Geriatric Examination Tool Kit

Dementia & Depression screening

Cognitive Assessment - Dementia Screening

Mini-Cog

The Blessed Orientation-Memory-Concentration (BOMC) Test

Saint Louis University mental status examination (SLUMS)
Tariq SH, Tumosa N, Chibnall JT, Perry MH 3rd, Morley JE. (2006). Comparison of the Saint Louis University mental status examination and the mini-mental state examination for detecting dementia and mild neurocognitive disorder--a pilot study. Am J Geriatr Psychiatry. 14(11):900-10.

Mini Mental State Exam (MMSE) is not in the public domain
Scoring: 25-30=Normal, 21-24=Mild Cognitive Impairment (MCI), 16-20=Moderate, <16=Severe

Montreal Cognitive Assessment

Global Deterioration Scale (assessed by healthcare provider)



Pain Assessment in the presence of dementia

Pain Thermometer - self reporting scale
... may be effecive for patients with dementia: no words or numbers

Pain Assessment in Advance Dementia (PAINAD) (assessed by healthcare provider)

Horgas (2008). Pain Assessment in People with Dementia.
Horgas A., Miller L. (2008). AJN 108(7), 63-70.



Depression

2-Question Depression Screen  

  1. "During the past month have you often been bothered by feeling little interest or pleasure in doing things?"

  2. “During the past month have you often been bothered by feeling down, depressed, or hopeless?"

A positive resonse to both questions has a specificity of 57%

Whooley MA, Avins AL, Miranda J, Browner WS. (1997). Case-finding instruments for depression. Two questions are as good as many. J Gen Intern Med. 12(7):439-45.


Geriatric Depression Scale

  •  0-9: Normal
  •  10-19: Mild Depression
  •  20-30: Severe Depression

Groningen Meander Walking Test: A Dynamic Walking Test for Older Adults With Dementia.
Bossers WJR, van der Woude LHV, Boersma F, Scherder EJA, van Heuvelen MJG. (2014). The Groningen Meander Walking Test: A Dynamic Walking Test for Older Adults With Dementia. PHYS THER. 94(2):262-272.

 

Creative Commons license

Prost, E. (2013). Examination Tool Kit. University of Missouri,
School of Health Professions, Department of Physical Therapy

Contact webmaster

Updated: August 15, 2014