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ACOVE Gems

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Dementia

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Fact: There are approximately 5.1 million Americans 65 years and older with dementia. 1 in 8 persons 65 and over and nearly 50% of all persons over the age of 85 have some type of dementia. It is the sixth leading cause of death in the United States and the third most expensive disease after cardiovascular disease and cancer.


CAM Screen for Delirium
(Confusion Assessment Method)

1+2+(3 or 4)

1 = Acute Onset & Fluctuating course
      PLUS
2 = Inattention
      AND EITHER
3 = Disorganized Thinking 
      OR
4 = Altered LOC (most common = HYPOACTIVE form)

Inouye et al. Ann Intern Med 1990

Mini-Cog with Clock Drawing Test (CDT)
Rapid Screen for Cognitive Impairment
Scoring

The Mini-Cog uses a 3 item recall test for memory and the intuitive clock drawing test. The later serves as an "informative distractor" helping to clarify scores when the recall score is intermediate. 

The CDT is considered normal if all numbers are present in the correct sequence and position, and the hands readably display the requested time.