General Discussion
In reply to the discussion: Trumpy is once again claiming he aced a cognitive test--in a real nasty way....... [View all]Ms. Toad
(38,843 posts)Anyone with a modicum of cognitive abilities will get 100%, or close to it.
BUT - assessing cognitive abilities is a required part of every annual exam under Medicare, and most doctors doing eldercare follow the Medicare guidelines even if the patient isn't on Medicare. An assessment isn't made because of signs of dementia - it is just part of care once you hit Medicare age, as part of an overall statutory plan to make sure doctors aren't ignoring signs of dementia.
The assessment doesn't have to be made using a test - so most people aren't even aware they are being assessed. But if the doctor chooses to use a test (rather than just make an assessment based on interactions during the visit), the MOCA test is the one most frequently used
And the test is just a screening test. It does not measure progress (aside form gross changes). (My spouse, who has been on two dementia medications for at least a decade, scores 100% on the exam.)