Psychological health screening is an essential part of the elderly patient’s treatment plan,…

Psychological health screening is an essential part of the elderly patient’s treatment plan,…
Psychological health screening is an essential part of the elderly patient’s treatment plan, mainly suffering from cognitive impairments. The screening tests the patient’s memory, attention span, and language skills and assesses any signs of depression and anxiety. Besides, cognitive and affective disorders such as dementia and delirium are more common in older adults. Therefore, it is vital to evaluate cognitive decline such as delirium and dementia in elderly patients. Various factors lead to cognitive impairments, such as medications and infections. And in some cases, poor oxygenation also leads to declining cognitive function in the elderly population.
Mini-Mental Status Examination (MMSE) is one of the most excellent tools used for many years for psychological screening for elderly patients. It takes no more than ten minutes to determine cognitive function. The most recent psychological screening tools are 1. the Mini-Cog, Montreal Cognitive Assessment (MoCA); this test takes only three minutes to perform and consists of a three-item recall and the Clock Drawing Test (CDT). 2. Montreal Cognitive Assessment (MoCA), and 3. Saint Louis University Mental Status Examination (SLUMS). Both MoCA and SLUMS are helpful to recognize and evaluate mild neurocognitive disorders. The following screening tool is the confusion assessment method (CAM), which only takes five minutes to perform and is the best diagnostic tool for delirium. A geriatric depression scale is a standard tool used in geriatric patients to diagnose depression, consisting of 15 yes or no questions and can be completed quickly in any setting. The PHQ-9 is a nine-item depression scale widely used in the Patient Health Questionnaire. HOPE, FICA, and SPIRIT are tools that help to determine the patient’s spiritual beliefs and the comfort related to these beliefs.
Kennedy-Malone, L., Plank, L. M., & Duffy, E. G. (2019). Advanced practice nursing in the care of older adults (2nd ed.). Philadelphia: F.A. Davis Company
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