About Dementia
"Understanding Dementia"

Attention and Concentration

This is an excerpt from the book Understanding Dementia, which is meant to be a practical manual for primary care physicians and other health care professionals.


Attention and Concentration are tested during the entire interview with observations on the patient's level of distractability and ability to answer a question without losing the train of thought. More formal tests include saying the days of the week or months of the year backwards, or progressively more difficult calculations, such as counting backwards from 20 by 2, 40 by 4, and 100 by 7. Abnormal attention is the hallmark of delirium and should be carefully sought in a patient with new onset cognitive dysfunction, especially in the presence of an acute

When something is "acute", it means that it is generally short in duration and usually severe.

illness (Table 5.3).

Delirium (Table 5.3)

  • Acute onset
  • Fluctuating course
  • Inattention
  • Disorder of arousal (drowsy or hypervigilant)
  •  Memory of impairment
 

 


Taken from Understanding Dementia: A Primer of Diagnosis and Management
© Kenneth Rockwood & Chris MacKnight, 2001
Chapter 5, p 82

 

See Also:
Symptom Library > Thinking & Judgment > Attention/Concentration (lack of)
About Dementia > "Understanding Dementia" > Delirium
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Last updated August 20, 2007
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