So this section provides guidance and tools for conducting a cognitive assessment during a timelimited office visit. Accordingly the Medicare Annual Wellness visit was initiated in January 2011 as part of the Affordable Care Act. I am sure that the resulting algorithm incorporates patient history, clinician observations, and concerns expressed by the patient, family or caregiver. Mini Mental State Exam, easy administration by ‘non physician’ staff and relatively free of educational, language as well as cultural bias. So, noone tool is recognized as better brief assessment to determine if a full dementia evaluation is needed. Then the expert workgroup identified a few instruments suited for use in primary care depending on the following. These cognitive assessment tools are used to identify individuals who may need additional evaluation. Following videos show a brief cognitive assessment and a peer to peer discussion of important parts of assessing cognition and disclosing a Alzheimer’s disease diagnosis during a primary care visit.
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