Get Dementia/alzheimer Disease Screening Tool - Mass

The dementia/alzheimer disease screening tool is designed to help identify early signs of dementia. This assessment should be conducted regularly, particularly for individuals over the age of 35 with Down Syndrome.

Follow the steps to successfully complete the assessment.

1. Press the ‘Get Form’ button to access the screening tool and open it for completion.
2. Begin by entering the name of the individual being assessed and the name of the assessor in the designated fields.
3. Document the review dates in the spaces provided, ensuring accuracy to track changes over time.
4. Proceed to the mental status section and indicate responses using either 'Yes' or 'No' for each item listed.
5. Continue to the day/work changes section, marking your observations to assess consistency in attendance and performance.
6. Address the seizures section, noting any history, medication, or seizure activities that have been observed.
7. Fill in the communication section by selecting the appropriate responses about the individual's speech and understanding capabilities.
8. Evaluate the mobility section; document the individual’s ability to travel independently and any instances of disorientation.
9. Complete the eating section, indicating the individual's capacity to eat independently and use utensils properly.
10. Finally, assess toileting needs, marking any instances of incontinence as applicable.
11. Review the entire form for accuracy and completeness. You can then save your changes, download, print, or share the form as required.

Complete the dementia/alzheimer disease screening tool online today to assist in early identification.