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Dementia Assignment
Please complete by the end of your 2-week geriatrics rotation and send to Dr. Tia Kostas at [email protected]. ------------------------------------------------------------------------------------------------------------ Name:
The month you rotated with us (i.e. August): ------------------------------------------------------------------------------------------------------------ REFLECT: Can you think of a patient you’ve encountered in the past who you suspected or knew had a diagnosis of dementia? What were the challenges? What did you wish you knew?
BUILD KNOWLEDGE: Do the Hopkins dementia module (go to http://www.peaconline.org, choose Internal Medicine from dropbox, and create account to log in)
CHOOSE A PATIENT: Choose a patient in whom you suspect cognitive impairment in your continuity clinic (or the South Shore clinic if cannot find a patient in your own clinic) during this rotation.
EXPERIENCE: 1) Perform a MOCA (www.mocatest.org - takes 10-15 minute. More sensitive than MMSE for diagnosis, but not validated for staging) or MMSE (See PDF on website) with this patient. What is their score?
2) Ask about their ADLs and IADLs. What are the impairments if any?
3) Perform what you think is an appropriate neurologic exam. What did you look for and what did you find?
ANALYZE: 1) Do they have mild cognitive impairment (MCI)/mild neurocognitive disorder or dementia/major neurocognitive disorder? How severe is their dementia and why?
2) What kind of dementia do you think the patient may have and why?
3) Do you want any further workup? For example, labs or imaging?
4) What kind of management / interventions could you consider? Write down the top 3 interventions you think would be beneficial for this patient.
5) In your answer to question 4, did you include a cognitive enhancer? Why or why not?
REFLECT AGAIN: 1) What are the challenges you identified during this assignment?
2) What is the single most important thing you learned during this assignment:
3) Any other feedback (if any):
