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Tools to Aid in Assessment of Drug Therapy to Prevent Unnecessary Medication Use in the Elderly Nursing Home Patient - Tag F329
Adapted from The ConsultantPharmacist Journal Vol21 No12 December 2006
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| Condition | Tools | Potential Application |
| Alzheimer's Dementia | MMSE | Determine the degree of cognitive impairment |
| Functional Decline | IADL - Instrument Activities of Daily Living | Assess Functional capabilities |
| RA - Resident Assesment | Assess aspects of nursing home resident's behavior and function | |
| Functional Alzheimer's Screening Test (FAST) | Assess level of function in individuals with dementia | |
| Delirium | Confusion Assessment Method(CAM) | Screen for cognitive impairment & delirium |
| Bipolar Disorder | Mania Rating Scale | Assess severity of mania anddrug effectiveness |
| Pain | Pain rating scales | Assess pain characteristics such as intensity, impact, timing etc... & response to pain management |
| Depression | Geriatric Depression Rating Scale (GDRS) | Screen or monitor individuals at risk for depression or improvement or failure to improve on therapy. |
| Cornell-Depression in Dementia Scale | Screen or monitor for depression in individuals with cognitive impairment. | |
| Abnormal Movements | Abnormal Involuntary Movement Scales (AIMS) | Assess presence and severity of involuntary movements that may be due to disease or medications |
| Dyskinesia Identification System Condensed User Scale (DISCUS) | Assess presence or severity of movment disorders in the developmentally disabled or special needs population. | |
| Behavioral Symptoms associated with dementia | Neuropsychiatic Inventory-Nursing Home Version(NPINH) | Screen or monitor for behavior associated with dementia(eg. Halluciantions, agitation, anxiety) |
| Behavioral Pathology in Alzhiemer's Disease Rating Scale (BehaveAD) | Provide global rating of n0n-cognitive symptoms | |
| Cohen-Mansfield Agitation Inventory (CMAI) | Asses or rate distresed behavior in older individuals |
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