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- เผยแพร่เมื่อ 27 ม.ค. 2018
- This video depicts the administration of the MoCA cognitive assessment instrument, conducted as a result of the patient failing a Mini-Cog. To learn how to score the MoCA using Sam's test as an example, watch the MoCA administration and scoring video at: • Montreal Cognitive Ass...
Chevrolet, zebra and honesty
Where were those words?
@@barbrn in this video th-cam.com/video/t-ou5LVaapg/w-d-xo.html
TV, stopwatch, and that particular book
I came from that one too
"October... No! November. Haha, you wrote it down."
"Camelino... I thought I would make him Italian."
So cute lol
it's sad seeing a realistic one of these with an elderly patient and actually seeing them not 100% everything
@Dionysus show me what YOU got
Most people wouldn't get 100% ...unless you practice Lots of reading daily especially when it came to remembering those four words I didn't remember them all I missed one you try to figure out tricks to remember certain words like red ,velvet
I’m 66 and I took that test just last week. He did better than I.
I have a feeling this guy did better on this than I would..I'm 47!
Absolutely, I would definitely be given a bad diagnosis.
40, 33, 26, 19, 12, 5 booom!
i would fail this
Me too and I'm 60!
me too
My god, he looks and acts so much like my late grandpa i almost cried for a second there. Definitely a safe space for me here. RIP Big Pedro.
Without a phone or desktop clock I'd have to guess the date like 80% of the time.
Good thing you can miss 4 before one is committed
Shows you how much we rely on technology
Same with me. The DAY matters to me, but the date? No, unless I have an appt., or it's a significant date - If someone asked me randomly the date? I'd be within a few days - but that's it. I'm 55 and work full time.
I have Parkinson's, and I was in a lot of clinical trials and they all did the cognitive test for baseline. So when the person administering the test would say "I'm going to say five words, see if you can commit them to memory" I used to answer "OK, just as long as you don't say "face, velvet, church, daisy, red". For some reason I'm never able to remember that particular sequence."
Keep in mind that this test is only a guide to detect cognitive impairment. Failing portions of it doesn't necessarily mean a person has dementia. I'm given one every year with my Medicare Wellness visit and, although I always pass, sometimes I'm tired, can't concentrate and forget a word or two. There are many reasons people forget things. Sometimes it's the medication they're taking or they haven't slept well because they've been under a lot of stress. Mild forgetfulness is a normal part of aging. Memory problems only become serious when it becomes difficult to do everyday tasks.
Young people forget things too. Yes, it becomes worse with age, but it isn't exclusively confined to the elderly.
I’m 68 and am starting to forget names 😐. Which is troublesome when it’s my own.
This doctor told him that he has an early Alzheimer. There is a video for that. I seriously think most people or all people would have Alzheimer with this exam from this doctor.
There’s a vid of this same patient who was diagnosed with the disease ...
It's all about practice
My dad could tell you details of his life from when he was young, during the war, etc. I know they were correct because his sisters would agree.BUT he didn’t recognize my mom. He would say to her “ thank you for taking care of me, I don’t know why it’s taking my wife so long to get home”. My mother would cry & cry.
I know what you mean. All of our parents, between my husband and his siblings, and mine and my siblings. It's hard when our parent does not remember the one they've loved for many years.
To @Pennyk1943: That's quite disconcerting, I agree. But once we understand how common it is in dementia, it's a bit easier to accept. For whatever reason, long-term memory is often much better than short-term.
Worked at a neuro clinic and when the pt got to the identification portion she pointed to the lion and said “oh that’s simba” ❤️
The Math one most people couldn't do while being interviewed
No problem for me.. Might take a few seconds to answer each number but I could do it... Depends on the number they ask.. Like if they put 1560 count back with - 22 a pop can you do it? I could do a few times but it would be pretty difficult..Counting back from 100 by any # is easy ...Depends how your brain is built if you're very logical you could do it I tend to excel in math and science but when it comes to reading and remembering words sometimes it's a pain in neck.. But he should've remembered one of the f
Dude, I'm 33 and I can't repeat those five words 20 seconds after hearing them for the life of me xD
red & velvet is all I got
Had memory loss issue all the time, reduced my sugar intake daily and it fixed everything.
what words?
Stop smoking weed and drinking so much
@@MrJimmy3459 Always good to get some advice from someone speaking from experience. Thanks. I'll keep that in mind if I ever do either.
