Professional Documents
Culture Documents
Ramos
MINI-MENTAL Birth date: March 16,1959 Age: 63
STATE Contact Number:
EXAMINATION Address: Retirees II, Tanza, Cavite
(MMSE)
One point for each DATE: Sept. Sept. Sept.
answer
ORIENTATION ……/
3 5 ……/ 5 ....../ 5
Year Season Month Date Day
REGISTRATION
Examiner names three objects (e.g. apple, banana, orange) 3 3
……/ ……/ 3 ....../ 3
and asks the patient to repeat (1 point for each correct. THEN
the patient learns the 3 names repeating until correct).
RECALL 3 3
……/ ……/ 3 ....../ 3
Ask for the names of the three objects learned earlier.
LANGUAGE 2 2
……/ ……/ 2 ....../ 2
Name two objects (e.g. ballpen, watch).
1 1
……/ ……/ 1 ....../ 1
TOTAL: 28
……/ ……/ ....../
MMSE scoring 30 30 30
24-30: no cognitive impairment
18-23: mild cognitive impairment
0-17: severe cognitive impairment
Geriatric Depression Scale (GDS)
Direction: Choose the best answer for how you have felt over the past week
ITEMS September 29 Comments
Yes No
1. Are you not satisfied with your life?
interests?
to you?
than most?
15. Do you think that most people are better off than
you are?
TOTAL SCORE
2 13
*Score 1 point for each YES answer. A score of more than or equal to 5 points suggest depression and requires further assessment
Declaration: I hereby acknowledge that the given information is correct and is in accordance to the best of my knowledge.
___________________________ _____________ _____________________________________
Jojie Z. Ramos 9/29/22 Lorraine Tuesday Buenviaje
Name and Signature of Patient Date Name and Signature of Nursing Student
Katz Functional Index
Independence in Activities of Daily Living
Activities of Daily Independence Dependence Points
Living (ADL) (1 Point) (0 Points) (1 or 0)
Instruction/Administration
The test is administered as follows:
1. Instruct the patient to listen carefully, remember and mention 3 unrelated words (apple, yellow, and cloud)
2. Ask the patient to repeat the 3 words (apple, yellow, and cloud).
3. Instruct the patient to draw the face of a clock on a blank sheet of paper
4. After ask the patient to put the numbers on the clock face (1-12)
5. Ask him or her to draw the hands of the clock to read a specific time, such as 05:45.
6. These instructions can be repeated and give the patient as much time as needed to complete the task.
Remember: the CDT serves as the recall distractor.
3. Ask the patient to repeat the 3 previously presented word (apple, yellow, and cloud).
Scoring
Give 1 point for each recalled word after the CDT distractor. Score 1–3.
3 - Negative screen/absence of
O (regardless of CDT results)- positive screen for dementia.
dementia
1 or 2 with an abnormal CDT- positive screen for dementia.
1 or 2 with a normal CDT- negative screen/ absence of dementia.
3- negative screen/absence of dementia. Normal CDT
CDT Scoring
Normal CDT- all numbers are present, numbers in their correct sequence, correct position of second hand.
Abnormal CDT- some numbers are missing, not in the correct sequence, incorrect position of second hand.
Nursing Documentations
Ø ____________________________________________________________________________
The patient's mini-mental state examination score is 28, meaning she has no
cognitive impairment through out the interview she was active and cooperative
Ø ____________________________________________________________________________
Ø ____________________________________________________________________________
While Geriatric Depression Scale had a score of 13 NOs and 2 YES
Ø ____________________________________________________________________________
For patient's ADL Activities, She scored 5 which still indicates complete
independence.
Ø ____________________________________________________________________________
Ø ____________________________________________________________________________
For the Clock Draw Test, patient was able recall and follow instructions clearly and
scored 3 points indicating a normal CDT result or absence of dementia.
Ø ____________________________________________________________________________
Ø ____________________________________________________________________________
Ø ____________________________________________________________________________
Ø ____________________________________________________________________________
___________________________
Lorraine Tuesday Buenviaje
Printed Name and Signature
Student No.: _____________
2020100110
Reflections
deals with personal and sensitive topics, you have to make the questions appropriate.
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Also geriatric patients are by no means easy patients to handle, with aging comes
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being short-tempered, getting tired easily, easily gets sensitive and agitated.
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So it's important to be very cautious around them without making them uncomfortable.
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As for my patient, she is very cooperative and enthusiastic about the whole procedure
even though she got a little emotional, she was still able to compose herself.
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Geriatric patient also tends to be very enthusiastic when it comes to telling stories.
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Overall this experience was able to challenge me in my social and observation skills.
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It also gave me the opportunity to actually check on the health status of my grandma, very
pleased with the results.