Dementia RX Plan
| History and Assessment | Current Exam Status and | Staging and Planning | ||
| Personal HX | Not MR, No Development Delay Estimate level of function for most of adult life | Cognitive MOCA or MMSE plus Clock Drawing | Family Planning | |
| Barthel ADL index | Advance directives | |||
| Decline | Describe any changes or decline in function Refer to ADA 8 | t/c Simpson Angus or parkinsonism scale | Durable power of attorney | |
| Fam HX | Family History (identify parents, and current sttus or age of death and why) Any dementia in family | Attempt to delineate type of dementia | Health care surrogate | |
| Medical | Neuro : Cardiac: Diabetes: malignancy: Renal: other major medical Physical Trauma | FAST staging Functional Assessment of Stages Dementia | Financial, placement plans in future | |
| Medications | Number of medications Recent changes anticholinergics | MEDICATION TREATMENT Anticholinesterase Inhibitors | AlzOnline for caregivers | |
| Substance Use | ||||
| Psychiatric HX | Esp Depression, PTSD, | |||
| CAM | For Delirium | |||
| GDS (geriatric depression scale) If score > 6 evaluate role of depression | ||||
| Discuss Anticholinesterase inhibitors | ||||
| BPSF: CMAI, Pittsburgh Agitation, NPI | ||||
Gator Psychiatry 