Download Cognition

COGNITION
RNSG 2572
Health Care Concepts 2
Concept –COGNITION
Concept Definition Cognition is the process of thought by which an individual learns, stores,
retrieves, and uses information
Exemplars
Alzheimer’s Disease/Dementia
Delirium
Down Syndrome
Objectives
1. Explain the concept of Cognition (including definition, antecedents, and attributes).
2. Analyze conditions which place a patient at risk for impaired cognition.
3. Identify when impaired cognition is developing (negative consequences) or has
developed.
4. Discuss exemplars of common circumstances altering cognition and Alzheimer’s
Disease/Dementia, Delirium, and Down Syndrome.
5. Apply the nursing process (including collaborative interventions) for individuals
experiencing altered cognition (including Alzheimer’s Disease/Dementia, Delirium,
and Down Syndrome).
6. Demonstrate therapeutic and effective communication with patients who have
Alzheimer’s Disease.
Concept Analysis Diagram
Note: Diagram on separate page.
Explanation of Cognition Diagram:
Analysis summary for Cognition: Cognition is the process of thought by which an individual
learns, stores, retrieves and uses information. For this to occur the brain needs to follow the
normal course of growth and development; the brain must receive adequate oxygen, blood and
nutrition; and the neurological function must be intact. Higher levels of cognitive function can
be developed with education. If cognition is intact, the individual is able to interpret the
environment accurately, respond appropriately, communicate the events, and is able to
remember and learn from the events. The ability to cognitively function is dependent upon
many factors such as sleep, nutrition, blood flow, presence of disease processes and level of
development. The negative outcomes of cognition include, but are not limited to, poor decision
making, increased risks of injury and disease mismanagement, poor relationship skills, and
victimization. Successful or positive outcomes of cognitive function might include risk
reduction, the ability to maintain long term relationships and better disease control.
Assignments
Prior to class:
1. Review definitions of inter-rated concepts on concept analysis diagram.
2. Review concept analysis diagram.
COGNITION
3. Review:
 Piaget’s four stages of cognitive development
http://children.webmd.com/piaget-stages-of-development
 Anatomy and Physiology: Brain
 Physical assessment: Neurological component
4. Assigned reading:
 Berman, A. & Snyder, S. (2012). Kozier & Erb’s Fundamentals of Nursing.
Boston: Pearson.
 Chapter 23: Promoting Health in Older Adults; pg. 425-426, 428
 Chapter 38: Sensory Perception; pg. 1013-1016
 Giddens, J.F. (2013). Concepts for nursing practice. St. Louis. MO: Mosby
Elsevier.
 Chapter 31: Cognition
 Lewis, S.L., Heitkemper, M.M., Dirksen, S.R., O’Brien, P.G., & Bucher, L.
(2011). Medical surgical nursing (8th ed). St. Louis: Mosby Elsevier.
 Chapter 60: Alzheimer’s Disease, Dementia, and Delirium
 McKinney, E, James, S., Murray, S., Nelson, K., & Ashwill, J. (2013).
Maternal-child nursing (4th ed). St. Louis: Elsevier Saunders.
 Chapter 54: The Child with a Developmental Disability; pg.
1487-1490.
5. Internet resources to review:
 Psychology 101-Cognition Part 1/14 – Intro to Intelligence
https://www.youtube.com/watch?v=9xnviM-w-0s
 Psychology 101-Cognition Part 6/14 - What is language?
https://www.youtube.com/watch?v=qz0DHZeIg48
 Psychology 101-Cognition Part 8/14 - Information Processing
https://www.youtube.com/watch?v=qMnnQSL4Cns
 Down Syndrome in the 21st century
https://www.youtube.com/watch?v=I13KxRYqoo0
 Cognitive Assessment Measures. Dementia Collaborative Research Centres
http://www.dementia-assessment.com.au/cognitive/
 Alzheimer’s Association. Ten early signs and symptoms of Alzheimer’s.
http://www.alz.org/alzheimers_disease_10_signs_of_alzheimers.asp#signs
6. Review the following Nursing Diagnoses:
 Altered level of consciousness
 Risk for injury
 Impaired memory
 Chronic confusion
COGNITION
Concept content outline:
Concept:
Cognition
Sub Concepts: Cognitive development
Intelligence
Language/communication skills
Mind altering substances
Brain disease/injury
Risk Factors: Altered sleep patterns
Lifestyle/hazardous jobs or hobbies
Impaired health/disease
Age
Medications
Assessment: Comprehensive history
Physical assessment
Physical and psychological clinical manifestations
Diagnostic tests
Positive Outcomes:
Minimal injuries
Close relationships
Financial management
Treatment compliance
Negative Outcomes:
Physiological
Psychological
Clinical Management:
Nursing interventions
Collaborative interventions
Pharmacological therapy
Procedural therapies
Exemplars:
Alzheimer’s Disease/Dementia
Delirium
Down Syndrome