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MDS Cognitive Performance Scale(C)
- Source :
- Journal of Gerontology. 49:M174-M182
- Publication Year :
- 1994
- Publisher :
- Oxford University Press (OUP), 1994.
-
Abstract
- Background Chronic cognitive impairment is a major problem in U.S. nursing homes, yet traditional assessment systems in most facilities included only limited information on cognitive status. Following the Congressional mandate in the Omnibus Reconciliation Act of 1987 (OBRA '87), U.S. nursing homes now complete the Minimum Data Set (MDS), a standardized, comprehensive assessment of each resident's functional, medical, psychosocial, and cognitive status. We designed a Cognitive Performance Scale (CPS) that uses MDS data to assign residents into easily understood cognitive performance categories. Methods Information was drawn from three data sets, including two multistate data sets constructed for the Health Care Financing Administration. The prevalence and reliability of the MDS cognitive performance variables were established when assessed by trained nursing personnel. Five selected MDS items were combined to create the single, functionally meaningful seven-category hierarchical Cognitive Performance Scale. Results The CPS scale corresponded closely with scores generated by the Mini-Mental State Examination and the Test for Severe Impairment, nursing judgments of disorientation, and neurological diagnoses of Alzheimer's disease and other dementias. Conclusions The new CPS provides a functional view of cognitive performance, using readily available MDS data. It should prove useful to clinicians and investigators using the MDS to determine a resident's cognitive assets.
- Subjects :
- Gerontology
Aging
Activities of daily living
Decision Making
Test validity
Cognition
Alzheimer Disease
Memory
Rating scale
Orientation
Activities of Daily Living
medicine
Humans
Dementia
Coma
Geriatric Assessment
Aged
Language
Aged, 80 and over
Minimum Data Set
Mini–Mental State Examination
medicine.diagnostic_test
Communication
Cognitive disorder
Reproducibility of Results
medicine.disease
Nursing Homes
Memory, Short-Term
Mental Recall
Cognition Disorders
Psychology
Psychomotor Performance
Clinical psychology
Subjects
Details
- ISSN :
- 00221422
- Volume :
- 49
- Database :
- OpenAIRE
- Journal :
- Journal of Gerontology
- Accession number :
- edsair.doi.dedup.....b1922d6e36dab422b463c457ff36228d