International Scholarly Research Notices / 2011 / Article / Tab 5

Research Article

Development of the Nurses' Observation Scale for Cognitive Abilities (NOSCA)

Table 5

Nurses’ observation scale for cognitive abilities (NOSCA).
(a) Consciousness 𝐼 𝐶 𝐹 - 𝑐 𝑜 𝑑 𝑒 𝑏 1 1 0

The patient … 10

A … responds to being spoken to during the day.YesNo
B … has to be shaken awake during the day or evening if you want to communicate with him/her.NoYes
C … falls asleep when no activities are going on.NoYes
D … dozes off during a conversation or activityNoYes

Total Consciousness: … points/number of answers = … points.
Note: if any of the above items are scored in the right-hand column, then the results of the observations below must be interpreted with cautin, because the outcomes might change when consciousness is restored.
(b) Attention 𝐼 𝐶 𝐹 - 𝑐 𝑜 𝑑 𝑒 𝑏 1 4 0

The patient … 3210—

1 … loses the thread of the conversation (e.g., when giving long answers).NeverSometimesUsuallyRepeatedly?
2 … stops with the current activity if someone walks by or if he/she hears another voice.NeverSometimesUsuallyRepeatedly?
3 … can easily switch to a different topic of conversation.RepeatedlyUsuallySometimesNever?
4 … can easily switch to a different activity.RepeatedlyUsuallySometimesNever?

Total Attention: … points/number of answers = … points.
(c) Visual Perception 𝐼 𝐶 𝐹 - 𝑐 𝑜 𝑑 𝑒 𝑏 1 5 6

The patient … 3210—

5 … recognizes an object and knows what it is (e.g., a comb to comb his/her hair, a toilet to relieve him/herself).RepeatedlyUsuallySometimesNever?
6 … mistakes an object for something else (e.g., pattern in the curtains for an animal).NeverSometimesUsuallyRepeatedly?

Total Visual Perception: … points/number of answers = … points.
(d) Orientation 𝐼 𝐶 𝐹 - 𝑐 𝑜 𝑑 𝑒 𝑏 1 1 4

The patient … 3210—

7 … is able to locate his/her own bed.RepeatedlyUsuallySometimesNever?
8 … thinks that he/she is at home or somewhere else.NeverSometimesUsuallyRepeatedly?
9 … recognizes other patients and/or staff..RepeatedlyUsuallySometimesNever?
10 … recognizes family and/or friends..RepeatedlyUsuallySometimesNever?
11 … knows whether it is morning, evening or night.RepeatedlyUsuallySometimesNever?
12 … knows what time it is.RepeatedlyUsuallySometimesNever?

Total Orientation: … points/number of answers = … points.
(e) Memory 𝐼 𝐶 𝐹 - 𝑐 𝑜 𝑑 𝑒 𝑏 1 4 4

The patient … 3210—

13 … cannot remember what has just been said.NeverSometimesUsuallyRepeatedly?
14 … cannot remember where he/she has just left something.NeverSometimesUsuallyRepeatedly?
15 … can remember the task or instruction during the ADL activities.RepeatedlyUsuallySometimesNever?
16 … can remember appointments made today or yesterday.RepeatedlyUsuallySometimesNever?
17 … is able to find an object or piece of clothing that he/she has tidied up.RepeatedlyUsuallySometimesNever?
18 … knows whether or not objects belong to him/her.RepeatedlyUsuallySometimesNever?

Total Memory: … points/number of answers = … points.
(f) Thoughts 𝐼 𝐶 𝐹 - 𝑐 𝑜 𝑑 𝑒 𝑏 1 6 0

The patient … 3210—

19 … responds very slowly to a question and/or instruction.NeverSometimesUsuallyRepeatedly?
20 … gives answers that are relevant to the question.RepeatedlyUsuallySometimesNever?
21 … switches from one subject to another.NeverSometimesUsuallyRepeatedly?
22 … has unrealistic thoughts (e.g., says that he/she does not have any money or clothes, but does really).NeverSometimesUsuallyRepeatedly?
23 … is distrustful of others (e.g., does not dare to take his/her medicine; says that people are “listening”, etc.).NeverSometimesUsuallyRepeatedly?

Total Thoughts: … points/number of answers = … points.
(g) Higher cognitive functions 𝐼 𝐶 𝐹 - 𝑐 𝑜 𝑑 𝑒 𝑏 1 6 4

The patient … 3210—

24 … can oversee where to start an activity (e.g., collects all the necessary articles together before going to wash)RepeatedlyUsuallySometimesNever?
25 … works efficiently and systematically.RepeatedlyUsuallySometimesNever?
26 … asks questions about his/her illness.NeverSometimesUsuallyRepeatedly?
27 … says that he/she is able to do something although it is clear that they cannot (e.g., walk without the rollator).NeverSometimesUsuallyRepeatedly?
28 … says that there is nothing wrong with him/her although there clearly is.RepeatedlyUsuallySometimesNever?
29 … undertakes activities on his/her own initiative (e.g., starting a conversation, going for a walk)RepeatedlyUsuallySometimesNever?
30 … keeps on repeating an action that is not necessary (e.g., keeps on spreading a slice of bread, keeps on drying his/her arm).NeverSometimesUsuallyRepeatedly?

Total Thoughts: … points/number of answers = … points.
(h) Language 𝐼 𝐶 𝐹 - 𝑐 𝑜 𝑑 𝑒 𝑏 1 6 7

The patient … 3210—

31 … understands directions and/or instructions.RepeatedlyUsuallySometimesNever?
32 … reads something and can show that he/she has understood what is says (e.g., a wrapper, a folder).RepeatedlyUsuallySometimesNever?
33 … has to search for words.NeverSometimesUsuallyRepeatedly?
34 … uses vague terms in conversation (e.g., “You know” or “thingy”).NeverSometimesUsuallyRepeatedly?
35 … calls something by the wrong name (e.g., says vase instead of bread, lamp instead of table).NeverSometimesUsuallyRepeatedly?
36 … is able to make clear what he/she wants.RepeatedlyUsuallySometimesNever?

Total Language: … points/number of answers = … points.
(i) Praxis 𝐼 𝐶 𝐹 - 𝑐 𝑜 𝑑 𝑒 𝑏 1 7 6

The patient … 3210—

37 … does the ADL activities in the correct order (e.g., first takes off pay pyjamas, then gets dressed; first wets the flannel, than washes face).RepeatedlyUsuallySometimesNever?
38 … puts on clothes in the correct manner (e.g., not back-to-front, or inside-out).RepeatedlyUsuallySometimesNever?
39 … uses the items in the correct manner (e.g., is able to comb his/her hair with a comb, is able to eat with a fork).RepeatedlyUsuallySometimesNever?

Total Praxis: … points/number of answers = … points.

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