Administration of the Montreal Cognitive Assessment

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  • เผยแพร่เมื่อ 24 พ.ย. 2024
  • This video describes how to administer the Montreal Cognitive Assessment.

ความคิดเห็น • 80

  • @jacklinskibicki6098
    @jacklinskibicki6098 8 ปีที่แล้ว

    This appears to be a fairly straight forward cognitive assessment and the video clearly demonstrated how to administer it. Dr. Grande did a great job explaining the instructions, which made it much easier to understand.

  • @ammu9810
    @ammu9810 9 ปีที่แล้ว +2

    This video provided a great breakdown of the MOCA. I wished I watched this video before we administered it in class to gain a deeper comprehension of the instrument. Great video!

  • @scottmartin7764
    @scottmartin7764 7 ปีที่แล้ว +3

    Very good video and real easy to follow, this was very helpful to see how the test is administered

  • @rosasutton8472
    @rosasutton8472 7 ปีที่แล้ว

    I can see how this instrument would be useful. The video was thorough, straightforward, and easy to understand.

    • @tammywitzke6642
      @tammywitzke6642 7 ปีที่แล้ว

      I agree, this was easy to follow and gave a good understanding of the instrument used.

  • @aliciazahn1718
    @aliciazahn1718 8 ปีที่แล้ว

    Knowing this was designed for mild cognitive dysfunction is helpful in understanding the different sections of the instrument and the function of this instrument.This was so unbelievably helpful because the instructions were rather difficult but seeing this explained out is different. The caveat about subtracting that Dr. Grande explained was not something I would not have thought about.

    • @reneemendez4287
      @reneemendez4287 8 ปีที่แล้ว

      +Alicia Zahn I thought that was very interesting too. Such a simple looking test has difficult intructions. Dr. Grande did a good job explaining everything

    • @jpincinjr
      @jpincinjr 8 ปีที่แล้ว

      Yeah I don't know why they had to make the directions so difficult even for the administrator of the assessment.

  • @kimberlykelly386
    @kimberlykelly386 8 ปีที่แล้ว +1

    I really like the MoCA. This video was helpful in understanding each of the sections. I thought the optional recall section was interesting and wondered its purpose. Dr. Grande then explained it can help the clinician gather more info. that can assist in determining which type of memory disorder the client may have (i.e. retrieval failures or encoding failures).

  • @brittanyvodzak9198
    @brittanyvodzak9198 8 ปีที่แล้ว

    I think the instructions are easy to understand compared to other assessments. I liked how the video went through the assessment; it allows me to become more familiar with it before administering the assessment.

  • @niktucker5812
    @niktucker5812 7 ปีที่แล้ว

    This video was very informational and answered all of the questions that came to mind as I continued to watch it.

  • @danielamoore1412
    @danielamoore1412 9 ปีที่แล้ว

    I agree with Robert, this video was easy to follow. It was also good to see Dr. Grande administer it in class and do role-play with us. It seems like an easy assessment, but the instructions are very detailed and the clinician must be consistent in the way he/she gives them. I like the MoCA: it is simple, clear and straight forward. Once the clinician is familiar with the instrument (any one of them) I think the assessment session flows more naturally. In class, there were long pauses because we are not familiar with them yet. It will come with practice.

    • @angiemorales8481
      @angiemorales8481 9 ปีที่แล้ว

      Daniela Moore I agree being familiar with an assessment will always make it easier to administer and prevent mistakes and result distortions.

    • @andrewlightfoot1560
      @andrewlightfoot1560 9 ปีที่แล้ว

      It definitely helps to see it in class by showing us what to expect and how to prepare.

  • @ON-CAN
    @ON-CAN หลายเดือนก่อน

    @ 7:06 I appreciate your great observation and advice on important element of the concept of MOCA..about taking care of scoring system

  • @brittanyrio3619
    @brittanyrio3619 9 ปีที่แล้ว

    This video was very detailed and I liked that because I felt it was explained well. I can see the differences between this and the MOCA that we did in class, and I think it is very important to be absolutely positive on how and when to administer. At first I thought this would be easy to administer, but watching this video and administering the other MOCA that we did in class, I can see how important it is to pay attention to detail and provide exact directions to the client.

    • @8shelbyg
      @8shelbyg 9 ปีที่แล้ว

      Brittany PellegriniI totally agree that deviating from instructions or not paying close attention could skew results. This assessment seems really easy but to take out variation, you need to be consistent, which is not always as easy as it seems.

  • @andrewr6433
    @andrewr6433 9 ปีที่แล้ว

    I feel like we'll be experts on administering certain mental status exams by the end of this course, but I did think of something new to consider while watching this video and that was because on your emphasis on not communicating the score until the end of the exam. That made me realize how purposeful it probably was that the drawing exercises were first because that would involve the client looking at the paper.

