Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1392
Title: Normal pressure hydrocephalus diagnostic lumbar puncture tap test: Epworth neuropsychology assessment guideline development.
Epworth Authors: Dridan, Belinda
Sloan, Ann
Grace, N.
Keywords: Normal Pressure Hydrocephalus
Cognition
Gait
Continence
Lumber Puncture Tap Tests
LTT
Diagnostic Indicators
Prognostic Indicators
Cognitive Functioning
Standardised Cognitive Assessment
Neuropsychology Assessment Guidelines
Neurosciences Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Jun-2018
Conference: Epworth HealthCare Research Week 2018
Conference Location: Epworth Research Institute, Victoria, Australia
Abstract: Introduction / Background: Normal Pressure Hydrocephalus is a potentially reversible condition affecting cognition, gait and continence which increases in prevalence with age. Diagnostic lumbar puncture tap tests (LTT) are commonly used to diagnose and inform management. One of the important diagnostic and prognostic indicators is a change in cognitive functioning. To detect change, a standardised cognitive assessment before and after LTT is required. This paper reviews the development of neuropsychology assessment guidelines at Epworth Richmond for this purpose. Methods: Literature review, benchmarking against other hospitals and a review of current Epworth practice was used in the development of the guidelines. Prospective quantitative data on Epworth Clinical Neuropsychologist’s confidence in completing these assessments was collected before and after implementation of the guidelines. Results: New guidelines reflecting the latest evidence and gold standard in assessment and diagnosis of Normal Pressure Hydrocephalus through LTT were developed and implemented. Average clinician confidence prior to the guidelines was 60% which increased to 90% after implementation. Conclusion: A significant improvement in clinician confidence with implementation of an evidence based guideline was observed. Future implications for delivery and review of the guidelines are considered.
URI: http://hdl.handle.net/11434/1392
Type: Conference Poster
Type of Clinical Study or Trial: Literature Review
Appears in Collections:Neurosciences

Files in This Item:
There are no files associated with this item.


Items in EKB are protected by copyright, with all rights reserved, unless otherwise indicated.