Alzheimer's Disease

Alzheimers - Managing Disease Progression

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Table 2. Brief Behavioral Assessment Instruments Description Name of Instrument BEHAVE–AD Cohen-Mansfield Agitation Inventory (CMAI) Neuropsychiatric Inventory Questionnaire (NPI-Q) Revised Memory and Behavior Problem Checklist (RMBPC) Assessment of 25 behavioral symptoms and a global rating Rates frequency of 29 agitated behaviors on 7 point scale Rates frequency, severity of 12 behavioral symptoms as well as caregiver distress associated with symptoms Rates frequency of 24 specific behaviors over past week and degree of distress to caregiver caused by each Ryden Aggression Scale (RAS) Assessment of frequency of 25 aggressive behaviors Advantages Includes psychotic symptoms Very detailed information about agitation Several versions; can adapt to setting/ time limits; provides information about caregiver stress Self-administered caregiver-report tool requires less than 10 minutes to complete; allows clinical/ empirical assessment of potentially modifiable behavior problems Very detailed information on aggression Table 3. Functional Assessment Instruments1 Description Name of Instrument Functional Status Questionnaire2 Functional Activities Questionnaire Physical Self- Maintenance Scale 34 questions assessing physical, psychological, social and role functions 10 questions assessing ADL – finances, meal preparation, shopping, entertainment, current events, memory for planned events, travel 60 questions assessing toilet, bathing, feeding, dressing, ambulation, shopping, housekeeping, finances, transportation, medication management Disadvantages Minimal assessment of disruptive behaviors Assesses only agitation Long version may be time-consuming to administer Dependent on caregiver's reading and interpretation (as are all self-report measures) Limited to aggressive behavior Advantages Self-administered, detailed Caregiver-report tool requires less than 10 minutes to complete Comprehensive caregiver-report tool Disadvantages Limited to patients with mild impairment Dependent on caregiver's reading and interpretation (as are all self-report measures) Time-consuming to complete 1. Avalable at: http://www.hospitalmedicine.org/geriresource/toolbox/the_functional_activities.htm 2. Jette AM, Davies AR, et al. The Functional Status Questionnaire: reliability and validity when used in primary care. J Gen Intern Med. 1986;1:143-149.

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