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Quarterly per year
- Every nursing home resident is screened for dementia on admission and at least quarterly per year because the Brief Interview for Mental Status (BIMS) is imbedded in the federally mandated Minimum Data Set (MDS). The BIMS tests immediate recall, orientation, and short-term memory with scores from 0 to 15.
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Screening includes office-based assessments of cognitive function, as well as laboratory testing and neuroimaging. All patients suspected of having dementia should have a physical examination, including a screening neurological examination and review of medications, as a part of the evaluation.
According to the 2021 World Alzheimer Report, more than 50% of persons living with dementia and their care partners reported dissatisfaction with the disclosure process, including not receiving adequate information at the time of their diagnosis (Alzheimer’s Disease International, 2021).
Any change in functional abilities in older adults should trigger an evaluation for dementia. Assessing functional abilities is emphasized here because dementia and comorbid medical conditions may affect functioning.
In this new iteration, the Alzheimer's Association Dementia Care Practice Recommendations outline recommendations for quality care practices based on a comprehensive review of current evidence, best practice and expert opinion.
Summary. This quality standard addresses care for people living with dementia in the community, including the assessment of people suspected to have dementia or mild cognitive impairment. The quality standard focuses on primary care, specialist care, hospital outpatient services, home care, and community support services.
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Mar 1, 2018 · Every nursing home resident is screened for dementia on admission and at least quarterly per year because the Brief Interview for Mental Status (BIMS) is imbedded in the federally mandated Minimum Data Set (MDS).
Because the use of a cognitive assessment instrument can improve detection of dementia in primary care settings 1, the group identified several brief tools to evaluate cognition, all of which can be administered in five minutes or less by a physician or other trained staff.
