Get Southeast Pa Dementia Screening Tool Dst - Pchc - Pchc

The Southeast PA Dementia Screening Tool is designed to assist caregivers in evaluating individuals who may be at risk for developing dementia or Alzheimer's disease, particularly among those with intellectual and developmental disabilities. This guide provides comprehensive instructions on how to effectively fill out the form online to ensure accurate information is captured and shared with physicians for assessment.

Follow the steps to accurately complete the Southeast PA Dementia Screening Tool online.

1. Press the ‘Get Form’ button to access the DST form. This action will open the form in an online editor.
2. Begin by entering the name of the individual being assessed and their date of birth in the respective fields. Ensure accuracy in these crucial identifiers.
3. Provide information on any diagnosis or medical conditions, including physical and mental health issues. If necessary, attach a list of additional diagnoses.
4. List the current medications along with their dosages, or provide a Medication Administration Record if available. This ensures a comprehensive view of the individual's treatment plan.
5. Indicate any sensory impairments by checking the appropriate boxes for vision or hearing problems, if applicable. This information is essential for understanding potential challenges.
6. Document any past mental health diagnoses and recent life changes relevant to the individual, including significant events that may impact their mental state.
7. Answer the specific questions regarding Activities of Daily Living, Language & Communication, Sleep-Wake Patterns, Ambulation, Memory, and Behavior by placing a check mark in the appropriate box for each question, following the provided guidelines for interpretation.
8. At the end of the form, input the name and title of the individual completing the form, along with the duration of their experience with the client and the observation timings.
9. Once all sections are complete, review the information for accuracy and clarity. You can then save your changes, download a copy for your records, print, or share the completed form as needed.

Complete the Southeast PA Dementia Screening Tool online to support individuals in need.