Dementia Exam – Medical Speech Pathology – Cognitive Communication Disorders Review
Material
(Clinical presentation & possible etiology of MCI) MCI Single domain - ✔✔degenerative
(Clinical presentation & possible etiology of MCI) MCI multiple domains - ✔✔vascular
(Clinical presentation & possible etiology of MCI) MCI amnestic - ✔✔metabolic
(Clinical presentation & possible etiology of MCI) MCI non-amnestic - ✔✔traumatic/psychiatric
MOCA - ✔✔Montreal Cognitive Assessment
10 MINUTES, 30 BEST SCORE, 26 AND ABOVE IS
NORMAL
• Attention
• Concentration
• Executive function
• Memory
• Language
NORMAL • Visuoconstructional skills
www.mocatest.org
skills
• Conceptual thinking
• Calculations
• Orientation
,RBANS - ✔✔Repeatable Battery of Neuropsychological Status
•Story memory
•Line orientation
•Digit span
•Coding
•Figure copying
•Figure recall
•Picture naming
•Semantic fluency
•List recall & recognition
ABCD (Purpose? Can you generalize results to non-DAT pts?) - ✔✔Arizona Battery for
Communication Disorders of Dementia
Describe the purpose of this assessment: Reveal the primary linguistic communication deficits in
Alzheimer's.
Can you generalize the results of this assessment to your patient if his medical diagnosis is
frontotemporal dementia? No to generalize... yes to use in careful ways and see info you want.
MMSE - ✔✔Mini-Mental State Exam
SLUMS - ✔✔Saint Louis University Mental Status
(one of the screeners that is the most sensitive to early cognitive change)
, SAGE - ✔✔Self-Administered Gerocognitive Examination
GDS - ✔✔Global Deterioration Scale
-Scores are from 0-7 (no cog decline - very severe cog decline)
FAST (test not stroke signs) - ✔✔Functional Assessment Stages--
Use the FAST tool to determine if changes in a patient's condition are due to Alzheimer's
disease or another condition. If the change is due to AD progression, then any changes on the
FAST scale will be in sequence—AD-related changes do not skip FAST stages.
CADL - ✔✔Communicative Activities in Daily Living
RIPA-G (Purpose? Sub-tests? Score distribution?) - ✔✔Ross Information Processing
Assessment- Geriatric
What is the purpose of this diagnostic assessment?
Used to identify cognitive linguistic deficits in the elderly population to determine the
magnitude of any cognitive-linguistic problems
Can be used to assess patients with normal or impaired cognition to identify severity.
List the 7 subtests- make sure you know what all of these subtests are measuring.
1. Immediate memory
2. Temporal orientation
3. Spatial orientation
4. General information
Material
(Clinical presentation & possible etiology of MCI) MCI Single domain - ✔✔degenerative
(Clinical presentation & possible etiology of MCI) MCI multiple domains - ✔✔vascular
(Clinical presentation & possible etiology of MCI) MCI amnestic - ✔✔metabolic
(Clinical presentation & possible etiology of MCI) MCI non-amnestic - ✔✔traumatic/psychiatric
MOCA - ✔✔Montreal Cognitive Assessment
10 MINUTES, 30 BEST SCORE, 26 AND ABOVE IS
NORMAL
• Attention
• Concentration
• Executive function
• Memory
• Language
NORMAL • Visuoconstructional skills
www.mocatest.org
skills
• Conceptual thinking
• Calculations
• Orientation
,RBANS - ✔✔Repeatable Battery of Neuropsychological Status
•Story memory
•Line orientation
•Digit span
•Coding
•Figure copying
•Figure recall
•Picture naming
•Semantic fluency
•List recall & recognition
ABCD (Purpose? Can you generalize results to non-DAT pts?) - ✔✔Arizona Battery for
Communication Disorders of Dementia
Describe the purpose of this assessment: Reveal the primary linguistic communication deficits in
Alzheimer's.
Can you generalize the results of this assessment to your patient if his medical diagnosis is
frontotemporal dementia? No to generalize... yes to use in careful ways and see info you want.
MMSE - ✔✔Mini-Mental State Exam
SLUMS - ✔✔Saint Louis University Mental Status
(one of the screeners that is the most sensitive to early cognitive change)
, SAGE - ✔✔Self-Administered Gerocognitive Examination
GDS - ✔✔Global Deterioration Scale
-Scores are from 0-7 (no cog decline - very severe cog decline)
FAST (test not stroke signs) - ✔✔Functional Assessment Stages--
Use the FAST tool to determine if changes in a patient's condition are due to Alzheimer's
disease or another condition. If the change is due to AD progression, then any changes on the
FAST scale will be in sequence—AD-related changes do not skip FAST stages.
CADL - ✔✔Communicative Activities in Daily Living
RIPA-G (Purpose? Sub-tests? Score distribution?) - ✔✔Ross Information Processing
Assessment- Geriatric
What is the purpose of this diagnostic assessment?
Used to identify cognitive linguistic deficits in the elderly population to determine the
magnitude of any cognitive-linguistic problems
Can be used to assess patients with normal or impaired cognition to identify severity.
List the 7 subtests- make sure you know what all of these subtests are measuring.
1. Immediate memory
2. Temporal orientation
3. Spatial orientation
4. General information