  • @amandayarn5160
    @amandayarn5160 9 ปีที่แล้ว

    I like this assessment. It may look easy to administer however, in class I remember having difficulty following the written instructions. I wanted to follow those instructions to a tee and when I went off topic once, it was hard to get back on track. I also had trouble scoring the instrument in class and I think this video helped.

  • @rachelfoster5463
    @rachelfoster5463 8 ปีที่แล้ว

    When I read the instructions for this, I was really overwhelmed! However, Dr. Grande broke it down really well. I still think there is a lot of detail to know for such a small assessment. This assessment definitely requires one to follow the directions closely to administer it properly.

    • @aliciazahn1718
      @aliciazahn1718 8 ปีที่แล้ว

      +Rachel Foster Agreed, I was right there with you! The instructions are so detailed I feel like it actually complicates it to the point they are difficult to understand and follow. This video was extremely helpful in deciphering the instructions!

    • @sherrietilghman2745
      @sherrietilghman2745 8 ปีที่แล้ว

      +Alicia Zahn I do feel like the instructions are complicated for the clinician to relay and the client to understand. Would be helpful if we could repeat or give clarification.

  • @kathyolney4053
    @kathyolney4053 4 หลายเดือนก่อน

    Our Doctor gives this Assessment every year for my Husband and my Medicare screening.

  • @jpincinjr
    @jpincinjr 8 ปีที่แล้ว

    Great layout for the video showing the actual assessment instead of just talking about it. This was very useful because the directions weren't totally clear.

  • @reneemendez4287
    @reneemendez4287 8 ปีที่แล้ว

    When I first saw this I thought this was the one we did in class, but I'm glad Dr. Grande explained that they look similar but that the MMSE detects moderate-severe cognitive disfunction, and that the MOCA detects mild cognitive disfunction. I am always surprised that a simple looking exam has such a important role in determining a client's cognitive abilities. It seems that the similiest-looking tests tend to be extremly important

  • @melissaclendaniel9811
    @melissaclendaniel9811 8 ปีที่แล้ว

    When I first observed this instrument, I was somewhat surprised because it seemed so basic. Then through observing it being administered I noticed that it was more complex than I originally had thought. I like that there are so many versions of this assessment in almost any language that you can think of. I like this assessment, I think that it could be very useful in many different settings with clients or even just to find more out about yourself.

  • @kendallwilson7319
    @kendallwilson7319 9 ปีที่แล้ว

    I really appreciated the detailed explanation of the scoring of this instrument in the video. We did talk about this instrument in class and practiced administering it but I had trouble with scoring on the more detailed exercises. This video really helped clear that up for me.

    • @danielamoore1412
      @danielamoore1412 9 ปีที่แล้ว

      Kendall Wilson Hi, Kendall! I had trouble with scoring too. This video was very helpful and I appreciate the detailed explanation!!!

    • @amandayarn5160
      @amandayarn5160 9 ปีที่แล้ว

      Kendall Wilson Scoring is difficult. Especially because items such as the drawing section can be based off of your own judgement as the counselor. It leads me to question myself. This part of the video helped!

  • @robertrobertsjr.2245
    @robertrobertsjr.2245 9 ปีที่แล้ว

    This video was easy to follow because we performed this same type of test in class. In the delayed recall section, I understood why the optional section could be very important for the counselor. It gives the counselor more information about the type of memory disorder the client may have. I also understood that giving a client a cue could help them with their memory.

  • @jazzynovy5400
    @jazzynovy5400 8 ปีที่แล้ว +1

    This video was very helpful to review the instructions and how to properly administer the test.

  • @juliecampana2860
    @juliecampana2860 9 ปีที่แล้ว

    I like that this video was extremely detailed and went through the instructions for the assessor with a fine tooth comb. I like this assessment tool because it seems as though it would be a quick tool to help determine if a client may have a cognitive disability. I know it is important to separate a cognitive disability from a mental disorder so that we can make accurate diagnoses and I think this tool would be very useful when trying to do this.

    • @robertrobertsjr.2245
      @robertrobertsjr.2245 9 ปีที่แล้ว

      Julie,
      I agree with you that this assessment tool could help determine a client's cognitive disability. The one section that I liked was the delayed recalled and how the optional cues could help a client with memory. I also understood that a code failure would not help the client with their memory.

    • @nickberenato3131
      @nickberenato3131 9 ปีที่แล้ว

      I too like this assessment tool for quick review of cognitive disorder. As usual Dr, Grande is very detailed with his review of test administration which I really appreciate!

