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Dementia Screening with GPCOG

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21. Mild Cognitive Impairment (Overview)

spouse, family, or friends [ , ] : Informant General Practitioner Assessment of Cognition (informant GPCOG) AD 8-Question Screen (AD8) Short Informant Questionnaire on Cognitive Decline in the Elderly (short IQCODE) Previous Next: Treatment & Management Medical care At present, no established treatment exists for mild cognitive impairment (MCI). Cholinesterase inhibitors have not been found to delay the onset of Alzheimer disease (AD) or dementia in individuals with MCI; however, has been found (...) [ , ] : Review of patient health risk assessment (HRA) information Patient observation Use of unstructured queries Use of structured cognitive assessment tools for patients and informants The following 3 cognitive assessment tools are recommended for routine use by primary care physicians [ ] : General Practitioner Assessment of Cognition (GPCOG) Mini-Cog Memory Impairment Screen (MIS) Additionally, the Alzheimer’s Association recommends the following 3 cognitive assessment tools for use with the patient's

2014 eMedicine.com

22. Mild Cognitive Impairment (Treatment)

spouse, family, or friends [ , ] : Informant General Practitioner Assessment of Cognition (informant GPCOG) AD 8-Question Screen (AD8) Short Informant Questionnaire on Cognitive Decline in the Elderly (short IQCODE) Previous Next: Treatment & Management Medical care At present, no established treatment exists for mild cognitive impairment (MCI). Cholinesterase inhibitors have not been found to delay the onset of Alzheimer disease (AD) or dementia in individuals with MCI; however, has been found (...) [ , ] : Review of patient health risk assessment (HRA) information Patient observation Use of unstructured queries Use of structured cognitive assessment tools for patients and informants The following 3 cognitive assessment tools are recommended for routine use by primary care physicians [ ] : General Practitioner Assessment of Cognition (GPCOG) Mini-Cog Memory Impairment Screen (MIS) Additionally, the Alzheimer’s Association recommends the following 3 cognitive assessment tools for use with the patient's

2014 eMedicine.com

23. Mild Cognitive Impairment (Follow-up)

spouse, family, or friends [ , ] : Informant General Practitioner Assessment of Cognition (informant GPCOG) AD 8-Question Screen (AD8) Short Informant Questionnaire on Cognitive Decline in the Elderly (short IQCODE) Previous Next: Treatment & Management Medical care At present, no established treatment exists for mild cognitive impairment (MCI). Cholinesterase inhibitors have not been found to delay the onset of Alzheimer disease (AD) or dementia in individuals with MCI; however, has been found (...) [ , ] : Review of patient health risk assessment (HRA) information Patient observation Use of unstructured queries Use of structured cognitive assessment tools for patients and informants The following 3 cognitive assessment tools are recommended for routine use by primary care physicians [ ] : General Practitioner Assessment of Cognition (GPCOG) Mini-Cog Memory Impairment Screen (MIS) Additionally, the Alzheimer’s Association recommends the following 3 cognitive assessment tools for use with the patient's

2014 eMedicine.com

24. Screening for Cognitive Impairment

evidence, UK and European Guidelines. You may find the article more useful, or one of our other . Screening for dementia is not recommended for the general population. However, healthcare professionals should be aware of clinical features that may suggest cognitive impairment and should also be aware of the increased risk of dementia in people with conditions such as Down's syndrome and other learning disabilities, after a stroke and in Parkinson's disease. [ ] General practitioners need to be able (...) - this is the group of patients likely to benefit most from intervention. See separate and articles. The rest of this article deals with the screening tests that can be used to detect cognitive impairment. The limitation of such tests should be recognised and one UK study found that increased use of the tests was not reflected in an increase in the hospital diagnosis of dementia. [ ] Screening tests for cognitive impairment can adequately detect dementia but there is no strong evidence whether interventions

2008 Mentor

25. Dementia with Lewy Bodies

feature. Clinical cognitive assessment is made using one of the standardised tools mentioned by National Institute for Health and Care Excellence (NICE) or Scottish Intercollegiate Guidelines Network (SIGN) guidance: [ , ] Mini Mental State Examination (MMSE). 6-item Cognitive Impairment Test (6-CIT). General Practitioner Assessment of Cognition (GPCOG). 7 Minute Screen (7MS). Standard informant interviews may help improve sensitivity (eg, the . Differential diagnosis Other forms of dementia (...) , especially dementia in or dementia in . Normally in dementia associated with Parkinson's disease, the movement disorder has been present for at least a year before the onset of dementia. . . Investigations Diagnosis is usually a clinical one. Basic dementia screen: [ ] Routine haematology - FBC, ferritin, vitamin B12, folate. Biochemistry (including electrolytes, calcium, glucose, and renal and liver function). TFTs. Midstream specimen of urine (MSU). CXR and ECG where clinically indicated. CT or MRI

2008 Mentor

26. General Practitioner Assessment of Cognition (GPCOG) Score

, UK and European Guidelines, so you may find the language more technical than the . This test was designed as a GP screening tool for dementia. [ ] See also separate article. There are two components: a cognitive assessment conducted with the patient, and an informant questionnaire (only considered necessary if the results of the cognitive section are equivocal, ie score 5-8 inclusive). Results >8 or <5 on the GPCOG patient section were assumed to be cognitively intact or impaired, respectively (...) from Brodaty H, Pond D, Kemp NM, et al; The GPCOG: a new screening test for dementia designed for general practice. J Am Geriatr Soc. 2002 Mar;50(3):530-4. ©2002 Reproduced with permission of John Wiley and Sons Ltd. Did you find this information useful? Thanks for your feedback! Why not subscribe to the newsletter? Email address * We'd love to send you our articles and latest news by email, giving you the best opportunity to stay up to date with expert written health and lifestyle content

2008 Mentor

27. Screening for Delirium, Dementia and Depression in the Older Adult

Screening for Delirium, Dementia and Depression in the Older Adult Screening for Delirium, Dementia and Depression in Older Adults Nursing Best Practice Guideline Shaping the future of Nursing November 2003Greetings from Doris Grinspun Executive Director Registered Nurses Association of Ontario It is with great excitement that the Registered Nurses Association of Ontario (RNAO) disseminates this nursing best practice guideline to you. Evidence-based practice supports the excellence in service (...) Practice Guideline.6 Screening for Delirium, Dementia and Depression in Older Adults Patricia Stiles Clinical Nurse Specialist Homewood Health Centre Guelph, Ontario Dr. Lisa Van Bussel Geriatric Psychiatrist Regional Psychogeriatric Program St. Joseph’s Healthcare London, Ontario Donna Wells Associate Professor Faculty of Nursing University of Toronto Toronto, Ontario Special acknowledgment also goes to Barb Willson, RN, MSc and Anne Tait, RN, BScN, who served as Project Coordinators at the onset

2003 Registered Nurses' Association of Ontario

28. What is the best dementia screening instrument for general practitioners to use? (PubMed)

written in English or with an English version were included. Articles using a translation of an English language instrument were excluded unless validated in a general practice, community, or population sample.The General Practitioner Assessment of Cognition (GPCOG), Mini-Cog, and Memory Impairment Screen (MIS) were chosen as most suitable for routine dementia screening in general practice. The GPCOG, Mini-Cog, and MIS were all validated in community, population, or general practice samples, are easy (...) What is the best dementia screening instrument for general practitioners to use? The objective of this study was to review existing dementia screening tools with a view to informing and recommending suitable instruments to general practitioners (GPs) based on their performance and practicability for general practice.A systematic search of pre-MEDLINE, MEDLINE, PsycINFO, and the Cochrane Library Database was undertaken. Only available full-text articles about dementia screening instruments

2006 The American Journal of Geriatric Psychiatry

29. Characteristics of the GPCOG, a screening tool for cognitive impairment. (PubMed)

Characteristics of the GPCOG, a screening tool for cognitive impairment. Early dementia diagnosis is aided by the use of brief screening tests; scores can be biased by patient and informant characteristics such as age, gender and education.To assess whether the General Practitioner's Assessment of Cognition (GPCOG), a brief screening tool for detecting cognitive impairment comprising a patient cognitive test and questions to an informant, is biased by patient and informant characteristics.Sixty (...) Health Survey (SF-12) were administered and demographic data were collected and consensus DSM-IV diagnoses of dementia made. Relationships between patient and informant characteristics and the GPCOG measure were examined using Pearson correlations and linear regression analyses.There were correlations in GPCOG-patient scores with age, education and depression scores but on regression analysis only age was associated with the GPCOG-patient section. The GPCOG-informant section was free of bias.The

2004 International Journal of Geriatric Psychiatry

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