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Assessment of the depressed patient
Published in Simon Lovestone, Robert Howard, Depression in Elderly People, 2020
Simon Lovestone, Robert Howard
All elderly patients with depression should undergo a brief bedside cognitive examination with, for example, an instrument like the mini mental state examination (MMSE) or the abbreviated mental test score (AMTS). Depression is a common feature of early dementia and in addition mood disorder can cause impairment of memory and concentration. The AMTS can be used as a primary screen of memory impairment in all elderly subjects in the community and the MMSE as a more comprehensive cognitive screen where depression or dementia is suspected. A reduced score on either will prompt a more complete mental state and cognitive examination and repeated assessments, which should be performed as mood is treated. Patients with depression secondary to dementia will show no improvement in cognitive function as their mood improves and may continue to show a cognitive deterioration. Patients with primary depression and secondary concentration or memory problems should show some improvement in cognitive function as their mood returns to normal. Documenting this change will be important for subsequent management.
Dementia
Published in Jane Higgs, Gill Wakley, Ruth Chambers, Clare Gerada, Demonstrating your Clinical Competence in Depression, Dementia, Alcoholism, Palliative Care and Osteoporosis, 2018
Jane Higgs, Gill Wakley, Ruth Chambers, Clare Gerada
The abbreviated mental test score (AMT) is a quick way to evaluate cognitive function in general practice to screen for dementia or monitor its progression.4 The AMT consists of a set of 10 questions for the patient and takes about 10 minutes to administer and complete (seeBox 5.2). A cognitively intact person should answer the 10 questions correctly, whereas a score below 6 indicates likely cognitive impairment.
Psychiatry
Published in Shahed Yousaf, Medical Examination Made Memorable (MEMM), 2018
Cognitive state can fluctuate and needs to be measured. A variety of tools have been developed to this end including the Abbreviated Mental Test Score (AMTS) which is a 10-point test mainly validated in the elderly (seeelderly medicine chapter, p. 63). The Mini Mental State Examination (MMSE) is a 30-point test used to screen and estimate the severity of cognitive impairment. It can be repeated to chart the course of cognitive changes in individuals over time.
Older adults’ perceptions of early rehabilitation and recovery after hip fracture surgery: a UK qualitative study
Published in Disability and Rehabilitation, 2022
Jessica Southwell, Chris Potter, David Wyatt, Euan Sadler, Katie Jane Sheehan
We used criterion sampling with surgery after hip fracture as the primary criterion [33]. We included adults aged 60 years or more who underwent surgical management of hip fracture to reflect a similar patient group to those captured by the national audit. We included those who were mobile (with/without assistive device) prefracture as rehabilitation differs for those who were not mobile prefracture. Finally, we included those who were English speaking due to feasibility of employing a translator to facilitate interviews, and able to provide informed consent (Abbreviated Mental Test Score (AMTS) of at least 8/10) as a criterion for ethical approval. Where a participant was eligible for inclusion, the physiotherapist responsible for their acute care informed the potential participant about the study and obtained signed informed consent.
Effect of adapted motorized ride-on toy use on developmental skills, quality of life, and driving competency in nonambulatory children age 9–60 months
Published in Assistive Technology, 2023
Kara Arps, Nancy Darr, Jamie Katz
Table 3 demonstrates the mean time and mean number of sessions in AMT for each participant over each 2-week intervention period and the total time and total number of sessions across the 16-week intervention. Participants spent an average of 116.23 minutes (20–296 minutes) over an average of 6.49 sessions (1–13 sessions) in their AMTs for each two-week intervention span. Average adherence rate to recommended use of AMTs for 20 minutes per day was 41.51%. Time spent in the AMTs varied greatly between participants across the study and week-to-week within each participant secondary to illness, vacation, weather, and progression in mobility skills.
Patients experience of fatigue in advanced heart failure
Published in Contemporary Nurse, 2019
Helen Walthall, Theresa Floegel, Mary Boulton, Crispin Jenkinson
Participants were recruited from a cardiac centre in the south of England. Inclusion criteria were: 18 years and older, diagnosis of heart failure with reduced ejection fraction by a consultant cardiologist, and able to participate in conversational-style interviews in their own language. Major exclusion criteria were cognitive deficit identified by Abbreviated Mental Test Score (AMTS). An interpreter for participants was made available if required, however this service was not requested by any participant.