Which cognitive screening tools do you use when evaluating older adults with suspected dementia?
In keeping with Alexander Luria's (paraphrased) maxim that knowing what a patient gets wrong on cognitive screening is incomplete until you know why/how they erred, I'd say the tool used is less important than interpreting it. So, I don't worry too much about MMSE vs MoCA vs SLUMS (as long as the MM...
Cognitive screening is somewhat less of a focus for me these days, so I have to put a plug in for things that don't take long. Mini-Cog, just a 2-item test (recall of 3 words followed by drawing a clock, and altogether judged normal or abnormal), is brilliant and takes very little time. It will tell...
In our Memory/Neurobehavior and other Geriatric clinics, we use alternating versions of the MoCA and switch to the MMSE when cognition drops consistently below 13+/-.
If, during a psychiatric evaluation, you sense issues with cognition, or a patient is specifically referred for cognitive issues. Complete an MMSE in a low-functioning patient.
If the patient clears that, then proceed to MoCA or SLUMS.
If the score is questionable, then refer for a formal neuropsych...