1/13/2009

Demantia case

Happy New Year 2009!

I found out from practice why practice is sooo..importance. Approach in such a time limit
need more than mnemonic, it also need to do it rattle as praying ( Suad-Montra). Therefore
I will start select some dialogs for praying. The first one is ..

Demantia case
Confusion or behavioral problem without focal neurological deficit

Ask: ask about ADL (DEATH) and IADL (SHAFT)
Address :
MMSE
Advise: I concern that you may trouble with Alzheimer diseas
Assist: Would you like someone help you manage daily activity?

MMSE

" TimePlacePerson + RepeatReversRecall + Pen&Paper"

I will ask you some question to test your memory and thinking, is it OK ?

Can you tell me your name
Can you tell me state you are now?
Can you tell me what time it is now ?

I will name three objects for you,please repeat them to me immediatly : Pen Ball Tree
OK I will ask you after a few minuts.

I want you to count backward starting with 7

Now, can you tell me the three objects I mentioned before?

Do you know what this called (Pen)

I will give you a pice of paper. Take it in your right hand
,Fold in half and put it on the floor

Note: adaped from CSprotocal.blogspot --I think this approach method is practical to finish within 2-3 minutes. It's impossible to do real-full version of MMSE which take about 10 minutes! --It may help to support thinking about demantia but not help to detect case as original version do.

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