| Name | Value |
|---|---|
| REPORT NUMBER | 162 |
| INSTRUMENT | AD8 |
| RPT | |Ascertain Dementia 8-item Informant Questionnaire (AD8)| |AD8 Screening scores range from 0-8, with scores in the 0-1 range suggesting |"NORMAL COGNITION" and scores 2 or greater suggesting "COGNITIVE IMPAIRMENT IS |LIKELY TO BE PRESENT." ||Note: Scores in the impaired range indicate a need for further diagnostic |assessment. Scores in the "normal" range suggest that a dementing disorder |is unlikely, but a very early disease process cannot be ruled out.| |Question and Answers:| | 1. Problems with judgement (e.g., problems making decisions, bad financial | decisions, problems with thinking) | <*Answer_7926*> | Date Given: <.Date_Given.> | 2. Less interest in hobbies/activities | <*Answer_7927*> | 3. Repeats the same things over and over (questions, stories, or statements) | <*Answer_7928*> | 4. Trouble learning how to use a tool, appliance, or gadget (e.g., VCR, | computer, microwave, remote control) | <*Answer_7929*> | 5. Forgets correct month or year | <*Answer_7930*> | 6. Trouble handling complicated financial affairs (e.g., balancing | Clinician: <.Staff_Ordered_By.> | checkbook, income taxes, paying bills) | <*Answer_7931*> | 7. Trouble remembering appointments | <*Answer_7932*> | 8. Daily problems with thinking and/or memory | <*Answer_7933*> | |Copyright 2005. The AD8 is a copyrighted instrument of the Knight Alzheimer |Disease Research Center, Washington University, St. Louis, Missouri. |All Rights Reserved. Reproduced with permission| | Location: <.Location.>| |Information contained in this note is based on a self-report assessment |and is not sufficient to use alone for diagnostic purposes. Assessment |results should be verified for accuracy and used in conjunction with |other diagnostic activities. | Veteran: <.Patient_Name_Last_First.> | SSN: <.Patient_SSN.> | DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>) | Gender: <.Patient_Gender.>| |AD8 Dementia Rating Score: <-AD8 TOTAL->, suggesting <*Answer_7771*>| |