Dementia Assignment

Dementia Assignment

Please complete by the end of your 2-week geriatrics rotation and send to Mariko Wong at .

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Name:

Your answer: ____

The month you rotated with us (i.e. August):

Your answer: ____

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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?

Your answer: ____

BUILD KNOWLEDGE:

1)  Do the Hopkins dementia module (go to http://www.peaconline.org, choose Internal Medicine from dropbox, and create account to log in)

2)  Read the summary on http://dementia.americangeriatrics.org

CHOOSE A PATIENT: Choose a patient who 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?

Your answer: ____

2)  Ask about their ADLs and IADLs. What are the impairments if any?

Your answer: ____

3)  Perform what you think is an appropriate neurologic exam. What did you look for and what did you find?

Your answer: ____

ANALYZE:

1)  Do they have mild cognitive impairment (MCI) or dementia? How severe is their dementia and why?

Your answer: ____

2)  What kind of dementia do you think the patient may have and why?

Your answer: ____

3)  Do you want any further workup? For example, labs or imaging?

Your answer: ____

4)  What kind of management / interventions could you consider? Write down the top 3 interventions you think would be beneficial for this patient.

Your answer: ____

5)  In your answer to question 4, did you include a cognitive enhancer? Why or why not?

Your answer: ____

REFLECT AGAIN:

1)  What are the challenges you identified during this assignment?

Your answer: ____

2)  What is the single most important thing you learned during this assignment:

Your answer: ____

3)  Any other feedback (if any):

Your answer: ____

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