My husband was diagnosed with alzheimers in 2019. He is 62 years old. This video was very helpful and I hope to see more of this series. Thanks a lot for this video.
You would need multiple tests to get that diagnosed
I hope u and yr husband are doing okay. ♥️
Someone can Not Be Diagnosed With ALZHEIMERS , Without an autopsy ??
You should take this test too....se e if you will pass
how has everything been?
I really want to comment on this. First, I hope everything turned the best for the patient. Even struggling, such a bright mind and a positive attitude a d a nice sense of humoir even in what was surely a really scary situation. The ruler and watch answer was brilliant so far into the test. The test itself must be exhausting, I was exhausted just from watching. But also, I would like to praise the doctor: always reassuring, even when the patient wasnt performing as good as ideal, he never dropped a very empathic posture, generating a sort of complicity between them both that made everything so light, as serious as it was. This was an amazing content. The human aspect of it was very touching and I cant emphasyze enough how important it is to have empathic caring professionals in these situations.
I do this similar test annually too. You kinds feel under pressure when and then you can't think.
To @JoaoSilva-on4od ~
I wholeheartedly agree! Sam actually performed quite well, especially since he was being filmed while working through his test. He was courageous to consent to that; many people refuse to share their test results with anyone, let alone have them posted publicly!
I also agree that Dr Barklay was quite effective in putting Sam at ease while maintaining a professional relationship. We need more doctors with the temperament & training to work so well with our geriatric population in the US. Many of us 'Boomers' now need (or will need) these specialized services.
Both of my parents had dementia prior to passing. Being tested and receiving a diagnosis can be so difficult for patients & their families. The emotional response of Sam's wife is totally understandable: her sadness for him and additional responsibility as caregiver can be crushing. But Dr Barclays assurance of support through his office, a Social Worker, & the Alzheimer's Association can make all the difference.
Didn't think much about dementia until my sister was diagnosed last year. It really hits home, thinking, "Am I next?"
I hope you and your sister are doing well, my father passed away from dementia. It was hard but with love, you can make the best out of it.
One of the best Neuropsychological tool for assessing Working Memory and Auditory Perceptual Organization!
I took the test with this man and he did way better then me, im 60 .
The doctor said this man has early Alzheimer. There’s a video for it. His wife got emotional. I think this test is tough even for young people.
Off topic, but this man (one being interviewed) is amazing.
OMG he did so well on the fluency part!!
It is interesting how the test is applied without making the subject feel uncomfortable, however it seems to be a very difficult test, especially in the memory part.
The dynamics seem very funny to me.
My wife could not draw the clock, I am extremely....
I got stuck at 93 but my instincts said 84 before he said it. I’m 32 and have an IT degree 🤣😂😅
Yeah, instincts are not very good at maths! 😃
A little trick... mentally calculate 1x7 (7) and subtract it from 100. Then calculate 2x7 (14), then subtract that from 100, and so on. It's easier to do simple multiplications (which most ion us memorized back in elementary school) and subtract it from 100.
I think this guy did exceptionally well. Counting backward in 7s from 100 isn't easy if you don't have fingers. 😊 I think with the taping A's, I believe it was a hearing problem for a couple of them. As for rembering words, that is probably age related. I hope this gentleman lives a long, healthy life. 😊 Well done!
count backwards from 100 lol I can’t even do that
Drop by 10 add 3. So it's 90 +3= 93 dropping to 83 +3=86, drop 10 is 76 +3 =79, 72-10=62+3=65 and so on. Really easy when you get the hang of it.
So going back by 7 from 100 is 93,86,79,72,65, 58, usually that's enough for the test.
this person failed the assessment, so they did not do "exceptionally well"
Yes I think so too because my wife can't draw circle and numbers in it.
I’m sorry, but counting backwards in 7s from 100 is VERY VERY easy.
I remember I did one of these tests shortly after I had a bad concussion, with some bleeding on the brain. I thought I was smoking it; it was so easy. But then counting backward from 100 by 7 wrecked me. It was so difficult, and I was panicked. Had to count it out on my fingers. It's really a scary feeling, struggling when you know you shouldn't be.
yo..that test is hard for the smartest person on earth! dont feel bad!
Easiest way to do it is to count down in 10's and add 3 each time. 100 - 10 = 90 +3 = 93 and so on.
@@hughhennessy7912 You're 100% right; it's not bad that way! I just wish I'd thought of that at the time!
It's all about practice
I panicked on the count backwards by 7 because I couldn't do that!
he has demnetia and forgets a lot of things, but he dont forget how to dress properly.
