[OTlist] Regarding the websites for Cognitive assessement!!!

[OT Department]

Dear friends,                    I am working as a Senior Occupational Therapist in the Incorporated Orthopaedic Hospital, Dublin, Ireland.   I have been working here with patients with THRs, Hemiarthroplasty, DHS, etc. It is a specialty Orthopaedic Rehab hospital and get referrals from the other major hospitals in Dublin.   The problem that I am encountering here is that few of the patients (most of whom are elderly), being referred from the other hospitals, have marked cognitive impairments other than their orthopaedic problems. And our hospital doesn't have adequate services for this purpose. So there is a lot of stress on the team with regards to integration of the patient at home for relieving the pressure of bed availability here. But the problem is that they can't be discharged before adequate steps are taken for their cognitive impairments.   We do cognitive assessments specifically to chart out a course for referrals to the other hospitals. The cognitive assessments that we do here are MMSE, MEAMS, etc. But I believe that they are not that effective in listing out the impairments in the different cognitive areas and the results/scores are too vague to come to any conclusion.   So can anybody help/guide me on how to get about it and which is the most suitable and reliable tool for this purpose.   Can you also guide me regarding any Occupational Therapy websites with details regarding the assessment tools, implementation, etc so that I can give a more detailed report to my team so that we can chart out suitable rehabilitation goals and refer it forward to the other agencies with adequate proof and relaible backing.   Thanks.   With Regards   Malhotra