  • @angiemorales8481
    @angiemorales8481 9 ปีที่แล้ว

    I did a lil research on the MOCA since I used a version for the intake assessment. I feel I struggled with the administration of this assessment. You have to give the test precisely and I struggled with not giving feedback and encouragement while giving the assessment. I also think being familiar with the assessment helps with ease of administration.

  • @8shelbyg
    @8shelbyg 9 ปีที่แล้ว

    This assessment seems pretty simple but it is interesting how many issues can come up, especially if the client throws a curve ball. This assessment is really easy to score if the client is answering almost every question correctly, but its surprising how easy things can get a little hard to judge.

  • @mandabear52289
    @mandabear52289 8 ปีที่แล้ว

    I really like this instrument. I think that it is very easy to use and score. I loved the through step by step guide this video gave. I would feel comfortable using this instrument with a client after watching this video.

    • @jacklinskibicki6098
      @jacklinskibicki6098 8 ปีที่แล้ว

      +Mandy Moore I also found this video to helpful in providing step by step instructions. Very useful!

    • @kimberlykelly386
      @kimberlykelly386 8 ปีที่แล้ว

      +Mandy Moore I feel more comfortable administering this instrument after having watched this video, too! Easy to follow and straightforward. I definitely will be conscious of staying within the guidelines of what you can and cannot say - stick to the script!!

    • @CandyKaneLane
      @CandyKaneLane 8 ปีที่แล้ว

      +Mandy Moore I agree this instrument seems easy to utilize and score, I am glad Dr. Grande gave us easy step by step instructions on how to administer and score this instrument.

  • @katherinebeck593
    @katherinebeck593 8 ปีที่แล้ว

    This video helped me to better understand the MCA. Im glad this video is up here for review.

  • @barbarahoffman2324
    @barbarahoffman2324 7 ปีที่แล้ว

    I can see why it is important to follow the instrument instructions carefully. Good video on administration of the MoCA

  • @Mjthfdj
    @Mjthfdj 8 ปีที่แล้ว +1

    Helpful video on how to administer a test. I enjoyed it.

  • @CandyKaneLane
    @CandyKaneLane 8 ปีที่แล้ว

    This video was very informative and easy to follow instruction wise on how to use this test instrument. I am glad I got to review this video before we administered the MOCA in class, that way I am more comfortable and confident in using it.

    • @brittanyvodzak9198
      @brittanyvodzak9198 8 ปีที่แล้ว

      +Candace Fernandez I agree, this video helped me better understand this assessment before taking it in class.

    • @jazzynovy5400
      @jazzynovy5400 8 ปีที่แล้ว

      +Candace Fernandez I agree, very easy to follow instructions how to use the instrument.

  • @alexisklair3164
    @alexisklair3164 9 ปีที่แล้ว

    i appreciate the detail used when describing this assessment. We have gone other this in class but this was more in depth. the stress placed on consistently administering all psychometric instuments is important and i can see why it is so vital. it was interesting to see this version,because we took the other version, 7.2 i believe, in class, so it was interesting to see how they differ. I appreciated the tips such as the reasons to score at the end (to avoid a client being discouraged)This is a very comprehensive video, and I feel comfortable that I could confidently administer this instrument following this video. I am glad the exception was mentioned with regard to the serial 7 recall. i wouldn't have realized that just from reading the directions. I think the hardest challenge for me would be to be mindful of small errors that i might now normally notice if said confidently and rapidly.

    • @jessicamcnemar182
      @jessicamcnemar182 9 ปีที่แล้ว

      I am also glad the information about the exceptions for the sevens was included too. The same exception is used in the MMSE but I wasn't sure if it applied to the MoCA. I also agree that small errors might trip me up as well. One must be very attentive when adminstering assessments. It feels a little overwhelming when I think about all the things we should be noticing, but I guess with practice it will become more like second nature.

  • @sammiejo6344
    @sammiejo6344 9 ปีที่แล้ว

    I appreciate Dr. G taking the time to explain the MOCA assessment. My partner administered this assessment to me in our first appraisal class. It was very complicated, and now watching this video, I understand why. Dr. G stressed sounding words correctly for the client to understand, and that is an area that I am going to struggle with especially with my accent, which is more obvious when I am saying certain words. I am also in awe with all the assessments that are used in the clinical field. I consider myself a novice in this area because the only assessments I have administered have mostly been MSE, which is a combination of information provided by the client during intake, and my observations. I would like to administer some more in depth and detailed ones that requires a response from the participant. I think that it would be an interesting experience. I will say calculating the scores for the MOCA is very complicated.

    • @alexisklair3164
      @alexisklair3164 9 ปีที่แล้ว

      I didn't realize this measure was this complicated until this video. When we did it in class I thought it was straightforward, but this video was helpful in that it discussed the exact directions, importance in emphasizing certain things/standardization and also not adding words etc. You are soo right, there are soo many assessments out there right now. I have a similar background and have limited experience with administering instruments, only an MSE. I think my challenges with this instrument are to speak slowly (a struggle for me sometimes) and also the biggest thing for me is to notice the little mistakes/errors when clients say them confidently and rapidly i think its hard to catch the little mistakes.

