Although not a clearly defined disease, dementia is usually diagnosed when you experience severe mental impairment that interferes with your daily life. It causes problems with memory and cognitive abilities that can be debilitating. X The Centers for Disease Control and Prevention is the nation’s main public health agency run by the Department of Health and Human Services. Go to the source Dementia is a common disease, but it is difficult to diagnose, so it is necessary to consult a doctor. Friends and family can take a mini-mental status test to get a general idea of your cognitive function, but your doctor can make better use of the results.
Prepare for the doctor’s visit
Make an appointment with your doctor. Another section of this page contains tests you can do at home. According to the Alzheimer’s Association, this information can provide insight if you have no other options, but it’s not a substitute for a doctor’s diagnosis.
Prepare your troops. Certain medications and medical conditions can increase your risk. Similarly, having a family history of dementia and other risk factors puts you at risk of developing dementia, although the condition is not necessarily inherited. It’s important for doctors to rule out conditions that can mimic symptoms of dementia, such as depression, thyroid problems, and medication side effects that can affect memory and thinking. Symptoms can be reversed if the problem is caused by these conditions and not by dementia. Be prepared to give your doctor the following information:
Food, alcohol consumption and drug use. Carry a bottle of any medication you take.
Other known medical problems.
Behavior changes (especially in social situations or eating habits).
A biologically related family member (if applicable) who has experienced dementia or dementia-like symptoms.
Get a physical exam. Physical examination should include blood pressure measurement, pulse measurement, and body temperature measurement. Your doctor may also test your balance, reflexes, and eye movements, or perform other tests, depending on your exact symptoms. This will help rule out other conditions that may be causing your symptoms and provide a more complete diagnosis.
Take a cognitive test. There are several types of psychiatric tests used to screen for dementia, some of which are listed in this article. Here are some frequently asked questions.
Shows day, month and year.
Draw the clock face at 28 o’clock.
Countdown from 100 x 7.
If necessary, undergo laboratory tests. If your doctor hasn’t ordered blood samples or other lab tests, you can ask about thyroid hormone and vitamin B12 tests. In fact, this is a common test that can narrow down the cause of your symptoms. Many other tests may be ordered based on your specific medical history, but are not necessary for all patients.
More information on brain scans. If you have symptoms but the cause is unclear, your doctor may recommend a brain scan to look for possibilities other than dementia. Computed tomography (CT), magnetic resonance imaging (MRI), and electroencephalography (EEG) tests are the most common types of tests used to diagnose dementia-like symptoms. However, keep in mind that there is no definitive test for dementia.
Your doctor will use a brain scan to rule out other conditions.
If your doctor is considering an MRI, tell him or her about any implants or modifications that can’t be removed, such as tattoos, prosthetic joints, pacemakers, or debris fragments.
Learn about genetic testing. Genetic testing is controversial, so it doesn’t necessarily mean that even genes associated with an increased risk of dementia are affected. However, genetic testing can help you or your doctor if you or your doctor have a family history of dementia, especially dementia praecox.
Keep in mind that genetic testing is a new and rapidly evolving area of research. Your results may not be very useful. Also, insurance may not cover the test.
Take the Mini Mental State Examination (MMSE)
Please understand that this diagnostic method alone cannot be used. The Alzheimer’s Association does not recommend home testing in lieu of a doctor’s visit. Use this 10-minute quick test only if you can’t see your doctor right away or if a family member or friend sees you.
Do not take this test if you are not fluent in the language you teach, or if you have a learning disability or dyslexia. Instead, see your doctor.
Understand how to pass the exam. People at risk of developing dementia-like symptoms just have to listen to the instructions. The second person reads the steps below and directs or asks questions of the person being tested. Record the candidate’s score for each section. At the end of the test, we collect a score for each section. A score of 23 or less (out of 30 points) indicates possible cognitive decline that may indicate dementia or other health problems.
The calendar should not be displayed during the test.
You generally have 10 seconds to answer each question and 30-60 seconds for questions related to spelling, writing, or drawing.
Orientation to the time test (5 points). Ask the person suspected of dementia the following questions in order: You get 1 point for each correct answer.
What year is?
What chapter is it?
what month is it?
What date is today?
What is the day of the week?
Who is the president?
Who I am?
What are you going to have for breakfast this morning?
How many children do you have and how old are you?
Orientation test (5 points). Five separate questions asking where the person is now. One point is awarded for each successful response to:
Where are you?
In which country are you?
In which country are you? (or “province, ” “territory, ” or similar term)
What city are you in? (or “City “)
What is the address of this house? (or “What is the name of this building? “)
What room are we in? (or for inpatients “What floor are we on? “.)
Registration for the exam (3 points). Name three simple things (eg, ‘table, car, house’) and ask this person to repeat them right after you. Pause in the middle, everyone must speak together and the candidate must repeat once. Also say that in a few minutes you will be asked to remember these words.
One point is scored for each word successfully repeated on the first try.
Repeat all three items over and over until the candidate passes the exam. Instead of marking success after the first try, record the number of repetitions the candidate must memorize the three items. (This is used in some extended versions of the tests.
Attention test (5 points). Spell the word WORLD( “WORLD “). Then ask the candidate to spell the word WORLD backwards. If he passes within 30 seconds, he gets 5 points, and if he fails, he gets 0 points.
Some health professionals find it useful to write down the exact answer the candidate provided to this question.
Do not translate these steps directly into other languages. To see what words are commonly used, search for the MMSE version in your language.
Call the test (3 points). Ask the person to repeat the three words they said earlier to memorize. You get 1 point for each word you remember.
Language test (2 points). Point with a pencil and ask “What’s that called?”. Point to your watch and repeat the question. You get 1 point for each correct answer.
Repeat the test (1 point). Ask the person to repeat “Sometimes you do and you don’t “. If you guess right, you get 1 point.
This is another step that cannot be directly translated into other languages.
Tests your ability to follow complex commands (3 points). Ask the person to follow a 3-step command (3 points). For example, ask the person to hold a sheet of paper in their right hand, fold it in half, and place it on the floor.
Test your ability to follow written orders (1 point). Type “Close your eyes ” on a piece of paper. Pass the paper to the person taking the test and ask them to follow this order. If you do it in 10 seconds, you get 1 point.
Sentence writing test (1 point). Ask the person to write a complete sentence. One point is scored if a noun and a verb are included and are significant. Spelling errors don’t matter.
Test the ability to copy drawings (1 point). Draw a geometric design on paper. One pentagon (pentagon) and a second pentagon overlap one of the corners. Ask the subject to copy this drawing onto their own paper. Get 1 point if you successfully meet the following characteristics:
The two shapes, the two pentagons.
The overlap results in a four-sided shape (or whatever the multiple faces of the original shape are).
Look at the results. If the candidate’s score is 23 or less, medical advice is recommended. If you do not have medical training in this area, do not tell the person being tested what the results mean.
If your results are 24 or higher and you are still concerned about your symptoms, try the MoCA test as well.
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