![]() In response to COVID-19, a number of changes were made to the trial’s screening and recruitment procedures, to minimise the amount of time the researchers would spend in the participants’ homes when recruitment began in May 2021. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Takes min requires score sheet and pencil assesses different cognitive domains (attention, executive functions, memory, language, visuospatial skills, orientation) total score (<26 suggests cognitive impairment, but pattern of strengths/weaknesses and context often more informative than ‘cut-off’) correction (+1 point) for <12 years education not usually used administration instructions on website (ġ0 Clock drawing “I want you to draw a clock.Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. History (patient & informant) Physical examination Cognitive assessment InvestigationsĨ Brief cognitive assessments - lots of choice, but MoCA recommendedĬlock Mini-Cog AMT MMSE MoCA ACE Episodic + ++ +++ Semantic Remote - Spatial Executive Orientation Attention Language Equipment Time(mins) 2 4 6 8 10 15 Memory loss, especially recent events, such as forgetting messages, remembering routes or names, and asking questions repetitively increasing difficulties with tasks and activities that require organisation and planning becoming lost in unfamiliar environments difficulty finding the right words difficulty with numbers or handling money changes in personality and moodħ Assessment of patient presenting with possible cognitive impairment strokes)Ħ Common presenting symptoms of cognitive impairment … Alzheimer’s disease, dementia with Lewy bodies etc.) or vascular (e.g. ![]() The exact cause is not always identified.ĥ Dementia Chronic progressive problem - develops over months/years (may be preceded by mild cognitive impairment/MCI) Generalised impairment of cognition and personality that is so severe that it impacts on day to day living No alteration in level of consciousness Common causes are degenerative (e.g. It can take clinical experience to learn ot detect these signs, in particular if they are subtle. ![]() ![]() Means different things to different people Disorientated forgetful rambling speech agitated seeing things / hearing things etc …… So much better to be more specific and say what the symptom(s) is ….Ĥ Delirium Acute problem - develops over hours/days and tends to fluctuate Disturbance in attention/cognition Usually underlying general medical condition / medications / change of environment Very common in hospitalised older people (15- 60%) and associated with poor outcomes A syndrome, not a diagnosis In practice this disturbance of consciousness may present as drowsiness, or being hyper-alert, overly vigilant. Delirium Dementia What’s the difference?ģ Confusion Commonly used term, but ill defined Presentation on theme: "Cognitive screening tests: Montreal Cognitive Assessment (MoCA)"- Presentation transcript:ġ Cognitive screening tests: Montreal Cognitive Assessment (MoCA)Ĭase 6 (Cognitive Health) - Clinical Skills Learning Cognitive screening tests: Montreal Cognitive Assessment (MoCA)Ģ Confusion vs. ![]()
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