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Montreal Cognitive Assessment Case Study

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Question 1 Last week I undertook the Montreal Cognitive Assessment at home and the assessor was my husband. Leading up to the assessment I felt anxious, nervous and scared thinking about how my dyslexia, especially with numbers would impact the results. During the test I knew when asked about numbers that it took longer to answer the question and asked for them to be repeated. Since last week I thought how would have compounding issues like dyslexia with impaired cognitive ability affect the results. Can you imagine if you had cognitive impairment and were dyslexic as well? It is important as an assessor to know the complete personal social and medical history, to allow the test to run smoothly and allow extra time if the person suffers existing …show more content…

At the time of diagnosis, David and Irene may have protected themselves from negative stigma by saying to themselves that David’s current cognitive and physical capacity does not match their belief of what dementia is. So they remain in a state of instability, until carer roles and understanding of the disease process develops over time (Stirling, Campbell, Bentley, Butcher & Morrissey, 2016). The case manager can support them through the whole journey and ensure central and personalized care as they know David’s history (Hughes, Lloyd-Williams, & Sachs, 2012). They can provide early support and educational information and direct support as soon as possible after diagnosis is made (Downs & Bower, 2014). Early support allows David to be involved in his care planning whilst he still can. Early initiation of an advanced care plan is one way to reduce Irene’s carer stress, by making her aware of available support. Evidence has shown early support delivers longer periods of higher quality care at home (Crisp, Tabberer, Thomas, & Goddard, 2012) and delayed nursing home admissions (Downs & Bower,

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