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We are in the beginning stages of testing our mother for dementia. Yesterday, her primary care conducted a cognitive test on her and the score was 11. She has been referred to another doctor for further testing. What do the numbers mean with the cognitive testing?

Good luck on this sad dementia journey. I had my mom with dementia living with me for 7 years, 4 where she was obviously in cognitive decline. Her diagnosis moved from MCI (mild cognitive impairment to dementia). It's not always easy so read more on this forum and think hard about if moving your parents in is the best choice. Or if things could be "ok" to start, be flexible about adding help and moving her/them to appropriate care when the time is right.

Best of luck.
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Reply to againx100
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Isthisrealyreal May 16, 2024
Great advice!

So many people get stuck thinking the 1st decision is the last decision and forget to be fluid with caregiving situations.
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How does the SLUMS test for dementia scoring work?

27–30 points: Typical cognitive function.
21–26 points: Mild cognitive impairment. This suggests some cognitive difficulties, but they may not be severe enough to interfere significantly with daily life.
1–20 points: Cognitive impairment or possible dementia.

For the MoCA test:
The MoCA website states ranges may be used to grade severity: – 18-25 = mild cognitive impairment, – 10-17= moderate cognitive impairment and – less than 10= severe cognitive impairment

The MME test, or Mini Mental Exam is as follows:

Interpretations. Any score of 24 or more (out of 30) indicates a normal cognition. Below this, scores can indicate severe (≤9 points), moderate (10–18 points) or mild (19–23 points) cognitive impairment. The raw score may also need to be corrected for educational attainment and age.

Assuming mom had one of the traditional tests, she falls in the moderate stage of cognitive impairment/dementia.

Good luck.
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Reply to lealonnie1
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There is not only ONE test for dementia, but there are several.

The Institute on Aging has free tests you can DIY at home: This from the internet:
"Free Cognitive Tests for Older Adults and Caregivers to Assess …
There are free cognitive tests for older adults and caregivers that can help you understand if your loved one is showing any actual signs, or if they are just forgetful. We want to emphasize that these are not actually diagnostic, and they shouldn’t be treated as strictly medical. See more"

Go through your favorite search engine and type in "Free cognitive tests for older adults and caregivers" and you will be able to pull some of these off. You can make a game of it.
One tests has only 12 questions. If your senior can do 11 that's great.
Some have 30. So a score of 11 would be not so good.

I hope the referral was made to a neuro-psyc specialist.
You are "in the process now" and will have to take it day at a time.
I hope that you are the MPOA and are in on the medical decisions as you go along.
I wish you luck and hope you'll update us.

Welcome to the Forum. We are here for your questions as you begin this process.
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Reply to AlvaDeer
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The change from being an independant person to a semi-independant person is big.

Yet it is individual. At the start, some may reqire extra help, light assistance, home help services etc.

Others will require much help, much assistance, prompts, maybe round the clock supervision.

When parents start to move backwards from independant to semi-indepenant, there are many options. Moving in with an adult child is not the only pathway.

While *family helps family* is a noble & worthy value to hold, 'helping' and being a 'fulltime caregiver' are very different things.

There are many ways to help.
Please keep this in mind.
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Reply to Beatty
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