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Bowker Lesley K. - Oxford Handbook of Geriatric Medicine

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Bowker Lesley K. Oxford Handbook of Geriatric Medicine

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Contents
Pagebreaks of the print version
Index of HOW TO boxes The abbreviated mental test score The Abbreviated - photo 1
Index of HOW TO... boxes
The abbreviated mental test score

The Abbreviated Mental Test Score (AMTS) is a widely applicable, well-validated, brief screening test of cognitive function.

Derived by Hodkinson from a 26-item test, by dispensing with those questions which were poor discriminators of the cognitively sound and unsound.

AgeMust be correct (years)
TimeWithout looking at timepiece; correct to nearest hour
Short-term memory

Give the address 42 West Street

Check registration

Check memory at end of test

Recognition of two personsFor example doctor, nurse, carer
YearExact, except in January when the previous year is satisfactory. Replies 206, 207, etc. in place of 2006, 2007 should be considered correct, as they confirm orientation
Name of placeIf not in hospital, ask type of place or area of town
Date of birthExact
Start of World War 1Exact
Name of present monarchExact
Count from 20 to 1 (backwards)Can prompt with 201918, but no further prompts. Patient can hesitate and self-correct, but no other errors are permitted

Reproduced from Hodkinson, HM. (1972). Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing : 2338 , with permission from OUP.

810 Normal

7Probably abnormal

6Abnormal

OXFORD MEDICAL PUBLICATIONS
Oxford Handbook of
Geriatric Medicine
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Great Clarendon Street, Oxford, OX2 6DP,

United Kingdom

Oxford University Press is a department of the University of Oxford. It furthers the Universitys objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries

Oxford University Press 2018

The moral rights of the author have been asserted

First Edition published in 2006

Second Edition published in 2012

Third Edition published in 2018

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All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by licence or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above

You must not circulate this work in any other form and you must impose this same condition on any acquirer

Published in the United States of America by Oxford University Press 198 Madison Avenue, New York, NY 10016, United States of America

British Library Cataloguing in Publication Data

Data available

Library of Congress Control Number: 2017952262

ISBN 9780198738381

eISBN 9780191058219

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breast-feeding

Links to third party websites are provided by Oxford in good faith and for information only. Oxford disclaims any responsibility for the materials contained in any third party website referenced in this work.

Foreword

Geriatrics is medicine of the gapssuch gaps as we see between surgery and social work, and between psychiatry and orthopaedics. It is the medicine of the gaps between what doctors need to know for their everyday work and what they are taught as medical students. Medical curricula are still structured around diseases and technologies, rather than people with diseases and people needing technologies. The majority of such people are old.

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