Cognitive Clinic Comprehensive Nursing Essay Example
Program Details
The Cognitive Clinic provides cognitive care, focusing on long-term memory impairment and related memory changes like Mild Cognitive Impairment (MCI). The clinic specializes in long-term memory loss treatment interventions and cognition management. Cognitive care offered at the clinic involves a set of procedures and treatments utilized to diagnose, monitor, and treat long-term memory impairment and related memory changes.(Cognitive Clinic Comprehensive Nursing Essay Example)
The clinic’s cognitive care also includes various lifestyle approaches, self-care initiatives, and cognitive training to help keep the brain healthy throughout the lifespan, particularly as individuals get older. Patients can undergo screening tests at the clinic to look for signs of diseases like long-term memory impairment, MCI, and potential indications of Alzheimer’s disease and dementia.(Cognitive Clinic Comprehensive Nursing Essay Example)
The tests available at the clinic include neurological tests that look for issues in systems like balance, senses, reflexes, and vision, cognitive and neuropsychological tests to measure things like problem-solving ability and attention, laboratory tests like blood and urine tests, and brain scans to look for areas that are not functioning correctly. The clinic offers a complete package of cognitive care.(Cognitive Clinic Comprehensive Nursing Essay Example)
Target Population
The clinic works with older adults 65 years and older at an increased risk of developing long-term memory loss or mild cognitive impairment. Long-term memory loss is mainly age-related, getting worse with age. About 16 to 20 percent of adults above the age of 60 years have long-term memory loss or MCI, although not severe enough to be categorized as dementia (Hersh, 2018). Long-term memory loss in 10% of the individuals affected can indicate a sign of more complex health conditions and diseases like dementia and Alzheimer’s disease.(Cognitive Clinic Comprehensive Nursing Essay Example)
With age, cognitive processes that can be interrupted include processing speed and specific memory, visuospatial, language, and executive function abilities. Interventions such as multi-component training that includes lifestyle changes and memory-focused interventions can help improve older adults’ quality of life because they help reduce the progression of cognitive decline and improve cognitive abilities and functions. (Cognitive Clinic Comprehensive Nursing Essay Example)
Current Research
In recent years, cognitive-focused research studies to improve memory among older adults have increased tremendously. Studies have provided essential findings on the effectiveness of multi-component training or training focusing on various components of an individual’s life, including lifestyle changes and memory-focused interventions. These interventions can help maintain and improve older adults’ memory performance (Sherman et al., 2017). According to Yang et al. (2018), memory-focused intervention can effectively improve memory-related performance in individuals with cognitive impairment. They can enhance memory function, slow disability progression, and enhance mood state in persons with cognitive disorders.(Cognitive Clinic Comprehensive Nursing Essay Example)
Multi-component cognitive training, which focuses on various domains, also improves various aspects of cognitive function. Kuo et al. (2018) provide evidence indicating the effectiveness of multi-component cognitive training and social engagement in improving executive control in older adults. These studies inform the effectiveness of the selected evidence-based cognitive interventions.(Cognitive Clinic Comprehensive Nursing Essay Example)
Multi-component Cognitive Training
Multi-component cognitive training includes cognitive-based training approaches that focus on lifestyle changes and social engagement. The method involves integrating various routes of cognitive training, lifestyle changes, and social interaction to enhance the performance of overlapping cognitive processes and overall cognitive function in older adults. Various physical and mental activities, including exercise, healthy diets, new learning, social engagement, and cognitive training, are adopted to help maintain brain functions and improve neural activity.(Cognitive Clinic Comprehensive Nursing Essay Example)
Sherman et al. (2017) indicate that individuals with long-term memory impairment who underwent multi-component cognitive training showed more improvement in outcome measures. The results are relevant to the target population because they provide vital evidence of interventions to prevent and slow the progression of cognitive impairment, which becomes prevalent with age. (Cognitive Clinic Comprehensive Nursing Essay Example)
Memory-Focused Interventions
Memory-focused interventions seek to enhance memory skills in older adults. They involve teaching mnemonic techniques, including rehearsal, association, categorization, imagery, and concentration. Strategies utilized in the memory training programs are face-name recognition, name-face learning, number mnemonics, loci method, and story mnemonics. Older adults are also trained to utilize environmental supports or external memory aids. Yang et al. (2018) provide a meta-analysis of 50 years of memory training research work showing consistent evidence that memory-focused interventions help improve memory among older adults. Sherman et al. (2017) indicate that memory-based approaches effectively enhance memory functions and abilities. These results are relevant to the target population because they focus on older adults’ memory impairment interventions. (Cognitive Clinic Comprehensive Nursing Essay Example)
Cognitive Theory
Multi-component cognitive training proposes several channels to improve cognitive function in older populations: exercise, healthy diets, new learning, social engagement, and cognitive training. Social engagement is particularly useful in maintaining and enhancing older adults’ executive control. Applying social engagement in parallel with cognitive training is supported by Vygotsky’s sociocultural theory, which describes social interaction as having a fundamental role in cognition development. Social interaction is significant in learning, maintaining, and improving memory. Therefore, social engagement is an effective integration in cognitive training.(Cognitive Clinic Comprehensive Nursing Essay Example)
References
Kuo, C. Y., Huang, Y. M., & Yeh, Y. Y. (2018). Let’s play cards: Multi-component cognitive training with social engagement enhances executive control in older adults. Frontiers in psychology, 2482.(Cognitive Clinic Comprehensive Nursing Essay Example)
Sherman, D. S., Mauser, J., Nuno, M., & Sherzai, D. (2017). The Efficacy of Cognitive Intervention in Mild Cognitive Impairment (MCI): a Meta-Analysis of Outcomes on Neuropsychological Measures. Neuropsychology review, 27(4), 440–484. https://doi.org/10.1007/s11065-017-9363-3 (Cognitive Clinic Comprehensive Nursing Essay Example)
Yang, H. L., Chan, P. T., Chang, P. C., Chiu, H. L., Sheen Hsiao, S. T., Chu, H., & Chou, K. R. (2018). Memory-focused interventions for people with cognitive disorders: A systematic review and meta-analysis of randomized controlled studies. International journal of nursing studies, 78, 44–51. https://doi.org/10.1016/j.ijnurstu.2017.08.005(Cognitive Clinic Comprehensive Nursing Essay Example)
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