Training for Memory Screeners · 2017. 8. 31. · Training for Memory Screeners. National Memory...
40
AFA’s National Memory Screening Program Josie DiChiara, Senior Vice President of External Relations, [email protected] Lauren Totaro, National Program Coordinator, [email protected] Molly Fogel, LCSW Director of Educational and Social Services, [email protected] National Toll-Free Helpline 866-232-8484 Training for Memory Screeners
Transcript of Training for Memory Screeners · 2017. 8. 31. · Training for Memory Screeners. National Memory...
AFA’s National Memory Screening Program
Josie DiChiara, Senior Vice President of External Relations, [email protected]
Lauren Totaro, National Program Coordinator, [email protected]
Molly Fogel, LCSW Director of Educational and Social Services, [email protected]
National Toll-Free Helpline 866-232-8484
Training for
Memory Screeners
National Memory Screening Program was launched in 2002 by the Alzheimer’s Foundation
of America (AFA) and provides free, confidential memory screenings to individuals
concerned about memory loss with the objective of early detection and intervention.
• INITIATIVE COMPONENTS:
o Community Memory Screenings (CMS)- hold year round memory screenings
• Memory screenings are not used to diagnose, and do not replace consultation with a
qualified physician or other healthcare professional.
• All the necessary tools are provided to sites by AFA —at no cost.
• Participating sites and information about the screening are listed on
www.nationalmemoryscreening.org
AFA’s National Toll-Free Helpline
866-232-8484
What is Dementia?
DEMENTIA
Memory loss
Impaired motor skills
Impaired judgement
Language challengesPermanent & Progressive
AFA’s National Toll-Free Helpline
866-232-8484
Dementia is caused by damage
to brain cells
This damage interferes with the ability
of brain cells to communicate with each
other. When brain cells cannot
communicate normally, thinking,
behavior and feelings can be affected.
AFA’s National Toll-Free Helpline
866-232-8484
Alzheimer’s Disease
• Most common form of dementia
• Neurological disorder capable of severely impacting
mental and physical functioning
• Progressive and irreversible
AFA’s National Toll-Free Helpline
866-232-8484
The Importance of Early Detection
• Improves quality of life
• Empowers individuals to learn more about
the disease
• Allows opportunity to seek counseling and
other social services support
• Enables individuals to access treatments
earlier
• Provides individuals time and capacity to
address legal, medical and financial issues
AFA’s National Toll-Free Helpline
866-232-8484
National Memory Screening Portal
AFA’s National Toll-Free Helpline
866-232-8484
National Memory Screening Portal
Homepage
National Memory Screening Portal
National Memory Screening Portal-
Profile
National Memory Screening Portal
National Memory Screening Portal -
Add/Submit a New Screening Site
National Memory Screening Portal
National Memory Screening Portal -
Manage My Screening Sites
National Memory Screening Database
National Memory Screening Portal-
Screening Materials
National Memory Screening Portal -
Essential Event Materials
General Instructions
AFA’s National Toll-Free Helpline
866-232-8484
Who Can Administer Screenings?
• Qualified Healthcare Professionals
o Nurses
o Nurse Practitioners
o Social Workers
o Dementia Care Practitioners
o Certified Health Educators
o Primary Care Physicians
o Psychologists
o Neurologists
o Geriatricians
o Physician’s Assistants
o Pharmacists
General Instructions: For the Greeter
• Greet participants
• Offer educational materials
• Write/call out first names only
• Guide and introduce participants to the screeners
o Accompanying individuals should remain in the waiting area
• Do not answer any questions that you are unsure of about the screening process
• Do not provide any medical information; Refer participants to the screeners
AFA’s National Toll-Free Helpline
866-232-8484
General Instructions: For the Screener
• Familiarize and prep yourself before the event
• Ask the participant if there are any special considerations to be aware of
• Ensure participant provides consent
• Administer the memory screening
• Understand that memory screening results are confidential and not a diagnosis
• Encourage follow up
• Keep scores confidential
Administering Memory Screenings
AFA’s National Toll-Free Helpline
866-232-8484
Screening Area
• Privacy is important. Use dividers/curtains
• Ensure confidentiality is maintained
• All information must be stored appropriately. Keep consent forms in a secured place.
AFA’s National Toll-Free Helpline
866-232-8484
Background on Screening Tests
Tests identified by AFA’s Memory Screening Advisory Board:• BAS (Brief Alzheimer’s Screening)
• GPCOG (General Practitioner Assessment of Cognition)• Mini-Cog
• MIS (Memory Impairment Screen)
These four tests meet the MSAB accepted criteria:• Effective screens
• Easy to administer• Validated by research
AFA’s National Toll-Free Helpline
866-232-8484
Voluntary Participant Survey
• Encourage participants to
complete the Voluntary
Participant Survey
• By completing the survey,
participants are helping to
improve AFA’s memory
screening initiative!
