General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsA question to the Psychiatrists, Psychologists and other mental health workers...
How often are dementia tests given? When are they given? (Ie, what are the circumstances?)
Drumpf seems to have at least taken two within the past few years. Asking as my FiL who definitely had issues never took such a test even when it was obvious he was suffering some issues.
Really would like to understand the context. Is this localized by state or insurance?
leftieNanner
(15,149 posts)Took one when we applied for Long Term Care Insurance. Not sure why Stinky has.
spooky3
(34,476 posts)elleng
(131,107 posts)and not likely tmp needs more than what Dr. Bandy Lee provided. He's just nuts.
Top Psychiatrist SOUNDS ALARM.
https://www.democraticunderground.com/13228381
viva la
(3,315 posts)Last edited Sun Jan 28, 2024, 11:14 PM - Edit history (1)
It's not the one Trump keeps talking about.
The nurse says 3 words and tells me to remember them.... goes on with the blood pressure and other exams.
Suddenly demands, "What are the 3 words?" (This is actually hard for me, but I have been reciting them in my head for the last 5 minutes.)
Then she gives me a sheet of paper and pencil and tells me to draw a clock face with the hands set to 10 minutes to 2.
(I think if I gave this part of the test to my millennial kids, they'd look at me baffled. "A clock doesn't have a face and hands!"
)
I do the clock. She nods and goes on.
If perhaps I failed either of those tests, they might bring on the one with the rhino pictures.
orleans
(34,073 posts)(i had to draw the hands at 2:45)
i remembered the 3 words (repeated them in my head so i'd remember them) (ladder, table, something else now but i forget).
when i was asked what the three words were i said "i want to say what trump said a few years ago: person, man, woman, camera, tv" but the words you told me were: ___ ___ ___ (and i repeated the 3 words she had given me)
the "nurse" was about 18 or 20, didn't get the joke and possibly never heard of trump. (she was young--one of those speed talkers & when i asked her to slow down and speak more slowly she continued speed talking only LOUDER!)
TexasBushwhacker
(20,214 posts)They do the dementia screening and evaluate me for fall risk.
greatauntoftriplets
(175,749 posts)Long story, but I've had MRSA and several recurrences of it. Because I need to have IV antibiotics over a period of several weeks, I have to get this done in a nursing home.
It's standard practice to give patients the Montreal test to determine patient needs. I always pass it without difficulty because it's so easy and have no memory issues. I don't know if it's mandated by Medicare or the state or supplemental insurance.
Certainly it's not something that I'd ever whine about taking like some people.
nocoincidences
(2,229 posts)and I think the current protocol is for nurses to give these tests when they are doing preliminary tests like blood pressure, Pulse Ox, review of systems, before the doc sees you, if you have reached that magic senior age. I suspect it must be 70 but I am guessing.
The Mini Mental State Exam used to be the standard, but I guess there is a new one trying to take over.
Fiendish Thingy
(15,657 posts)They overlap a bit, but each one assesses different things.
Lithos
(26,404 posts)I'm now at one the one of the magical "age" thresholds, but do not get the dementia tests.
Yet Trump who is almost 2 decades older than me seems to be given multiple tests in very short order is interesting.
My curiosity is if there was some normal protocol being brought in (age related), or if there was a response due to some behavioral or physical state.
Was not aware this might be tied to general tests around blood pressure, etc. which suggests this is just normal review.
L-.
likesmountains 52
(4,098 posts)As far as I know.
Lithos
(26,404 posts)Do you think he fantasized this?
multigraincracker
(32,719 posts)Professor at MIT. But, he does have a nice that is a PhD psychologist that says hes nuts.
nolabear
(41,991 posts)Has something worrisome presented itselfodd behavior, greater than average memory lapses, injury or illness that might affect ones ability to think, reason or process information. Its sometimes standard for things like nursing homes or jobs that require sharp thinking and response time. I dont think it would be odd to require a 70-something taking a position where they could harm others to take one, but tbh its not a requirement in far too many of them, the presidency included, as far as I know.
Lithos
(26,404 posts)Are people finding something to ask him - given a general view - or is there something triggering these questions?
What I am reading - the specific questions appear be non-standard. This leads me to wonder:
Are these being done ad-hoc by a given test giver (which would likely be non-scientific)
Are these being conducted per a specific protocol (which suggests the tests might be standardized?)
Or something else?
Fiendish Thingy
(15,657 posts)At least for the picture part (although none of the versions have a whale, as Trump stated). The questions vary a bit from sheet to sheet (they come on a pad, or at least the ones in the clinic I worked at did) in case a patient is given the exam again after a short time (such as upon admission/discharge).
The examples Trump gives when bragging about how he aced the exam arent completely accurate.
nolabear
(41,991 posts)He could be Making the whole thing up.
viva la
(3,315 posts)Trump said he got right isn't any test. Big surprise, he lied about that.
LuckyCharms
(17,458 posts)Last edited Mon Jan 29, 2024, 10:23 AM - Edit history (1)
with major depression.
I "failed" it.
I think these types of tests are relatively common to assess all types of mental issues.
I'm back to normal now.
ecstatic
(32,731 posts)such as nursing home and/ or in home care, through a payer like Medicaid. I think that's also the case for the VA and potentially Medicare. It's done as part of the annual reassessment but it might be skipped over if the reassessment is done over the phone.
Niagara
(7,659 posts)I am a non-medical caregiver, so I have some experience with dementia but I can't answer all your questions but I'll try to.
I had a previous client that had Parkinson's. Apparently there is different types of Parkinson's and this particular client didn't have any signs of dementia, but the Parkinson's altered her dominate side and speech.
I have a client now that has dementia. She is extremely sweet and friendly to me. She has a massive sweet tooth that never seems to be satisfied and she's always hungry, which is great because sometimes people with dementia just won't eat at all. She asks me about 5 to 10 times in an hour if I'm hungry and I politely decline food. She has noticed that I've lost a significant amount of weight and she believes that I'm withering away; she also believes that I'm not telling her the truth about not being hungry.
My current client also see's people who aren't there, she see's them in her curio cabinet, looking into her windows and can hear a woman talking to her. To me that would be frightening. Once she asked me if this animal on her carpet was moving. I asked her to show me what she was talking about. It was food on the carpet and so I got out the vacuum and took care of it.
I would also like to mention as a caregiver, I've encountered adult children threatening to take away the parents home and placing them in a nursing home. It upsets and stresses out my clients, makes my job more difficult and it not necessary to hold this over their heads. This is imperative for what I'm about to say in the following paragraph.
It is possible that Don Seniors one adult child or all three oldest adult children are trying to deem him incompetent to obtain anything that he might possibly have of value. It is a possibility and they could be placing dementia tests on him to determine their future course of action.
It was known to the public that Fred Trump was diagnosed with Alzheimer's in 1993 at the age of 88. He could have been exhibiting signs of it way before that and after reading Mary Trump's book, it appears that the trumps aren't keen on taking care of each other even when other family members are in need of care.
I hope that my perspective is a worthy read and contains some sort of helpful information about dementia.
nocoincidences
(2,229 posts)to dementia/mental status tests from the NHS in the UK.
https://www.nhs.uk/conditions/dementia/symptoms-and-diagnosis/tests/
Here's one from the NIH in the US.
https://www.nia.nih.gov/health/alzheimers-and-dementia/what-dementia-symptoms-types-and-diagnosis