Tom Novack, Ph.D.
University of Alabama at Birmingham
Citation Novack, T. (2004). The
Cognitive Log. The Center for Outcome Measurement in Brain
combi/coglog ( accessed
Cognitive Log (Cog-Log) provides a measure of general cognitive
abilities that can be obtained at bedside. The creation of the Cog-Log
is in answer to the need for a brief measure of cognition that can
document progress during rehabilitation and provide an estimate
of skills as assessed by more lengthy evaluations. The Cog-Log can
be considered a companion measure to the Orientation-Log. Clinical
experience suggests that people with brain disorders can be oriented
(and perform well on the Orientation-Log), but still exhibit significant
cognitive limitations, such as with respect to memory functioning
and executive skills. The Cog-Log assists in evaluating this group.
Typically, the Orientation-Log is administered initially. The Cog-Log
is added to or replaces the O-Log when orientation is achieved.
Cog-Log is not intended to supplant other assessments of mental
status, such as the Cognistat or Mini-Mental Status Examination.
These assessments tend to be more lengthy and require some materials,
so it is more difficult to use them at bedside. The Cog-Log is intended
to be used during morning rounds repetitively, so that change in
cognitive status can be easily documented. The Cog-Log is not intended
to replace more extensive evaluations of cognitive skills, such
as found in a neuropsychological evaluation. The latter provides
a much better means of gauging the severity of deficits in specific
areas (such as memory and concentration skills) and thus provides
more information to guide rehabilitation efforts. As a general measure
of cognitive status, the Cog-Log does not provide information about
specific areas of cognitive ability except in very cursory fashion.