• Mail, Fax, or Email
completed surveys back
to AFA
Consent Forms• Only the screener should provide and
explain the “Participant Consent Form” to the participant
• The consent form shows agreement of the following:
o full understand of the memory screening purpose
o right to confidentiality
o consent to participate in the memory screening
AFA’s National Toll-Free Helpline
866-232-8484
Please note that when individuals ask you for the date, you cannot tell them as this is a question on some of the screening tools.
BAS (Brief Alzheimer’s Screening)• 5 questions
• Follow step by step directions
• There is no top score.
• If the participant scores 23 or below-
possible cognitive impairment; further testing
by a qualified healthcare professional is
recommended
• If the participant scores 24 or above- no
significant cognitive impairment indicated;
further testing not recommended; suggest
repeating test in 1 year.
Tips-
• You will need a timer. (cell phones are
handy!)
GPCOG (General Practitioner Assessment of Cognition)
• Directions and flow of GPCOG are
scripted for you
• 6 questions: Name and address for
subsequent recall, time orientation,
clock drawing, information, and recall
• Unless specified, each question should
only be asked once
• The maximum score is a 9.
If the participant scores…0-4 - There is possible cognitive impairment; further testing by a qualified
healthcare professional is recommended.
5-8- More information if required; further testing by a qualified healthcare
professional is suggested
9- There is no significant cognitive impairment indicated; further testing
not recommended; suggest repeating test in 1 year.
Mini-Cog• The Mini-Cog uses a three-item recall test for memory and a simply
scored clock-drawing test.
• The maximum score is a 5.
• If the participant scores 0-2, there is possible cognitive impairment; further testing by a qualified healthcare professional is recommended.
• If the participant scores 3-5, there is no significant cognitive impairment indicated; further testing not recommended; suggest repeating test in 1 year.
Tips-
1 point is given for each recalled word
To score the clock- It must have all the numbers, each only once, are present in the correct order and direction. Two hands must be present, one pointing to 11 and one pointing to 2. Any missing elements is scored abnormal. Abnormal= 0 points Normal= 2 points
Participants do not need to fill out the demographic information at the top of the page. Just date is needed.
MIS (Memory Impairment Screen)
• Consists of controlled learning, a short delay, and free recall,
followed by cued recall for items that were not previously
recalled
• If the participant scores 0-4- possible cognitive impairment;
further testing by a qualified healthcare professional is
recommended
• If the participant scores 5-8- no significant cognitive impairment
indicated; further testing not recommended; suggest repeating
test in 1 year.
• The maximum score is an 8.
Next steps are (on page
2 of the screen) :
• Distractor activity
(naming animals)- no
points for this activity
• Free recall- 2 points per
word
• Cued recall- 1 point per
word
Screening Tools Recap
• Tools do not provide a diagnosis
• Tools are preliminary and basic
• All results should be discussed with primary physician or specialist
Tools are interpreted by subject scores and explanations of scores are further discussed on accompanied information sheet.
Next Steps
After screening is administered, ensure the following:• Results are explained & remind participants that:
• The results are not a diagnosis
• It is recommended to have screenings done every year as part of their annual wellness exam
• If participant scored below the threshold, expresses concern, or has further questions that they visit their primary care physician or specialist
• Complete the Participant Departure Packet• What Now? What Do I Do After My Memory Screenings?
• Letter to Healthcare Professional
• Provide resources and support
AFA’s National Toll-Free Helpline
866-232-8484
Next Steps – Participant Departure CardFill in the following on this page:
• Brief Alzheimer’s Screening
• Participant’s Score
• If it is the participant should speak with their physician/need further testing
23Brief Alzheimer’sScreening
✔
Brief Alzheimer’s Screening
24+23
Aug. 31, 2017 Jane Doe
Yes
Back of Card
What Happens If…
Individuals may exhibit a range of emotions upon receiving scores and discussion of next steps
Screeners should be aware of the following:
• Expressions of anger, confusion, denial, fear, sadness, and a variety of other emotions
• Listen, be supportive, educate and provide resources
AFA’s National Toll-Free Helpline
866-232-8484
After Your Memory Screening Event
Keep the Consent Forms in Secure Place
Fill in and Return Data Collection Sheet and Completed Voluntary
Participant Surveys to AFA! You can now do this in the portal!
We love to receive pictures, newspaper clippings, and hear
feedback!!!
✔
AFA Resources and Support
• National Toll-free Helpline: 866-232-8484
• Monday-Friday, 9am–9pm EST, Saturday 9am-1pm EST
• Phone, email, Skype, and chat
• Concepts in Care Educational Conferences for Family & Professional Caregivers
• Dementia Care Professionals of America- training and certification
• Educational resources
• AFA Care Quarterly magazine
• Care Connection monthly teleconference
AFA unites 2,600 member organizations nationwide that provide direct resources and care.
www.alzfdn.org866-232-8484
Questions ?
Lauren Totaro, MPH, CHES
National Program Coordinator
866-232-8484 ext. 130
AFA’s National Toll-Free Helpline
866-232-8484
