Which assessments are indicated in the evaluation of vascular dementia?

Updated: Mar 26, 2018
  • Author: Kannayiram Alagiakrishnan, MD, MBBS, MPH, MHA; Chief Editor: Glen L Xiong, MD  more...
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Answer

Health professionals can perform a Mini-Mental Status Exam (MMSE), [12] depression assessment screen using DSM-5 criteria, [1] the Geriatric Depression Scale (GDS), [13] or the Cornell Scale for depression in dementia, [14]  Health professionals should directly ask patients about suicidal or homicidal ideation (thoughts), intent, and plan.

The mental status is a bedside or interview assessment and includes:

  • Appearance
  • Interactions with examiner
  • Mood
  • Affect
  • Pattern of speech
  • Thought process and associations
  • Thought content (common themes, ideas of reference, delusions)
  • Perceptual changes (illusions, hallucinations)
  • Level of arousal (Alertness)
  • Orientation
  • Attention/Concentration
  • Memory (Immediate/Short-term/Long-term) 
  • Suicidal ideation, intent, plan, preparation, and protective factors 
  • Homicidal ideation, intent, plan, preparation, and protective factors 
  • Judgment and insight

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