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    ADTI SMMSE-GDS Reference Card PDF

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    Summer Wright
    The document provides details on the Standardized Mini-Mental State Examination (SMMSE), a 30-point test used to evaluate cognitive impairment. It consists of questions to assess orientation, memory, attention, language and visual-spatial skills. It also includes a brief Global Deterioration Scale (GDS) from 1 to 7 that defines levels of cognitive and functional decline in dementia.

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    ADTI SMMSE-GDS Reference Card PDF

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    Summer Wright
    342 views2 pages
    The document provides details on the Standardized Mini-Mental State Examination (SMMSE), a 30-point test used to evaluate cognitive impairment. It consists of questions to assess orientation, memory, attention, language and visual-spatial skills. It also includes a brief Global Deterioration Scale (GDS) from 1 to 7 that defines levels of cognitive and functional decline in dementia.

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    The document provides details on the Standardized Mini-Mental State Examination (SMMSE), a 30-point test used to evaluate cognitive impairment. It consists of questions to assess orientation, memory, attention, language and visual-spatial skills. It also includes a brief Global Deterioration Scale (GDS) from 1 to 7 that defines levels of cognitive and functional decline in dementia.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    342 views2 pages

    ADTI SMMSE-GDS Reference Card PDF

    Uploaded by

    Summer Wright
    The document provides details on the Standardized Mini-Mental State Examination (SMMSE), a 30-point test used to evaluate cognitive impairment. It consists of questions to assess orientation, memory, attention, language and visual-spatial skills. It also includes a brief Global Deterioration Scale (GDS) from 1 to 7 that defines levels of cognitive and functional decline in dementia.

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    STANDARDIZED MINI-MENTAL STATE EXAMINATION (SMMSE)

    1 2 3

    QUESTION
    a. Whatyearisthis? b. Whichseasonisthis? c. Whatmonthisthis?

    TIMEALLOWED
    10seconds 10seconds 10seconds 10seconds 10seconds 10seconds 10seconds 10seconds 10seconds 10seconds 20seconds

    SCORE
    /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /3

    d. Whatistodaysdate? e. a. Whatdayoftheweekisthis? Whatcountryarewein?

    b. Whatprovincearewein? c. Whatcity/townarewein?

    d. INHOMEWhatisthestreetaddressofthishouse? INFACILITYWhatisthenameofthisbuilding? e. INHOMEWhatroomarewein?INFACILITYWhatfloorareweon? SAY:Iamgoingtonamethreeobjects.WhenIamfinished,Iwantyoutorepeat them.RememberwhattheyarebecauseIamgoingtoaskyoutonamethemagainin afewminutes.Saythefollowingwordsslowlyat1secondintervalsball/car/man SpellthewordWORLD.Nowspellitbackwards. NowwhatwerethethreeobjectsIaskedyoutoremember? SHOWwristwatch.ASK:Whatisthiscalled? SHOWpencil.ASK:Whatisthiscalled? SAY:Iwouldlikeyoutorepeatthisphraseafterme:Noifs,andsorbuts. SAY:Readthewordsonthepageandthendowhatitsays.Thenhandtheperson thesheetwithCLOSEYOUREYESonit.Ifthesubjectreadsanddoesnotclosetheir eyes,repeatuptothreetimes.Scoreonlyifsubjectcloseseyes pieceofpaper.(Note:Thesentencemustmakesense.Ignorespellingerrors)

    4 5 6 7 8 9

    30seconds 10seconds 10seconds 10seconds 10seconds 10seconds

    /5 /3 /1 /1 /1 /1

    10 HANDthepersonapencilandpaper.SAY:Writeanycompletesentenceonthat 11 PLACEdesign,eraserandpencilinfrontoftheperson.SAY:Copythisdesignplease.

    30seconds 1minute

    /1 /1

    Allowmultipletries.Waituntilpersonisfinishedandhandsitback.Scoreonlyfor correctlycopieddiagramwitha4sidedfigurebetweentwo5sidedfigures.

    12 ASKthepersonifheisrightorlefthanded.Takeapieceofpaperandholditupin
    frontoftheperson.SAY:Takethispaperinyourright/lefthand(whicheverisnon dominant),foldthepaperinhalfoncewithbothhandsandputthepaperdownon thefloor.Score1pointforeachinstructionexecutedcorrectly. Takespapercorrectlyinhand Foldsitinhalf Putsitonthefloor

    30seconds

    /1 /1 /1

    TOTALTESTSCORE

    /30

    Note: This tool is provided for use in British Columbia with permission by Dr. William Molloy. This questionnaire should not be further modified or reproduced without the written consent of Dr. D. William Molloy. ProvidedbytheAlzheimersDrugTherapyInitiativeforphysicianuse.

    GLOBAL DETERIORATION SCALE (GDS)


    Stage Deficits in cognition and function Subjectively and objectively normal 1 Subjective complaints of mild memory loss. 2
    Objectively normal on testing. No functional deficit Independent

    Usual care setting


    Independent Independent

    Mild Cognitive Impairment (MCI)


    Earliest clear-cut deficits. Functionally normal but co-workers may be aware of declining work performance. Objective deficits on testing. Denial may appear.

    Early dementia
    Clear-cut deficits on careful clinical interview. Difficulty performing complex tasks, e.g. handling finances, travelling. Denial is common. Withdrawal from challenging situations.

    Might live independently perhaps with assistance from family or caregivers.

    Moderate dementia
    Can no longer survive without some assistance. Unable to recall major relevant aspects of their current lives, e.g. an address or telephone number of many years, names of grandchildren, etc. Some disorientation to date, day of week, season, or to place. They require no assistance with toileting, eating, or dressing but may need help choosing appropriate clothing.

    At home with live-in family member. In seniors residence with home support. Possibly in facility care, especially if behavioural problems or comorbid physical disabilities. Most often in Complex Care facility.

    Moderately severe dementia


    May occasionally forget name of spouse. Largely unaware of recent experiences and events in their lives. Will require assistance with basic ADLs. May be incontinent of urine. Behavioural and psychological symptoms of dementia (BPSD) are common, e.g., delusions, repetitive behaviours, agitation.

    Severe dementia
    Verbal abilities will be lost over the course of this stage. Incontinent. Needs assistance with feeding. Loses ability to walk.

    Complex Care

    Adapted by Dr. Doug Drummond from Reisberg B, Ferris SH, Leon MJ, et al. The global deterioration scale for assessment of primary degenerative dementia. American Journal of Psychiatry 1982;139:1136-1139. ProvidedbytheAlzheimersDrugTherapyInitiativeforphysicianuse.

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