Geriatric assessment for mental illness

1. Clinical assessment of elderly NIMHANS, 22.04.2010 Ramkumar G S Chairperson Prof Mathew Varghese.

25. Schema for testing cognitive function based on extented MMSE Ref: OTP, 2 nd edition 2009 Copy diagram of interlocking pentagons Draw a clock and indicate time Put on a jacket, refasten buttons Construction Ideomotor dressing praxis Month of tear in reverse, count from 20 back, concentration Immediate recognition of 3 objects or address Repetition as above after a distracter task Give historical or personal events Names of politicians or other VIPs Immediate recall Delayed recall Long term recall General information memory Year, month,date, season Own address, hosp, city,country Own name, recognise others Time Place person orientation Examples Sub function Function

26. ‘ In what way an aplle and banana alike?’ ‘ In what way are a boat and car similar?’ Interpretation of simple proverbs Abstract thinking Face hand test Left right orientation Not too complex, a simple sum calculation Write an ordinary english sentence writing List as many items from a category Verbal fluency Repaet “no ifs ands or buts” Carry out three stage command Naming objects of increasing complexity Expressive Understanding naming language Recognize photographs from unusual angles Regognise the door bell Recognise objects placed in palm Any sample with large print Recognise something from the kitchen Visual Auditory Tactile Reading olfactory Sensory recognition