Brighter Day Health administers psychological/cognitive evaluations in person in your facility, face to face with the patient, to clarify diagnoses and assist with treatment planning.
- Fifty to ninety percent of nursing home residents are undiagnosed with dementia and other brain or psychiatric problems which lead to behavior problems.
- This can result in these residents either being under treated or over treated, which may lead to difficulties with Medicare
Benefits of Evaluations
People with dementia often suffer from depression, paranoia and anxiety.
Early diagnosis of Alzheimer’s and effective treatment of the problematic behaviors that often accompany dementia is possible due to the sensitive diagnostic tools and behavioral and environmental interventions developed and used by psychologists (APA, 2003).
One of the earliest signs of dementia is Apathy.
- Apathy is significantly related to reduced independent activities of daily living, survival duration after nursing home admission, and poor outcomes in rehabilitation.
- Our evaluations assess for Apathy to help detect and prevent continued problems.
Many nursing home patients have personality disorders exacerbated by chronic health problems (Gabrel, 2007). Proper diagnosis and treatment recommendation can assist staff in reducing problems due to these diagnoses.
Our Evaluations will help detect mental status changes early. Because these evaluations are based on extended conversations with residents, we are frequently able to spot subtle alterations in cognition that would not be noticed during a med pass or routine caregiving.
Our Evaluations can discover previously unreported symptoms. Due to the amount of time the evaluations spends with the residents, the residents often reveal important symptoms of their illnesses they might not share with medical staff.
Referrals for Evaluations
- Confirmation of a differential diagnosis clarification is essential for diagnosis and treatment planning.
- Treatment planning.
- Confirmation and identification of retained abilities.
Reason For Referral for Evaluation:
- A significant change in the patient’s condition.
- Assessment of patient strengths and disabilities for use in treatment planning or management when signs or symptoms of a mental disorder are present.
- Assessment of patient capacity for decision-making when impairment is suspected that would affect patient care or management.
- Differential diagnosis between psychogenic and neurogenic syndromes (e.g., depression versus dementia).
- Detection of neurologic disease based on quantitative assessment of neurocognitive abilities (e.g. mild head injury, anoxic injuries, AIDS dementia).
- Delineation of the neurocognitive effects of central nervous system disorders.
- Neurocognitive monitoring of recovery or progression of central nervous system disorders.
- The need to evaluate a patients capacity to function in a given situation or environment.
- The need to specifically tailor therapeutic and or compensatory techniques to particular aspects of the patient’s pattern of strengths and disabilities.
If you have any patients you would like evaluations, please send a referral to the Brighter Day Health office.