The COGNITIVE IMPAIRMENT CARE PLANNING TOOLKIT [PDF] from The Alzheimer’s Association has almost all the tools needed for Alzheimer’s assessment and care in one convenient PDF.
Table of Contents
Medicare’s Cognitive Impairment Assessment and Care Planning Code: The Alzheimer’s Association Expert Task Force Recommendations and Tools for Implementation 3
Mini-Cog™ 10
General Practitioner Assessment of Cognition (GPCOG) 12
Montreal Cognitive Assessment (MoCA), short version 14
Functional Activities Questionnaire (FAQ) 18
Katz Index of Independence in Activities of Daily Living (ADL) 21
Lawton-Brody Instrumental Activities of Daily Living Scale (IADL) 23
Dementia Severity Rating Scale (DSRS) 25
Decision Making Capacity Assessment 30
The Neuropsychiatric Inventory Questionnaire (NPI-Q) 31
BEHAV5+ 37
Patient Health Questionnaire-2 (PHQ-2) 38
Medication List for Review 39 Safety Assessment Guide 40
Caregiver Profile 47
Single-Item Stress Thermometer 48
End-of-life Checklist 49
Patient and Caregiver Resources 50