He's Italian!
What makes you think he has dementia? I thought he did well.
I doubt he has dementia.
@@dianabaskin1944 because another video, this doctor told him and his wife that he has early Alzheimer
@N. D. He also didn't tap twice to A
He beat me on the f words.
He didn't drop any F-bombs.
My first word was fart
If you notice he's overly stressed. His brain is having difficulty just staying concentrated and it takes mental energy which is exhausting. When you're dealing with things All day you need or try to remember it's like your brain folds and gives up repeatedly. I learned to not try to recall what I forgot because no matter what it wasn't coming back. I was diagnosed last Nov with Alteimers Dementia early stage I've taken this test.
A Velvety Face in a Red Church surrounded by Daisies....
Thats how I remembered the words...
Camelrino’
Gotta make em Italian!
mi scusi - _cammello_ is the Italian for *camel*
I really like this doctor
Me gusta como hacen close up a lo que esta escribiendo, es muy claro todo el tiempo lo que se esta llevando a cabo .
The man being tested had a very good sense of humour. My Mom passed away from dementia at 93, not a pleasant thing to go through for her or the family. I find i do these tests just to see if i have any signs. The funny thing is that when they give you the 5 word test, i have done so many that i remember the odd word from the test i did 6 months ago. Must be something with the long term and short term memory. My mom's long term memory of things she did as a child remained into her last year but her short term memory had left 3 years before. People who deal with this in their lives every day have to have patience and empathy. My mother in law now has alzheimers so my experience with my mom has taught me that. Such an unpleasant disease.
He has such a high spirit
Thank you so much, this was very helpful!
He seems so sweet I hope he’s ok x
Nice presentation. Thanks.
Doc, you must love that tie. It is actually a very nice tie Doctor. ;)
This is really well done.
This guy deff knows some Cuban gangsters
He would know MAFIA gangsters - so _you_ just *failed*
Some of these tests would hard for people of any age!
i loved him, he was great, funny and smart!! Doc: your done! patient : yea..i bet i am!! lol
Very nice doctor great job
Thanks for this post! Very interesting 👌
This was a perfect test result. Lots of people are saying that. The final questions were really hard. Nobody else in the whole world could've done as well on those questions. Lots of people are saying this was a perfect test. He was able to identify an elephant. It was perfect.
Great Doctor great testers & Good man keeping up the fight in there! :)
Thank you for cheering!
BR AN.
I failed. I said fart, farts, farted, fartface, and Eric Swallwell.
😭😭😭 never thought I would see that kind of comment on this yt vid
Except for the number counting backwards and a couple of hand taps that he didn't do, I think he is doing pretty well.
He didn't remember any of the 4 words ..I wasn't even paying attention in the beginning and I got ... red velvet because I associate 2 words together... And remembering one of the words would've been enough to pass it
By the time I have to start taking this test, I'll be so familiar with it that I'll be able to answer readily because I'll have practiced. On the other hand, I had a friend who had early-onset dementia and when she was in her late 50s she was incapable of - for example - drawing the clock. She could only draw a circle; no numbers or clock hands.
Don't count on breezing through the test when your time comes! There are a number of different versions, but all designed to evaluate abilities in various areas.
I've accompanied 5 or 6 patients for testing, and haven't seen the same test twice!
I wonder if the test was in Italian would the results be different? Assume English is not his first language....
He's a curious case actually. In some cases he has no accent and in others he does. But honestly I think what you saw as an accent was a speech impediment probably due to age. ( Can't hit ths s's well)
As a bilingual myself (Greek is my first language) I think that language does indeed matter in some parts of these kind of tests. For example, there are moments I need to translate the digits of my phone number in my head while saying them in English. Though, when it comes to communication of feelings, opinions or beliefs etc I don't need to go through this process. It's so weird and funny.
@@stixoimatizontas Native speaker of your two languages or just bilingual?
@@slipknoterman My native one is Greek. But I've been communicating in English both verbaly and in writing for around 17 years.
@@stixoimatizontas
Are many Greeks bilingual?
Great dr
When he counted backwords from 100 i thought i had a problem and i got scared
Jesus I couldn't even remember the words he said at first! That's asking a lot of a normal person
NOBODY CAN DO THAT KINDA MATH!!!!! Doctor is crazy 🤓😉🤓😉
.... subtraction?
....nobody? @@katieegan5178
Very helpful❤️🇨🇦
Do you know where the 3-word neurological test started? can't find the basis for it.
