Screening tests are available of good accuracy in the general diagnosis of dementia or have been proposed specifically for the differential diagnosis between the different forms of dementia (GPP). Cognitive assessment is central to diagnosis and management of dementias and should be performed in all patients (Level A).A neurological and general physical examination should be performed in all patients with dementia (GPP).(6) Clinical history should be supplemented by an informant (GPP).An assessment of neuropsychological functioning in a person presenting with parkinsonism suspected of being PD is recommended (Level A) and should include: (I) A collateral history from a reliable carer (II) A brief assessment of cognition (III) Screening for a rapid eye movement (REM) sleep behavior disorder (RBD), psychotic manifestations and severe depression.(5).The Mini-Mental State Examination (MMSE) and the Cambridge Cognitive Examination (CAM Cog) should be considered as screening tools for dementia in patients with PD (Level B).(4).Once identified, such deficits could be treated (or patients referred to appropriate resources) and thereby improve individuals quality of life. It is anticipated that if assessed on an ongoing basis, cognitive deficits may be identified and addressed in a timely manner. Performance Not Met: Cognitive impairment or dysfunction was not assessed, reason not otherwise specified (3720F with 8P)Ĭognitive functioning impacts life satisfaction and health-related quality of life. Performance Met: Cognitive impairment or dysfunction assessed (3720F)ĭenominator Exception: Patient or care partner decline assessment (G0036)ĭenominator Exception: On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed, severe visual or hearing impairment and for those patients, no knowledgeable informant available.
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