{"id":3803,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/cognitivedifficultiesadult\/"},"modified":"2026-07-14T15:05:57","modified_gmt":"2026-07-14T14:05:57","slug":"cognitivedifficultiesadult","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/cognitivedifficultiesadult\/","title":{"rendered":"Cognitive difficulties (Adult)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">For people with emerging cognitive difficulties, Adult Mental Health may assess patients aged up to, and including, 64 and make an onward referral, if appropriate, to dementia services.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline\">Assessment<\/span><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Please ensure screening blood tests have been completed prior to, or at referral: FBC, U&amp;E, LFT, TFT, B12, Folate, Glucose, Calcium. Our <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/cognitivedifficultiesadult\/dementia\/\" target=\"_blank\" rel=\"noreferrer noopener\">Dementia page<\/a> gives a full account of investigations, referral and supportive services.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><u>Capacity<\/u><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Capacity can be assessed by any registered medical practitioner \u2013 please see our <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/older-peoples-mental-health\/capacity-assessment\/\" target=\"_blank\" rel=\"noreferrer noopener\">Capacity Assessment<\/a> advice, meant to support this, and which includes a handy aide memoire. \u00a0Mental health services will consider referrals for\u00a0capacity assessment if this is clearly related to mental illness and there is a specific question to be answered.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Learning Disability is not assessed by Adult Mental Health \u2013 instead please refer to the\u00a0<a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/learningdisabilityadult\/\" target=\"_blank\" rel=\"noreferrer noopener\">Community Learning Disability Team<\/a>.<\/p>\n\n\n\n<p class=\"has-alert-red-color has-text-color wp-block-paragraph\"><strong><em>Please note that if there is evidence of rapid onset, or unusual features AND headache, then consider imaging.<\/em><\/strong>\u00a0Where there is a need to exclude tumour (or another intracranial mass) or hydrocephalus it may be reasonable to request CT Head at the same time as referring to secondary care: \u00a0<a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatric-radiology\/neuroradiology\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/apps.nhslothian.scot\/refhelp\/Neurology\/Neuroradiology<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>This page has been updated without specialty input by C.M, Referral Advisor 14-7-26<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>For people with emerging cognitive difficulties, Adult Mental Health may assess patients aged up to, and including, 64 and make an onward referral, if appropriate, to dementia services. Assessment Please ensure screening blood tests have been completed prior to, or at referral: FBC, U&amp;E, LFT, TFT, B12, Folate, Glucose, Calcium. Our Dementia page gives a<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4125,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[321],"class_list":["post-3803","page","type-page","status-publish","hentry","category-cognitivedifficultiesadult"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/mentalhealthadult\/cognitivedifficultiesadult\/\" rel=\"tag\">Cognitive difficulties (Adult)<\/a>","rttpg_excerpt":"For people with emerging cognitive difficulties, Adult Mental Health may assess patients aged up to, and including, 64 and make an onward referral, if appropriate, to dementia services. Assessment Please ensure screening blood tests have been completed prior to, or at referral: FBC, U&amp;E, LFT, TFT, B12, Folate, Glucose, Calcium. Our Dementia page gives a","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3803","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3803"}],"version-history":[{"count":7,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3803\/revisions"}],"predecessor-version":[{"id":28929,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3803\/revisions\/28929"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4125"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3803"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3803"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}