| RPT |
.|.|Global Deterioration Scale||Date Given: <.Date_Given.>|Clinician: <.Staff_Ordered_By.>|Location: <.Location.>||Veteran: <.Patient_Name_Last_First.>|SSN: <.Patient_SSN.>|DOB:
<.Patient_Date_Of_Birth.> (<.Patient_Age.>)|Gender: <.Patient_Gender.>||Dementia Stage: <-Stage->|| 1 = No cognitive decline | 2 = Very mild cognitive decline---Forgetful | 3 = Mild cognitive
decline---Early confusional | 4 = Moderate cognitive decline---Late confusional | 5 = Moderately severe cognitive decline---Early dementia | 6 = Severe cognitive decline---Middle dementia | 7
= Very severe cognitive decline---Late dementia ||Copyright (c) 1983 by Barry Reisberg, M.D. Reproduced with permission.||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 and procedures.| $~
|