Sam seems like a really good guy. Hope he is still with us.😊
He seems fun
My 8th grade math students need this examination...
Lovely man
I have Lewy Body Dementia and have taken this test more times than I care to count. The sad part is that I know that I am getting a little worse every time I take it.
Sorry to hear about your situation, how are you doing these days?
I’m proud of you for trying and not giving up. I know it has to be really hard but obviously you haven’t given up so I wish you the best of luck ever!
@@maryelizabethcofer3141 Thank you!!!
Do you give the same test ?
listen and ease your mind w classical music sleep more.
I'm younger than him and had to think a minute, lol. He reminds me of my great uncle, rest his soul. We used to write down a word, and see how many other words, we can make from the one. We would time 3 min. Good way to past the time.👍
Pretty sharp. And God bless him for wearing a nice shirt and sport coat to the doctor's.
I think he did very good!
He's brighter than the Dr. and has a better sense of humor. Linguine with some alfredo sauce please.
Why were the category cues/multiple choice options not given when the pt missed the target words on the memory task? I know these aren't factored into the points, but the qualitative data is there (e.g. retrieval vs encoding problems).
Helpful
l'examen médical doit-on le faire toute les années? et est-il complet...merci
Velvet, Red is all I remembered... and that’s only because I was drawn to the idea of red velvet cake.
I had face velvet church rose? I thought he said rose. 🤔 😭
your Not alone... so you're -3 points on the test... you're seeing it differently the test ,,,you're not actually there with the guy telling you
.u might not remember anything... At the end of the test it says add 1 point If the person has a higher than a 12th grade education..Right away that's bullshit
I remembered daisy at tge end. I'm done 4
How old are you
My goodness, I can barely count backwards by twos!! When he said, "Forget it!" I really felt that lol
He did well. Only thing he flunked was the counting backwards by 7 from 100 and remembering the 5 words from the beginning. That's pretty good as far as I can tell. Why don't they tell us his result? Oh and he got the time on the clock wrong.
He had difficulties seeing how a bicycle and train are alike though, and finally thought of wheels but fixated on how the wheels operate ..saying they both have elbows, etc. so I think he forgot what the original question was because he'd become so fixated on that one similarity - the wheels.
There's another video discussing how this test is scored and they reference this video of Sam taking the test. He scored 21 / 30.
He missed one point on the clock so 2/3, got 2/3 on counting backwards by 7 so pretty good, missed 2+ on the hand tapping test so 0/1, didn't really understand the similarities between a bicycle and a train so 1/2 and couldn't remember any of those 5 words at the end so 0/5
th-cam.com/video/wO7n19KMveU/w-d-xo.html.
I remember my parents being asked these questions. They both had a forn of dementia, but not the same kind.
Montreal Cognitive Assessment @ 2.47 had me worried ( I'm 70+yrs old) because throughout my life I have never been able to draw a straight line with a ruler and pencil ! My 1st Class Honours degree as a young woman saw my career take off and my short/long term memory is good but if I was asked to draw a box 😷😷 yup ...nup . It must be everyone's nightmare to be diagnosed with Dementia , Alzheimer's or Brain injury's .
Glad to hear somebody else couldnt draw a box.I couldn’t two years in a row. So I went to google
and of course it’s as easy as. Unfortunately I haven’t been asked to draw a box since! I’m 88 and
I certainly couldn’t count back reducing by 7.J
That doctor is good!
Are you really immune to Alzheimer’s?
I've done serial sevens so many times I have it memorized. My doctor started doing serial 13s.
The doctor told him to draw a line from A-1 and A-2 and Sam caught on to the doctors mistake. This is a good sign.
I had to remember words for a test I had for ADHD. I couldn’t remember any of em except the first and maybe one or two more. Needless to say I do indeed have ADHD
Yeah I was gonna say these tests are very hard for someone with ADHD like myself. Our short term memory isn’t good - especially with lists. And also people with math disabilities wouldn’t be so good with the numbers and geometry. I have a math disability and ADHD, also APD.
Thank you so much for this
I am going to ask this question respectfully. I notice this gentleman, in this video, is also in another video. The other video is for the Mini-cog assessment, with the same doctor. Is this patient an actor, DEMONSTRATING assessments?
He did pretty good. Not particularly indicative of memory issues outside of the norm for a man his age
This is scripted.not real
"He did pretty *well* (not the word; *GOOD* )
@@isaiah12310 this is not scripted.. I've taken this test.
