Dementia Screening Flashcards
Dementia Assessment Tools
- MMSE
- BIMS
- Mini-Cog
Mild Cognitive Impairment incr risk for developing ____
Alzhemier’s or another dementia
___ & sudden wacky personality is very common in geriatrics
Infx
it may be a UTI, NOT Mild Cognitive Impairment (MCI)
WU of Mild Cognitive Impairment (MCI) Dx
- Thorough Medical Exam
- Assessment of ADLs and IADLs—focus on changes
- Family or friends’ history
- Assessment of Mental Status by screening
- Neurologic examination
- Evaluation for Mood or other psychiatric disorder
- Laboratory testing for correctable causes (Thyroid, Metabolic, Anemia, Infection)
- +/- Brain imaging
- +/- Neuropsychiatric testing
3 stages of Alzheimer’s Development
NOT Mild/Mod/Sev
Which type of dementia has problems with Memory, language, thinking, and social behavior?
Cortical Dimentia (Alzheimer’s is MC one in US)
This is a concern for _____
Pt recovering from stroke reports with night wandering, poor attention, confusion and agitation, unstready gait, memory probs, decline in ability to organize, difficulty planning.
Vascular Dementia
Stroke + Dementia = Nursing home
Psychiatric pt presents with….
Psychiatric ET do NOT cause Myoclonus (neuro jerking)
Pt presents with Dementia, Wide Gait, and Urinary Incontinence. Spinal shows normal pressure. Order what?
Wacky (Weird)
Wobbly (Walking)
Wet (Water)
CT for poss Normal Pressure Hydropcephalus
Treatable ET that may mimic dementia
Types of Dementia
What is delirium?
Delirium Assessment Tool Scales
- CAM-ICU
- Richmond Agitation-Sedation Scale
should be done together
Mental status exams
- MMSE (Mini-Mental Status Exam)
- BIMS (Brief Interview for Mental Status)
- MOCA (Montreal Cognitive Assessment)
- MOCA only shows if you have dementia (dont use on KNOWN Mod/Sev dementia)
- MOCA for EARLY dementia detection
- MMSE for more advanced dementia eval
- MMSE req you know english (can be translated) and have 8th grade education
