![]() It is answered by the patient, family, or caregiver to indicate the presence of cognitive impairment.Ĭompiled by the National Institute on Aging, this database provides links to more than 100 instruments that can be used to detect cognitive impairment in older patients. ![]() The questionnaire is useful to assess and monitor functional changes over time. The Functional Activities Questionnaire calculates the extent of the patient’s ability to engage in instrumental activities of daily living (IADL). The application is available for smartphones and tablets, and there is a fee associated with using the tool. The Mini-Mental State Examination, 2nd Edition™ application allows users to administer, score, and share patient results faster and easier than using pencil and paper assessments. Mini-Mental State Examination (MMSE), 2nd Edition™ Its use is granted by Washington University for clinical care purposes in family medical care. This tool is based on individual decline and is a valid and reliable screening tool for dementia. The AD8 Dementia Screening Interview is an eight-question interview, which distinguishes individuals who have very mild dementia from those without dementia. It can be used as a preliminary screening test, or in conjunction with other screening tools to evaluate the cognition of a patient who has exhibited possible impairment in their thinking and recall functions. The MIS is a quick screening tool to assess memory. The General Practitioner Assessment of Cognition Screening Test is a cognitive impairment screening tool designed for use in primary care. General Practitioner Assessment of Cognition Screening Test (CPCoG) Evaluation of the exam can be used to determine if a full-diagnostic assessment is needed. The SLUMS examination is brief test designed to measure a patient’s abilities in orientation, executive function, memory, and attention. This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.The Saint Louis University Mental Status (SLUMS) Examination 3 and the Montreal Cognitive Assessment (MoCA).4,5 The evidence for their use. We would, therefore, recommend conducting cognitive testing by re-scoring the test without the visual components (as in the MoCA Blind), magnifying the visual components to make them more visible, or replacing the visual components with auditory substitutes (e.g., auditory tail-making and clock tasks). testing, the formal score must be interpreted in conjunction with clinical. Our findings show a simulated reduction in visual acuity can lead to lower cognitive scores, but that older adults that have a real impairment may have developed an adaptation to this loss of acuity. For comparison, we included MoCA data from a sample of older adults with normal vision (n=19, M age=74, Acuity M=.04 logMAR, SD=.16) or visual impairment (n=19, M age=79, Acuity M=.35 logMAR, SD=.3).Īcuity of participants at 20/20 (M=.06 LogMAR, SD=.1), simulated 20/80 (M=.63, SD.18) and simulated 20/200 (M=.88, SD=.19) showed that the participants experienced simulated acuity loss with the goggles. Only participants that scored >26 (i.e., normal cognitive function) at 20/20 were included in the analysis. The MoCA was administered following the clinical protocols. Participants (19) viewed one of the three version of the Montreal Cognitive Assessment (MoCA) under three conditions (20/20, simulated 20/80, simulated 20/200). Therefore, we simulated reduced acuity in adults to determine how this impacts cognitive screening measure. But, we do not know if lower scores are due to the assessments relying on visual stimuli, or if individuals with visual impairments are actually more likely to have cognitive impairments. Cognitive scores of adults with visual impairments are typically lower than adults with normal vision. Cognitive assessments have visual components that assume intact sensory ability, however, adults may show a decline in visual acuity with increasing age. ![]()
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