Case 13: Impairments in Registration and Working Memory (MCI Index = 6)
Case 13 is an 88-year-old twice-widowed woman with 11 years of education. Her medical history is of note for atrial fibrillation, a myocardial infarct, type II diabetes, a bowel resection for cancer and a recent head injury from a fall. Consultation was requested to determine her testamentary capacity, contractual capacity and vulnerability to undue influence. More extensive testing with the Wechsler Logical Memory Paragraphs confirmed severe-profound impairments in registration and working memory. The pattern and severity of her cognitive deficits made it impossible for her to gather sufficient information to enable her to make reasoned financial decisions regarding her property. The Court appointed a neutral fiduciary to manage her estate.