Symptomedix

Dementia Analyzer

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Questions

How old was the patient when the problem was first noted?

Younger than 55 55-64 65-74 75 or older

How long has it been since the problem began?

5 years or more 1-5 years 6 months to a year
1 to 6 months Less than one month

Is there a problem with memory?

None or slight
Frequently can't recall recent events
Bad enough that it interferes with activities
Forgets almost everything

What best describes the patient's current speech?

Normal speech
Mixes up or forgets words, speech stumbles
Speech is often unclear, limited, or minimal

Which of the following best describes the patients orientation?

No problem
Confuses simple things like day of week or month
Gets lost, forgets places, definitely mixes up dates
Rarely knows places, time or date

Which of the following best describes the patient's behavior?

No change in activities, hobbies
Some change in interest in activities, hobbies
Definitely has changed level of activities,hobbies
Mainly stopped hobbies and activities

Is there a known history of depression?

No Yes

Does the patient have significant feelings of hopelessness or sadness?

No Yes

Enter answers to the questions above. Be sure to click Update when you are done.