In my opinion and experience, the MoCA is suitable and very useful as a convenient screening tool for use in the occupational health clinic by occupational health doctors and nurses. The test may be administered by anyone who understands and follows the instructions but the website states that only a health professional with expertise in the cognitive field should interpret the results. MoCA is free for use by universities, foundations, health professionals, hospitals, clinics and public health institutes. A score of 26 or above is considered normal. The assessment consists of a 30 point test on a single side of A4 and can be administered in 10min. A comprehensive website provides the test, instructions, normative data, references, frequently asked questions and permissions and updates. The MoCA may be useful in the occupational health setting for detecting MCI or early dementia especially as the workforce ages. The prevalence of MCI in population-based epidemiological studies ranges from 3 to 19% in adults older than 65 years and more than half progress to dementia within 5 years. MCI is a syndrome defined as cognitive decline greater than expected for an individual’s age and education level but that does not interfere not ably with activities of daily life. ©2002 Reproduced with permission of John Wiley and Sons Ltd.The Montreal Cognitive Assessment (MoCA) was developed by Dr Ziad Nasreddine in Montreal, Canada in 1995 for the detection of mild cognitive impairment (MCI) by health professionals. This calculator has been reproduced from Brodaty H, Pond D, Kemp NM, et al The GPCOG: a new screening test for dementia designed for general practice. Is the patient less able to manage his or her medication independently?ĭoes the patient need more assistance with transport (either private or public)? Is the patient less able to manage money and financial affairs (eg, paying bills, budgeting)? When speaking, does the patient have more difficulty in finding the right word or tend to use the wrong words more often? Score for each of the 5 components - John, Brown, 42, West Street, Kensington.Īsk the informant: "Compared to a few years ago"ĭoes the patient have more trouble remembering things that have happened recently?ĭoes he or she have more trouble recalling conversations a few days later? What was the name and address I asked you to remember? If unable to give details, the answer should be scored as incorrect. If a general answer is given, such as "war", "a lot of rain", ask for details. Respondents are not required to provide extensive details, as long as they demonstrate awareness of a recent news story. Please mark in hands to show 10 minutes past eleven o'clock (11:10).įor a correct response (above), the hands should be pointing to the 11 and the 2,īut do not penalise if the respondent fails to distinguish the long and short hands.Ĭan you tell me something that happened in the news recently? (recently = in the last week) Please mark in all the numbers to indicate the hours of a clock (correct spacing required).įor a correct response (above), the numbers 12, 3, 6, and 9 should be in the correct quadrants of the circleĪnd the other numbers should be approximately correctly placed. (Allow a maximum of 4 attempts but do not score yet)Ĭlock Drawing (visuospatial functioning) use a paper with a printed circle. Remember this name and address because I am going to ask you to tell it to me again in a few minutes: John Brown, 42 West Street, Kensington" After I have said it, I want you to repeat it. "I am going to give you a name and address. Unless specified, each question should only be asked once. General Practitioner Assessment of Cognition (GPCOG) GPCOG Patient Examination
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |