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A Dementia-Capable Maine

Lunder-Dineen is proud to provide educational resources on dementia to enhance how health care professionals in Maine care for their patients.

Many of these resources are part of the Maine Dementia Capable Service Systems ( MEDCAPS) project, which is a three-year grant funded by the HHS Administration on Community Living to the Office of Aging and Disability Services (OADS) of the Maine Department of Human Services. The overall goal of the grant is to create and sustain a dementia capable Home and Community Based System with a single point of entry/no wrong door access for a person with dementia and their care partner(s).

This session was recorded during the Dementia Care in Primary Care symposium held on March 2015 at MaineGeneral Medical Center, sponsored by the Maine Office of Aging and Disability Services (OADS).

Our YouTube channel includes several other sessions recorded during this event that focus on various facets of providing optimal care to older adults with dementia.

View more videos...

Leaders in Making Maine Dementia Capable

RESOURCES:

Maine-Related Resources

Alzheimer’s Association, Maine Chapter

MaineHealth – Clinical Tools for Annual Wellness Visits Includes links to MiniCog, Katz ADL, Lawton IADL, MCIS, PHQ-9, and more

Office of Aging and Disability Services

State Plan for Alzheimer's Disease and Related Dementias in Maine

MemoryWorks A new resource for Maine's Dementia Care Community


Federal Resources

Administration for Community Living

National Institute on Aging Access free clinical practice tools, training materials, and more resources for physicians, nurses, social workers, and other professionals

U.S. Department of Health & Human Services Links to caregiver resources and long-term care assistance and more


Tools

Alzheimer’s Disease Pocketcard App (created by the Alzheimer’s Association)
Includes many tools and resources and can be downloaded via the Apple App Store.

Geriatrics Interprofessional Organization Collaboration

ACT on Alzheimer’s This site provides a toolkit and resources to guide communities in becoming dementia friendly, practice tools to assist professionals in identifying and managing the disease and an economic model of dementia intervention with projected cost savings.


Medication Reviews

American Geriatrics Society Beer’s List of Potentially Inappropriate Medications

Anticholinergic Index


Cognitive Function Assessments

Mini Mental Status Exam (MMSE) Has a long history of use and a great deal of literature behind it. It is a copyrighted tool and not available in the public domain. You can purchase the tool at the link.

Montreal Cognitive Assessmen (MOCA) Cognitive screening test with high sensitivity and specificity designed to assist in detection of mild cognitive impairment. Three different English language versions allow for variation if the test is being repeated.


Staging

Clinical Dementia Rating Scale (CDR) Allows for a scoring of the severity of dementia and is another functional evaluation tool.

Screening Tools

AD 8 Dementia Screening Interview
Eight item Informant interview, also available on the Alzheimer’s Association app.

Alzheimer’s Association Seven Stages of Alzheimer’s
The stages provide a general idea of how abilities change during the course of the disease, also available on the Alzheimer’s Association app.

Four Minute Neurological Exam Brief neurological screen that can yield a high amount of diagnostic information in a limited amount of time.

Geriatric Depression Scale 30-item self-report assessment used to identify depression in the elderly.

GPCOG Combines a test of the patient’s cognitive function with an informant interview. This allows the perspective of a person other than the individual with loss of cognitive function to provide information about cognitive function and functional status. Also available on the Alzheimer’s Association app.

Katz Index of Activities of Daily Living (ADL) Measure of basic functional loss.

Lawton Instrumental Activities of Daily Living Scale (IADL)
Reasonably sensitive marker of functional decline for a primary care practice. They reflect decline in domains other than memory and thus can be useful in following patients with multiple chronic illnesses over time.

Mild Cognitive Impairment Screen
Quick approach for distinguishing age-related concerns from those needing further evaluation

MiniCog
Simple 3-minute test that can be performed by your medical assistant on intake. It combines memory and executive function. A score <4 prompts the need for more evaluation. The scoring of the test allows for following on a flow sheet over time.

PHQ-9
9-item depression scale to assist clinicians with diagnosing depression and monitoring treatment response, and is widely used as a screening tool for dementia.

SLUMS
Saint Louis University Mental Status Exam