China
Africa
Explore chapters and articles related to this topic
Questions for part B
Published in Henry J. Woodford, Essential Geriatrics, 2022
Which of the following is part of the Abbreviated Mental Test Score?Copy interlocking pentagonsCount backwards from 100 in steps of 7Name two objectsPatient's addressPatient's date of birth
Clinical presentation of depression in the elderly
Published in Simon Lovestone, Robert Howard, Depression in Elderly People, 2020
Simon Lovestone, Robert Howard
Presentation with physical symptoms requires close attention to the pattern of the symptomatology as well as a systematic search for non-disclosed symptoms of depression. Co-morbidity is common and often investigation and treatment of both depression and physical illness are necessary simultaneously. Deteriorating self care, a change in eating habit or loss of weight can all be the earliest indications of depression, but may also be the presenting signs of a dementia. Cognitive assessment of the elderly depressed should never be omitted. Simple tests of memory include the abbreviated mental test score and the somewhat longer mini mental state examination. Cognitive impairment in the depressed can indicate a dementia although it may be secondary to depressed mood. However, if the cognitive impairment is secondary, then an improvement to some degree should be observed with treatment. A persistently impaired cognition does not in any way preclude treatment of the depressive symptomatology, but does indicate that further assessment will be necessary. In addition to prompting an investigation of the cognitive impairment, an assessment of the patient’s functional ability and an occupational therapy assessment of the home might be indicated. Should the cognitive impairment prove to be due to dementia then an appropriate management plan will include attention to home care facilities and discussions with relatives about the most appropriate place of residence to meet the needs of the patient.
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.
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.
The psychometric properties of the toe tap test in people with stroke
Published in Disability and Rehabilitation, 2019
Shamay S. M. Ng, Mimi M. Y. Tse, Eric W. C. Tam, Cynthia Y. Y. Lai
Subjects with chronic stroke were recruited from a local stroke self-help group via poster advertising. Subjects with chronic stroke were included if they: (1) were aged 55 or older; (2) had experienced a single stroke at least 12 months previously; (3) were able to walk at least six meters independently with or without a walking aid; (4) had an Abbreviated Mental Test score of seven or above [20] and; (5) were insufficiently stable medical condition to complete the testing. Subjects were excluded if they had any neurological condition such as Parkinson’s disease, or another existing comorbidity such as arthritis which might hinder proper assessment.
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.