Cognition Discussion Questions-1

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Cognition Discussion (All Groups) Please familiarize yourself with the mini-cognition assessment instrument. https://mini-cog.com/mini-cog-instrument/standardized-mini-cog-instrument/ Read the following case study and use the Mini-Cog assessment tool. Case Scenario: L.K. is a 76-year-old male who has been in the intensive care unit (ICU) for 2 days after having major abdominal surgery. He is becoming increasingly confused and agitated. Before surgery, he was alert and oriented. Subjective Data •States he needs to “get out of here” •Angry at family members for not “taking me home” •Family members are very upset about L. K.’s confusion Objective Data •Blood pressure 110/70, pulse 98, respirations 20, temperature 97.3o F •Oxygen saturation 97% on nasal cannula oxygen at 2 L •Abdominal incision healing, no redness or drainage •Difficulty speaking with decreased short -term memory and recall •Trying to climb out of bed •Oriented to person only L.K.’s responses to the Mini -Cog assessment tool are as follows: Step #1-Three Word Registration The nurse uses Version 4: River Nation Finger Attempt #1: River National Finger Attempt #2 River Nation Finger (CORRECT) Step #2-Clock Drawing Below is the drawing of the clock by L.K. He took 4 minutes and 35 seconds to complete the drawing.
Step #3-Three Word Recall When the nurse asks L.K. to repeat the 3 words from Version 4 again, his response is: River Finger “I don’t remember the last other one.” 1. What did L.K. score on the Mini-Cog assessment? 2. What can you conclude about L. K.’s cognition based on the assessment tool? 3. What do you think is causing L,K.’s impaired cognition?
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