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๐ฉบ Professional Care Assessment
Clinical assessment tool for healthcare professionals using standardized medical scales
๐ Demographics
Age:
Gender:
Male
Female
๐ง Cognitive Assessment
MMSE Score (0-30):
โ
Mini-Mental State Examination
Tests cognitive function including orientation, memory, attention, and language.
โข 24-30: Normal
โข 18-23: Mild impairment
โข 10-17: Moderate impairment
โข 0-9: Severe impairment
MoCA Score (0-30):
โ
Montreal Cognitive Assessment
More sensitive test for mild cognitive impairment than MMSE.
โข 26-30: Normal
โข 18-25: Mild impairment
โข Below 18: Significant impairment
๐ Functional Assessment
ADL Score (0-6):
โ
Activities of Daily Living
Basic self-care activities: bathing, dressing, toileting, transferring, continence, feeding.
โข 6: Completely independent
โข 4-5: Needs some help
โข 0-3: Dependent on others
IADL Score (0-8):
โ
Instrumental Activities of Daily Living
Complex activities: using phone, shopping, food prep, housekeeping, laundry, transportation, medications, finances.
โข 8: Completely independent
โข 4-7: Needs some help
โข 0-3: Dependent on others
๐ช Physical Health
Mobility:
Independent
Walker
Wheelchair
Bedbound
Fall Risk:
Low
Medium
High
๐ง Mental Health
GDS Score (0-15):
โ
Geriatric Depression Scale
Screening tool for depression in older adults.
โข 0-4: Normal
โข 5-9: Mild depression
โข 10-15: Severe depression
๐ฅ Social Support
Social Support Level:
Low
Medium
High
Living Situation:
Alone
With Family
With Spouse
โ๏ธ Medical Information
Primary Diagnosis:
Dementia
Stroke
Heart Disease
Diabetes
COPD
Arthritis
Other
Number of Comorbidities:
๐ฎ Predict Care Placement
๐ Analyzing patient data...
๐ฏ Prediction Result