The following procedures also may be used to diagnose dementia: Cognitive and neurological tests. Used to evaluate thinking and physical functioning, these tests include assessments of memory, problem solving, language skills, and math skills, as well as balance, sensory response, and reflexes. Brain scans.
There is no one test to determine if someone has dementia. Doctors diagnose Alzheimer's and other types of dementia based on a careful medical history, a physical examination, laboratory tests, and the characteristic changes in thinking, day-to-day function and behavior associated with each type.
Mini-Mental Status Examination (MMSE)
This test is usually conducted by your doctor or specialist in their office and takes around 5 minutes to complete. The MMSE is the most common test for the screening of dementia. It assesses skills such as reading, writing, orientation and short-term memory.
Abstract. Introduction: The five-word test (5WT) is a serial verbal memory test with semantic cuing. It is proposed to rapidly evaluate memory of aging people and has previously shown its sensitivity and its specificity in identifying patients with AD.
Researchers developed a blood test that could detect Alzheimer's disease-promoting compounds in the blood long before symptoms emerged. The findings may lead to early diagnostic tests for Alzheimer's and other neurodegenerative diseases.
The Mini-Cog test.
A third test, known as the Mini-Cog, takes 2 to 4 minutes to administer and involves asking patients to recall three words after drawing a picture of a clock. If a patient shows no difficulties recalling the words, it is inferred that he or she does not have dementia.
The five-minute cognitive test (FCT) was designed to capture deficits in five domains of cognitive abilities, including episodic memory, language fluency, time orientation, visuospatial function, and executive function.
The Self-Administered Gerocognitive Exam, known as SAGE, is a brief, pen-and-paper cognitive assessment tool designed to detect the early signs of cognitive, memory, or thinking impairments. The test evaluates your thinking abilities. This can help your doctors understand how well your brain is functioning.
The main sign of mild cognitive impairment is a slight decline in mental abilities. Examples include: Memory loss: You may forget recent events or repeat the same questions and stories. You may occasionally forget the names of friends and family members or forget appointments or planned events.
Mini-Mental State Examination (MMSE)
This test is currently the most widely used cognitive assessment tool. It takes 10-15 minutes to administer. It is scored out of 30, with a score below 24 suggesting dementia. It is used to assess global cognitive status.
The Self-Administered Gerocognitive Exam (SAGE) is a brief self-administered cognitive screening instrument used to identify mild cognitive impairment (MCI) from any cause and early dementia.
At your appointment you may be seen by a GP, who is a doctor, or a nurse who works at the surgery. Both are qualified in checking for signs of dementia and other conditions. They will try to see if something else is causing your symptoms, or refer you for further tests with a specialist.
Memory problems
Difficulties with memory are the most well-known first signs of dementia. For example, a person may not recall recent events or may keep losing items (such as keys and glasses) around the house. Memory loss is often the first and main symptom in early Alzheimer's disease.
In the earlier stages, memory loss and confusion may be mild. The person with dementia may be aware of — and frustrated by — the changes taking place, such as difficulty recalling recent events, making decisions or processing what was said by others.
Mild cognitive impairment (MCI) is the stage between the expected decline in memory and thinking that happens with age and the more serious decline of dementia. MCI may include problems with memory, language or judgment. People with MCI may be aware that their memory or mental function has "slipped."
Difficulty in completing familiar tasks (e.g., cooking, cleaning, laundry, bill paying) Confusion with time or place (e.g., repeatedly forgetting where one lives (address, city, state), the date (year, month, day of week) Difficulty understanding visual images and spatial relationships.
Many people affected by dementia are concerned that they may inherit or pass on dementia. The majority of dementia is not inherited by children and grandchildren. In rarer types of dementia there may be a strong genetic link, but these are only a tiny proportion of overall cases of dementia.
Neuropsychological evaluation.
This process lasts around four hours and includes a series of in-depth analyses, such as one-on-one interviews and written and oral tests. These assessments are designed to gauge specific cognitive functions, like attention, problem solving, spatial skills, and executive functioning.
Background: The seven minute screen (7MS) is a compilation of the temporal orientation test, enhanced cued recall, clock drawing, and verbal fluency. It has been shown to be useful for detecting Alzheimer's disease in a population of patients with memory complaints.
The Mini-Mental State Examination (MMSE) is widely used and reliable in detecting Alzheimer's disease, available since 1975. 1 Taking about 10 minutes to complete, the MMSE measures aspects of cognition that include orientation, word recall, attention and calculation, language abilities, and visual construction.
The SAGE test is a 12-question exam that measures cognitive functioning and may help a physician determine whether Alzheimer's is present. It's recommended that you bring your completed test to a medical professional who can score and interpret the results. If necessary, your doctors will provide further screening.
The clock-drawing test is a quick way to screen for early dementia, including Alzheimer's disease. It involves drawing a clock on a piece of paper with numbers, clock hands, and a specific time. The inability to do so is a strong indication of mental decline.
The Six Item Cognitive Impairment Test (6CIT) is a brief cognitive function test which takes less than five minutes and is widely used in primary care settings. It involves three orientation items – counting backwards from 20, stating the months of the year in reverse and learning an address.