@@isaiah12310 its real
@@isaiah12310 True - but done well .
This is also in Urdu language and I am using it for my patients 😊
I think this man is doing good for his age! We all need to forget with how this world is going.
Sure you will made me laugh so hard. He sure has got a comedian side LOL.
Tv, the stopwatch and the book.
Oh fk I can’t count backward by 7! Holy shit
That is hard even for someone with no Alzheimers! Subtract 7 starting at 100.. Not easy!
DONE SUBSCRIBING
MY daughter has autism too. It is really hard and challenging raising a child with autism. But God choose us to be their parents to love accept and protect them always...
Can you prepare for the test in advance
What age is the male subject?
I like the way the Doctor administered the MOCA, but I'm interested to know why the category or multiple choice cues were not used in the delayed recall sub-test, as this is part of the assessment form? Also interested to know if he is a genuine patient & what he was scored as by the Doctor, plus what recommendations were made afterwards. From watching this video it appears that he may have poor STM recall, possible difficulty with orientation to time & attention deficits.
Giving choices in the delayed recall is optional, it does not affect the score of the test.
There's a second video where he tells him that he has Alzheimer's. No meds, etc were mentioned.
This looks like a slightly different version to the version 7.1 used in the UK - we now use the 8.1 version, which gives a sub-score that shows how someone remembers information - this may help if he can use visual or verbal prompts, as this may help decide how best to support the person in the community.
Validity and reliability of moca???
my mom is 84 and we are pretty sure she has some kind of dementia or Alzheimer's.we have tried to get her a cognitive test done but she always picks up on what's going on and refuses it.. or gets mad and walks out. she did that with her last primary care doctor got mad and walked out. now we insist on going to appointments' with her. she has not yet seen her new primary doctor yet. I guess what i am asking is what do you do when someone refuses to be evaluated?
Unfortunately there is not much you can do.
I take this similar test once a year and he puts the numbers on the clock the same way I do LOL. I hate the counting backwards by 7's its harder than you'd think
These tests are hard even if you don't have dementia. I can't even add 2+2 so would flunk the numbers tests.
for this cognitive test, F is really a unfair letter.
Why?
@@anti. You concentrate so hard on not dropping the F-bomb that you do worse than normal. I had this same test and I told the test giver that
@@nintendonerdsvideos4727 hahaha yeah I would be the same way
fee fie foe fum - fine friend
No way can I count backwards by 7's even today -- Math is not my forte. I'd flunk out of the gate. And memorizing a word list and repeating it back 5 minutes later after all that -- is hard, too. add nerves to it. no way
i was doing epik as fuck then fucked up after 84 lol was off by 2
I am 50 and could only think of 15 words that started with F. I recalled four of the words correctly but thought one of them was fairy not fable. The counting backward from 100 minus seven was easy. I thought the Dr would ask what three animals I saw. Lion, Rhino, Camel. Clock and box were easy. So, I feel pretty good.
a score of >11 words is given full points, so good job!
I know this is setup, but I loved the patient and how they interacted lol
"Draw a circle for me"
--writes the number six (6)
"Alright sir, excellent circle"
Diagnosis is at the mercy of whoever authored the test. Some of the items (especially the countdown from 100 by sevens) would give a person with normal cognitive abilities difficulty (not everyone is a whiz at math). Anyone with a dystonia in the wrist or hand could not pass the "tapping" question., which would be the same impediment for any of the questions requiring the use of a pencil or pen. It also assumes everyone who takes the test has ever seen one or more of the three animals. The date and day-of-the-week question assumes one looks at a calendar every day, which people of that age group (i.e. retired) do not. And to top it off, some people learned to tell time using a digital clock, not a circular one which requires experiential skills, not cognitive.
Not me I found it extremely easy ,,but I found remembering 4 words harder I missed two because I wasn't really paying attention in the beginning...
I agree subtracting from 100 is difficult. This guy was subtracting by 10 at some parts, at least he recognized he was messing up. To get the full 3 points on the math section you only need 4/5 right. To get 2/3 points you need 2-3 correct. I think it's graded fairly which accounts for people who are bad at math. Overall, normal is considered 4 wrong (26/30). For example, that could mean only getting to 93 on the subtraction (1/3 on that section) and only remember 3/5 on the delayed recall which are the 2 hardest for most people.
Agree! I'm 62 since I retired I rarely know the date unless it's payday. And the test questions some are more IQ than basic memory
Well ackshually