Cognitive symptoms
|
Attention |
Does the patient get more confused or disoriented sometimes? |
Is the patient easily distracted? |
Is the patient missing objects? |
Memory |
Does the patient have more difficulties remembering recent facts than remote ones? |
Has the patient shown temporal disorientation? |
Is the patient more repetitive and asking the same questions many times? |
Does the patient need more annotations to remember appointments? |
Has the patient forgotten appointments? |
Language |
Does the patient have difficulties finding words? |
Is the patient having difficulties naming objects? |
Is the patient having difficulties articulating words? |
Is the patient having difficulties understanding what you say to them? |
Spatial orientation |
Has the patient got lost in previously known routes? |
Is the patient having difficulties learning new routes? |
Is the patient having difficulties locating themselves inside the house? |
Praxies |
Is the patient having difficulties using utensils? |
Is the patient having difficulties dressing themselves? |
Executive functions |
Is the patient having difficulties planning or organizing activities and travels? |
Is the patient having difficulties multitasking? |
Is the patient having difficulties solving daily problems? |
Is the patient having difficulties making decisions? |
Functionality
|
Instrumental activities of daily living (IADLs) |
Is the patient having difficulties managing their own finances? |
Is the patient having difficulties shopping? |
Is the patient having problems at work? |
Is the patient having cooking problems? |
Basic activities of daily living (BADLs) |
Is the patient capable of doing the activities below independently? |
Dressing/Bathing/Hygiene/Feeding/Transference/Continence |
Behavior and neuropsychiatric symptoms
|
Humor |
Does the patient look sad, dejected or cry easily? |
Does the patient not see pleasure in life or says they have no future? |
Is the patient more irritable or impatient? |
Is the patient isolating themself, not getting along with others? |
Anxiety |
Is the patient worried about planned events? |
Is the patient unable to relax or is excessively tense? |
Does the patient worry excessively about even trivial things? |
Apathy |
Does the patient have no interest in the world around them? |
Does the patient have more difficulty engaging in conversations or tasks? |
Is the patient more indifferent? |
Disinhibition |
Does the patient act impulsively, without thinking? |
Has the patient been saying things that should not be said in public? |
Has the patient acted in an embarrassing way? |
Did the patient suffer personality changes? Is the patient more socially isolated? |
Agitation |
Is the patient uncooperative? |
Does the patient not allow to be helped? |
Is the patient verbally or physically aggressive? |
Does the patient repeatedly move objects around them? |
Does the patient have ritualistic or compulsive behavior? |
Delusions |
Does the patient believe in things that are not real? |
Does the patient think someone is trying to harm or rob him? |
Does the patient claim that their relatives are not who they say they are? |
Does the patient claim that the house they live in is not theirs? |
Hallucinations |
Does the patient report hearing voices or act as if they heard voices that are not heard by others? |
Does the patient speak to themself? |
Does the patient see people or animals that are not seen by others? |
Does the patient behave as if they saw something that others do not see? |
Appetite |
Did the patient have any change in eating habits? |
Has the patient changed food preference (e.g., they started to prefer sweets)? |
Sleep |
Does the patient have difficulty initiating or maintaining sleep? |
Does the patient speak or move in sleep as if they were awake? |
Does the patient often have vivid dreams or nightmares? |
Does the patient snore, wake up fatigued, or have daytime sleepiness? |