A brief cognitive assessment tool is used to screen for cognitive impairment and assess various cognitive functions quickly.
Here is a SAMPLE of a basic cognitive assessment tool:
Brief Cognitive Assessment Tool
Patient Information
- Nom:
- Date:
- Age:
- Gender:
- Examiner:
Sections and Scoring
1. Orientation (Total: 10 points)
- What is today’s date? (day/month/year) (3 points)
- What is the current day of the week? (1 point)
- What is the current time? (within one hour) (1 point)
- What is the name of this place? (1 point)
- What city are we in? (1 point)
- What state are we in? (1 point)
- What country are we in? (1 point)
- What season is it? (1 point)
2. Immediate Memory (Total: 3 points)
- Repeat the following words: Apple, Table, Penny (1 point for each correctly repeated word, immediate recall)
3. Attention and Calculation (Total: 5 points)
- Serial 7s: Starting from 100, subtract 7 and keep subtracting 7 (e.g., 93, 86, 79, etc.) (up to 5 points)
- Alternatively, spell “WORLD” backward (D-L-R-O-W) (5 letters, 1 point for each correct letter)
4. Recall (Total: 3 points)
- Recall the three words from the immediate memory section after a delay (1 point for each correctly recalled word)
5. Language (Total: 9 points)
- Name these objects: Watch, Pen (2 points: 1 point for each)
- Repeat the following phrase: “No ifs, ands, or buts” (1 point)
- Follow a three-step command: “Take a paper in your right hand, fold it in half, and put it on the floor” (3 points: 1 point for each correct action)
- Read and obey the following written command: “Close your eyes” (1 point)
- Write a sentence (1 point for a sentence that contains a subject and a verb)
- Copy a design (intersecting pentagons) (1 point)
Total Score: ____ / 30
Interpretation
- 25-30: Normal cognitive function
- 21-24: Mild cognitive impairment
- 10-20: Moderate cognitive impairment
- 0-9: Severe cognitive impairment
Comments
Note: This tool is for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of qualified healthcare providers for accurate assessments and appropriate care plans.
This brief cognitive assessment tool helps screen for cognitive impairment, providing a quick evaluation of a patient’s cognitive functions.