Evaluating cognition in patients with chronic obstructive pulmonary disease

Abstract

In this chapter, we focus on the neuropsychological evaluation of patients with chronic obstructive pulmonary disease (COPD), a common adult pulmonary disorder characterized by restrictive air flow and respiratory distress. First, we will review the epidemiology and diagnostic criteria of COPD and of the most common medical comorbidities. Next, we will review the literature of cognition in patients with COPD and identify the most consistent neuropsychological deficits in the population. Multidisciplinary rehabilitation is commonly prescribed for COPD patients. We will discuss the role of the neuropsychologist within the team. Finally, to more clearly illustrate the neuropsychological evaluation in patients with COPD, we will discuss a fictional case from our center with details regarding frequent referral questions, special considerations for the clinical interview, selection of cognitive tests, interpretation of tests, and final recommendations for the patient and/or the interdisciplinary rehabilitation team.