Age-friendly Primary Health Care Centres Toolkit - World Health ...

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AGE-FRIENDLY PRIMARY HEALTH CARE CENTRES TOOLKIT*: Score:27-30 Normal20-26 Mild impairment10-19 Moderate impairmentBelow 10For scores below 27Severe impairmentComplete the memory loss evaluationform(Tool 3) and follow the flowchart formanaging memory lossSource: Folstein, M. F., Folstein, S. E., McHugh, P. R. " Mini-Mental Test ": A practical method for grading thecognitive state of patients for the clinician. J. Psychiatry Res., 1975; 12: 189-198.48
AGE-FRIENDLY PRIMARY HEALTH CARE CENTRES TOOLKITTool 3: Memory loss evaluation formWhat for ?By whom ?How long ?Memory loss clinical questioningMedical doctor5-15 minutesName:_________Age:____________ Date:_____________History of the Memory ProblemPsychiatric historyFamily Historyhypertension dementia Parkinson’s disease depressionstroke cardiovascular disease down’s syndromediabetesMedications currently takingSymptoms (circle positives)speech difficulty confusion aggressive delusionshallucinations emotional change fall, injurybalance problems eating problems behaviour changesMain problem identified by family/caregiver1.2.3.© Age-Friendly PHC Centres Toolkit, World Health Organization, 200749
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Ageing and Life Course (ALC)Family
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Age-friendly Primary Health Care Centres Toolkit - World Health ...

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