GDS DEMENTIA (45)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT GDS DEMENTIA
LAST UPDATE 2022-07-22 16:34:56
ENTRY CHECKSUM 3325284658
ENTRY SPECIFICATION
{"name": "GDS DEMENTIA", 
 clinical interview.<br /><br />
 2. Very mild cognitive decline (Age Associated Memory Impairment)<br />
 Subjective complaints of memory deficit, most frequently in following areas: (a)
 forgetting where one has placed familiar objects; (b) forgetting names one
 formerly knew well. No objective evidence of memory deficit on clinical
 interview. No objective deficits in employment or social situations. Appropriate
 concern with respect to symptomatology.<br /><br />
 3. Mild cognitive decline (Mild Cognitive Impairment)<br />
 Earliest clear-cut deficits. Manifestations in more than one of the following areas:
 (a) patient may have gotten lost when traveling to an unfamiliar location; (b) coworkers
 "copyright": "Copyright (c) 1983 by Barry Reisberg, M.D.", 
 become aware of patient''s relatively poor performance; (c) word and
 name finding deficit becomes evident to intimates; (d) patient may read a passage
 or a book and retain relatively little material; (e) patient may demonstrate
 decreased facility in remembering names upon introduction to new people; (f)
 patient may have lost or misplaced an object of value; (g) concentration deficit
 may be evident on clinical testing. Objective evidence of memory deficit obtained
 only with an intensive interview. Decreased performance in demanding
 employment and social settings. Denial begins to become manifest in patient.
 Mild to moderate anxiety accompanies symptoms.<br /><br />
 4. Moderate cognitive decline (Mild Dementia)<br />
 "restartDays": 2, 
 Clear-cut deficit on careful clinical interview. Deficit manifest in following areas:
 (a) decreased knowledge of current and recent events; (b) may exhibit some
 deficit in memory of ones personal history; (c) concentration deficit elicited on
 serial subtractions; (d) decreased ability to travel, handle finances, etc. Frequently
 no deficit in following areas: (a) orientation to time and place; (b) recognition of
 familiar persons and faces; (c) ability to travel to familiar locations. Inability to
 perform complex tasks. Denial is dominant defense mechanism. Flattening of
 affect and withdrawal from challenging situations frequently occur.<br /><br />
 5. Moderately severe cognitive decline (Moderate Dementia)<br />
 Patient can no longer survive without some assistance. Patient is unable during
 "printTitle": "Global Deterioration Scale",
 interview to recall a major relevant aspect of their current lives, e.g., an address or
 telephone number of many years, the names of close family members (such as
 grandchildren), the name of the high school or college from which they
 graduated. Frequently some disorientation to time (date, day of week, season)
 or to place. An educated person may have difficulty counting back from 40
 by 4s or from 20 by 2s. Persons at this stage retain knowledge of many major
 facts regarding themselves and others. They invariably know their own names
 and generally know their spouses' and children's names. They require no
 assistance with toileting and eating, but may have some difficulty choosing the
 proper clothing to wear.<br /><br />
 "content":[
 6. Severe cognitive decline (Moderately Severe Dementia)<br />
 May occasionally forget the name of the spouse upon whom they are entirely
 dependent for survival. Will be largely unaware of all recent events and
 experiences in their lives. Retain some knowledge of their past lives but this is
 very sketchy. Generally unaware of their surroundings, the year, the season, etc.
 May have difficulty counting from 10, both backward and, sometimes, forward.
 Will require some assistance with activities of daily living, e.g., may become
 incontinent, will require travel assistance but occasionally will be able to travel to
 familiar locations. Diurnal rhythm frequently disturbed. Almost always recall
 their own name. Frequently continue to be able to distinguish familiar from
   {"id": "q3933", "type": "ChoiceQuestion", "required": false, "inline": false, 
 unfamiliar persons in their environment. Personality and emotional changes
 occur. These are quite variable and include: (a) delusional behavior, e.g., patients
 may accuse their spouse of being an impostor, may talk to imaginary figures in
 the environment, or to their own reflection in the mirror; (b) obsessive symptoms,
 e.g., person may continually repeat simple cleaning activities; (c) anxiety
 symptoms, agitation, and even previously nonexistent violent behavior may
 occur; (d) cognitive abulla, i.e., loss of willpower because an individual cannot
 carry a thought long enough to determine a purposeful course of action.<br /><br />
 7. Very severe cognitive decline (Severe Dementia)<br />
 All verbal abilities are lost over the course of this stage. Frequently there is no
    "text": " <strong>Global Deterioration Scale</strong><br /><br />
 speech at all - only unintelligible utterances and rare emergence of seemingly
 forgotten words and phrases. Incontinent of urine, requires assistance toileting
 and feeding. Basic psychomotor skills, e.g., ability to walk, are lost with the
 progression of this stage. The brain appears to no longer be able to tell the body
 what to do. Generalized rigidity and developmental neurologic reflexes are
 frequently present.<br /><br />
 Select the category that fits the patient best, most of the time.", 
    "columns": 1, 
    "choices":[
     {"id": "c2381", "text": "1. No cognitive decline", "quickKey": 1}, 
 1. No cognitive decline<br />
     {"id": "c2382", "text": "2. Very mild cognitive decline---Forgetful", "quickKey": 2}, 
     {"id": "c2383", "text": "3. Mild cognitive decline---Early confusional", "quickKey": 3}, 
     {"id": "c2384", "text": "4. Moderate cognitive decline---Late confusional", "quickKey": 4}, 
     {"id": "c2385", "text": "5. Moderately severe cognitive decline---Early dementia", "quickKey": 5}, 
     {"id": "c2386", "text": "6. Severe cognitive decline---Middle dementia", "quickKey": 6}, 
     {"id": "c2387", "text": "7. Very severe cognitive decline---Late dementia", "quickKey": 7}
   ]}]
}
 No subjective complaints of memory deficit. No memory deficit evident on