The Minimum Data Set (MDS) Cognitive Performance Scale (CPS) can be used to evaluate the level of cognitive impairment affecting a patient in a nursing home. This can help management planning for the patient.
NOTE: The scale is copyright by the authors.
Parameters:
(1) comatose
(2) problem with short-term memory
(3) cognitive skills for daily decision making
(4) being understood by others
(5) activities of daily living (ADL) self-performance in eating
Scoring:
(1) Coma and short term memory are scored 0 or 1 for no or yes.
(2) Decision making and communication are scored using a Likert scale ranging from 0 to 3 (from not a problem to a severe problem)
(3) Eating is scored using a Likert scale ranging from 0 to 4 (from independent to totally dependent)
where:
• Coma indicates persistent vegetative state or no discernible consciousness.
• Short-term memory is considered intact if the person is able to recall something learned after 5 minutes.
|
Impairment Items |
Points |
|
Decision making points 1 or 2 |
1 |
|
Can be understood points 1, 2, or 3 |
1 |
|
Short-term memory points 1 |
1 |
impairment count =
= SUM(points for impairment items)
|
Severe Impairment Items |
Points |
|
Decision making points = 2 |
1 |
|
Can be understood points = 2 or 3 |
1 |
severe impairment count =
= SUM(points for impairment items)
|
Coma vs Noncoma |
Decision Making |
Eating |
Impair-ment Count |
Severe Impair-ment |
Class |
|
comatose |
NA |
NA |
NA |
NA |
very severe impairment |
|
non-comatose |
3 |
4 |
NA |
NA |
very severe impairment |
|
non-comatose |
3 |
0 to 3 |
NA |
NA |
severe impairment |
|
non-comatose |
0 to 2 |
NA |
2 or 3 |
2 |
moderately severe impairment |
|
non-comatose |
0 to 2 |
NA |
2 or 3 |
1 |
moderate impairment |
|
non-comatose |
0 to 2 |
NA |
2 or 3 |
0 |
mild impairment |
|
non-comatose |
0 to 2 |
NA |
1 |
0 |
borderline intact |
|
non-comatose |
0 t0 2 |
NA |
0 |
0 |
intact |
Specialty: Sports Medicine & Rehabilitation, Neurology
ICD-10: ,
