Professional Screening and Evaluation Tools
Neurocognitive Disorders Overview
In this module, Dr. Dan Kaufer from the University of North Carolina at Chapel Hill, gives an overview of neurocognitive disorders, including Alzheimer’s disease, Lewy body dementia, Parkinson’s and others.
Mild Cognitive Impairment
In this module, Dr. Dan Kaufer discusses mild cognitive impairment and how it relates to dementia. He also walks through a diagnosis of MCI.
How can a family doctor identify cognitive impairment? What happens after a diagnosis is made? In this module, Dr. Philip Sloane will discuss these questions and more.
Lewy Body Dementia
In this module, Dr. Dan Kaufer discusses Lewy body dementia including common symptoms, case studies and treatment options.
Is It Alzheimer’s? A Case Study
In this module, Dr. Dan Kaufer goes through a common primary care cognitive impairment case from history, physical, cognitive testing, imaging, and diagnosis.
Tips on Evaluating Memory Loss
In this module, Dr. Dan Kaufer describes how to quickly and effectively evaluate memory loss including how to distinguish storage versus retrieval memory deficits and the use of verbal and category fluency tests.
Mini Cog Screening Test is a quick, easy-to-administer tool that is both sensitive and specific for identifying cognitive impairment. Please note, if positive, it should be followed up with a more detailed cognitive evaluation.
Dr. Kaufer developed an Primary Care Brain Screen (informant) to identify changes from usual self in 5 key areas: cognition, instrumental activities of daily living, socialization, behavior, and vegetative/sensory/motor function. The rating system allows the provider to quickly scan to see where the most troublesome problem areas are. This can inform diagnosis, management and referral to resources. A self-administered Primary Care Brain Screen is also available.
This neurobehavioral assessment review article by Dr. Kaufer presents a multidimensional, integrative approach to clinical assessment and management of neurobehavioral disorders.
This section includes downloadable series of checklists for use in performing and recording the components of a comprehensive primary care dementia evaluation:
- System Overview
- Medication Review Form
- Cognitive Evaluation History Form for a caregiver to complete
- Two versions of a cognitive examination: choose either the Montreal Cognitive Assessment Basic or the St. Louis University Mental Status Examination
- Neurological Examination Checklist
- PHQ‐9 Depression Screen
- Summary of Cognitive Status Evaluation Form that integrates findings from all other forms into a diagnostic profile of the patient
In addition to these materials, a diagnosis must take into account the overall clinical picture, including other relevant elements from the patient’s history, current presentation, or laboratory evaluation.