Nurse-led cognitive screening model for older adults in primary care

Yanni Yang, Dongxia Xiao, Lanlan Deng, Yanjiang Wang, Min Li, Shahid Ullah

    Research output: Contribution to journalArticle

    8 Citations (Scopus)

    Abstract

    Aim: The present study aimed to establish a nurse-led cognitive screening model for community-dwelling older adults with subjective memory complaints from seven communities in Chongqing, China, and report the findings of this model. Methods: Screenings took place from July 2012 to June 2013. Cognitive screening was incorporated into the annual health assessment for older adults with subjective memory complaints in a primary care setting. Two community nurses were trained to implement the screening using the Mini-Mental State Examination and Montreal Cognitive Assessment. Results: Of 733 older adults, 495 (67.5%) reported having subjective memory complaints. Of the 249 individuals who participated in the cognitive screening, 102 (41%) had mild cognitive impairment, whereas 32 (12.9%) had cognitive impairment. A total of 80 participants (78.4%) with mild cognitive impairment agreed to participate in a memory support program. Participants with cognitive impairment were referred to specialists for further examination and diagnosis; only one reported that he had seen a specialist and had been diagnosed with dementia. Conclusions: Incorporating cognitive screening into the annual health assessment for older adults with subjective memory complaints was feasible, though referral rates from primary care providers remained unchanged. The present study highlights the urgent need for simple screenings as well as community-based support services in primary care for older adults with cognitive or mild cognitive impairments.

    Original languageEnglish
    Pages (from-to)721-728
    Number of pages8
    JournalGeriatrics and Gerontology International
    Volume15
    Issue number6
    DOIs
    Publication statusE-pub ahead of print - 2015

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