Cognitive Screens for People with Parkinson’s: All Are Not Created Equal

apples_to_oranges

By Heather Jeng

Do you know what cognitive screening tool is used in your local healthcare community to screen for cognitive deficits in individuals with Parkinson’s disease (IWPD)? Chances are, it’s the MMSE. This tool was suggested for physician office visit screenings for this population by the Task Force on Dementia in Parkinson’s Disease (part of Movement Disorders Society) back in 2007. The general guideline for physicians was not to pursue further cognitive assessment if the patient scored at least 26 on the MMSE.

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Adventures in AAC

by Nancy Reinhardt

So, here’s the case that prompted the fascination: I had a cognitively intact patient who admitted to my nursing home with Progressive Supranuclear Palsy (for those of you who don’t know, this is a disease that results in the gradual deterioration of the brainstem and results in, among other things, decreased speech intelligibility along w/ decreased coordination- for more information, I recommend visiting www.psp.org). On admit, this gentleman was able to verbally communicate, although speech intelligibility was markedly impacted to unfamiliar listeners.  Continue reading

Introductions & Venturing Into Blogging…

We’re a trio of speech-language pathologists (Case Western alums, all!) in the SNF setting. We came to the realization that we all rely on social media for multiple professional purposes: finding out about new treatment approaches, hearing about continuing ed opportunities, seeking and giving clinical advice, puzzling over the nuts and bolts of applying research findings to clinical practice, and laughs, venting, and support. In short, community!  Continue reading