However, in a study comparing the sensitivity of the MMSE to the MoCA, the MoCA demonstrated that it was more sensitive than the MMSE for breast cancer survivors (Baxter et al., 2011). The MMSE has been recommended by the International Society of Geriatric Oncology and used with breast cancer survivors for that purpose. Personal reports from cancer survivors are helpful, but we need to determine the clients' specific cognitive deficits. We need to correlate what the perceived cognitive deficits of breast cancer survivors are by using objective measures. As we continue to monitor this trend, we may find that cognitive impairments last even longer. And, we know that up to 20 years later, they still have cognitive impairment. I suggest that we screen all breast cancer survivors since up to 75% of them have a cognitive impairment. Most of us do a screen when we are either asked or suspect cognitive impairment. ![]() The MoCA may present weaknesses when used with higher cognitive functioning individuals (Arcuri et al., 2015).Studies comparing the sensitivity of the MMSE to the MoCA demonstrated greater sensitivity of the MoCA for cognitive deficits in BCS (Baxter et al., 2011 Rambeau et al., 2019).The MMSE has been recommended by the International Society of Geriatric Oncology and used with BCS for that purpose (Rambeau et al., 2019).It is beneficial to have a quick cognitive screen to determine client cognitive deficits.BCS have long reported cognitive deficits, but perceived cognitive deficits have not been correlated with objective measures (Olson et al., 2016).There were also other contributing factors to cognitive impairment that we touched upon, like depression, age, and others. Attention and processing speed are also affected and highly correlated with working memory and executive function. We talked about how working memory is affected. You will remember the content from part one focused on effective cognitive skills of breast cancer survivors from the cancer diagnosis to treatment. ![]()
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