patient is bedridden;
- hearing and vison problems in such way that neuropsychological testing is impossible;
- severe Disease of Alzheimer (CDR=3);
- fluctuating cognitive functiong in such wat that neuropsychological testing is not reliable, for example: delirium (DOS greater or equal to 4), hallucinations, pychiatric behaviour. When situation is stable again (f.e. DOS<4), patients are included after all.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL18367.091.07 |