Continuing from my last Blog Brief of July 6, 2021, I pointed out some differences between normal daily thinking mistakes vs. dementia. Now the question-what tests can determine if a person is beginning to show cognitive signs of dementia? Our medical colleagues typically evaluate blood panels, radiological procedures (EEG, MRI, CT, etc.), and behavioral signs. Neuropsychologists evaluate the functional, cognitive/ thinking abilities of the patient.
The neuropsychologist administers a neuropsychological examination (NPE). This assembly of tests looks at all your thinking skills and becomes the “blue print” of your ability to function adequately in your daily responsibilities. It works in association with the medical findings, and equally important, provides the basis for how to help the patient in determining what they can/cannot do, what strategies that can improve their functioning, and what changes need to be made in their environment. This is conveyed to the patient and family after the NPE through the medical adjustment counseling process. Lastly, cognitive strengths will be identified to help the rehabilitative process for the patient and his/her family.
Some examples regarding daily capacity that can be answered via the NPE are:
· Can the person live alone?
· Can the person safely drive?
· Is it depression/anxiety/overload or early signs of dementia?
· Can the person manage his/her medication regimen?
· Can the person manage his/her finances?
· Can the person make medical decisions regarding his/her health?
· What are the strengths/limitations of the person’s thinking?
There are many other questions but most important-what is the diagnosis and what can be done to help the patient are the first steps in the evaluative process.
Please give us a call and schedule a consultation if you have any questions or concerns.
Robert B. Sica, PhD, ABN
Board Certified, Neuropsychology
Principal and Director of NRS|LS