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Our study on the effects of alcohol on grey matter thickness has revealed two key findings. First, the outermost layer of cortex across the entire brain was reduced in a sample of community dwelling recovered alcoholics. Second, alcohol’s effect on the brain is continuous across a wide range of...

Assessing Long-Term Effects of Repetitive Trauma This state of the art research study is designed to better understand the long-term consequences of brain injuries from blast explosions or other causes, such as a fall or motor vehicle accident. An important question that we want to answer is whether...

Assessment of Capacity to Consent to Treatment (ACCT) Tool The ACCT is an assessment tool for clinicians to use as one component in assessing a person’s ability to consent to medical treatment in view of four abilities: Understanding, Appreciation, Reasoning, and Expressing a Choice. A manual...

What is The Clock-in-the-Box? The Clock-in-the-Box (CIB) is a brief (under two minutes) cognitive screening instrument that can help identify patients with cognitive or functional deficits. The CIB is a cognitive screening instrument and should not be used as the sole factor in identifying patients...

What is Delirium? Delirium is a common, morbid, and costly condition. From the healthcare system standpoint, delirium leads to more inpatient and long term care costs. From the patient standpoint, patients who develop delirium in the hospital, frequently go to rehabilitation facilities because of...

RISK IDENTIFICATION ... The Delirium Toolbox is a VA quality improvement project developed by James Rudolph that evolved from a VABHS Healthcare Failure Effects-Modes Analysis (HFEMA) and VABHS Delirium Task Force. The Delirium Toolbox is funded via a T21 mechanism administered by the Office of...

PHARMACOLOGICAL INTERVENTION IN LATE LIFE (PILL) PROJECT Background The transition from hospital to home is a critical time complicated by numerous medicines, drug toxicities, regimen changes, and discrepancies. The Pharmacological Intervention in Late Life (PILL) project was developed to enhance...