Implementing the '6th Vital Sign' into primary care
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Dr. Alexandria Watkins, DNP, APRN, NP-C
- Sigma Affiliation
- Theta Tau
- Contributor Affiliation(s)
- Palm Beach Atlantic University, West Palm Beach, Florida, USA
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Abstract
Background: Around the world, someone develops dementia every three seconds ("Dementia statistics | Alzheimer's disease international," 2015). Current evidence shows that in clinically healthy people, pathophysiological changes begin 10 to 15 years before symptoms of cognitive impairment (CI) are seen (Kirsebom et al., 2017, p.1622). Studies note, that in the United States the rate of undiagnosed dementia cases exceeds 50% (Eichler et al., 2015, p. 87; Grober et al., 2016, p. 1038; Wang, Xiao, Ullah, He and Bellis, 2017, p. 1). The economic impact of reacting to Alzheimer’s disease and related neurocognitive disorders (ADRD) has created a statistic that indicates, “if global dementia care were a country, it would be the 18th largest economy in the world” ("Dementia statistics | Alzheimer's disease international," 2015). Economic stability and cost-effective measures like “increasing quality of life” and “delaying institutionalization” can be realized with timely recognition and early diagnosis (Ranson, Kuźma, Hamilton, Lang, and Llewellyn, 2018, p. 288).
Method: This quantitative pilot study consists of one sample that is continuous and descriptive. The tool used is the Brief Interview of Mental Status (BIMS). This is a five-question screening tool with a total score of 15.
Results: A sample size of 47, with no previous neurocognitive disorder diagnosis, recorded the following scores: 66% scored 15, 13% scored 14, 19% scored 13, and 2% scored 11. Nine participants scored the minimum needed to be considered cognitively intact with a mean age of 54-years old, and one participant scored an 11 (severe impairment).
Implications for Practice: The BIMS tool has given the healthcare provider the ability to identify patients younger than 65-years old who are at risk for the symptomatic materialization of CI, thus allowing for timely recognition. The primary care practice has seen improved satisfaction and enthusiasm about the proactive approach towards CI.
Repository Posting Date
2020-06-04T22:04:05Z
Type Information
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Quality Improvement |
Research Approach | Pilot/Exploratory Study |
Keywords | Alzheimer's Disease and Related Disorders; Early Cognitive Screening; Standardized Routine Cognitive Screening; Cognitive Impairment Screening |
Degree Information
Grantor | Palm Beach Atlantic University |
Advisor | Watkins, Alexandria |
Level | DNP |
Year | 2019 |
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