Common use of COGNITION Clause in Contracts

COGNITION. All residents had a physician’s diagnosis of dementia and resided in a psychogeriatric unit. Studies 1, 2, 3 and 5 (Table 1) included staff assessment using the Bedford Alzheimer Nursing Severity-Scale (BANS-S) to measure the severity of the dementia in the months before death. BANS-S scores range from 7 to 28. A score of 17 or higher represents severe dementia.33, 34 In studies 1 to 5, staff assessed whether residents were fully dependent in eating. Full eating dependence indicates very severe cognitive impairment and is equal to the highest level of impairment on the Cognitive Performance Scale (CPS 6).35, 36 The EOLD-SWC and EOLD-CAD scores in the combined dataset were analysed with mixed models, using time of death relative to the first death in the first study as the independent variable. The models included random effects for season (as seasonality in cause of death might vary between years) and for clustering of residents within nursing homes. 37, 38 In study 7, only the month of death was available due to privacy regulations, and we imputed the 14th for February and the 15th for other months. We provide 95% confidence intervals around the estimate for time. Models were adjusted for characteristics of residents (age and gender), and family caregivers (gender, relationship to resident), region (urbanised Western and central region