    • @genevabarnes7402
      @genevabarnes7402 9 ปีที่แล้ว

      Alexis Klair I agree Alexis. When we did it in class it seemed easier than from the explanation of the video. I did have a couple of moments that I had to really think about the answer when we did do it in class, so it is not as easy as you would think.

    • @ammu9810
      @ammu9810 9 ปีที่แล้ว

      Alexis Klair
      I feel the same way! I was thinking how I would've grasped the application better if only i viewed this video prior to watching it be applied. Great video though.

  • @michellerobinson968
    @michellerobinson968 8 ปีที่แล้ว

    I have taken the MOCA assessment as well as the MMSE. I can understand why the MOCA is designed for mild cognitive dysfunction and the MMSE is designed for moderate to severe cognitive dysfunction. I currently use the MMSE primarily with elderly clients and/or clients with an AMS. I believe these assessments are straight forward and fairly easy to administer.

    • @Lspickard
      @Lspickard 6 ปีที่แล้ว

      Are you paying the copyright fee for the MMSE?

  • @heather7927
    @heather7927 7 ปีที่แล้ว

    wow this is an interesting and complex instrument but I think it's important to understand that someone's life can be altered from the results of this test so I can value the necessity to be precise in administering the questions and paying attention to both the instructions and the scoring.

  • @nickberenato3131
    @nickberenato3131 9 ปีที่แล้ว

    I feel more familiar with this test then when we talked about in class.I appreciate the detail especially regarding scoring. My client and I administered this test in our intake interview. The test was not as simple as I thought as far as taking and grading. The cube for me was very difficult to draw as I have perception issues and yes I did feel slightly discouraged!

  • @jessicamcnemar182
    @jessicamcnemar182 9 ปีที่แล้ว

    The is a very detailed explaination of how to administer the MoCA. There were somethings in here that I didn't know for example the unacceptable answers to the abstract thinking section. I feel much more confident in adminstering this assessment after having watched this video. One question I would have would be when to decide to use the optional section of the delayed recall. I understand that it would give us as clinicians more information but I am not sure when we would do that, evertime or just some of the time?

    • @juliecampana2860
      @juliecampana2860 9 ปีที่แล้ว

      Good point, Jess. I agree. I wish I would have watched this video first before trying to use it in class with a "client." I think I would now feel much more comfortable giving this assessment than I did before watching the video.

  • @Claude-v9q
    @Claude-v9q 7 หลายเดือนก่อน

    I had this test done in the hospital about an hour after I received my morning medications. I was on strong pain medication along with a muscle relaxant and other medications. I end up in a sedated state so I wasn't in any condition to do this test. I passed the test but shouldn't have when it's to assess cognitive function.

  • @andrewlightfoot1560
    @andrewlightfoot1560 9 ปีที่แล้ว

    One of my issues when giving assessments is trying to make the process more personable for the client. I need to practice avoiding this trap in order to stick with the guidelines.

  • @thecorgisquad9861
    @thecorgisquad9861 8 ปีที่แล้ว

    This instrument is interesting. Upon first glance, it appears to be somewhat elementary, until you actually dive into administering or being on the receiving end of this test. I would be curious to take this instrument as a client because I feel like scoring may be lower on this instrument in terms of intelligence than some of the other ones. Perhaps not though.

  • @reginaames3038
    @reginaames3038 8 ปีที่แล้ว

    looks like an interesting test that can be challenging especially if you are not given proper instructions which means the administrator must be clear on the instructions.

    • @mandabear52289
      @mandabear52289 8 ปีที่แล้ว

      +Regina Ames Yes, I think that it would be confusing for clients if not given specific and clear instructions by the administrator.

  • @bethanyelstrom3566
    @bethanyelstrom3566 8 ปีที่แล้ว

    We went over this assessment in class and it seems to be cut and dry. I can see where individuals may get frustrated depending upon their skill level. I agree that the score should not be calculated until the end. If I was taking the test I would be bias if I saw my score in the first section and it would affect my attention in the other areas.

    • @michellerobinson968
      @michellerobinson968 8 ปีที่แล้ว

      +Bethany Elstrom I agree the score should be calculated at the end. Knowing your score after each section may have a negative effect on the person and their answers and/or results of the remaining test.

    • @rachelfoster5463
      @rachelfoster5463 8 ปีที่แล้ว

      +Bethany Elstrom I agree that the scoring should be done when the assessment is complete. I would not feel confident as the client if I saw low scores in the beginning of the assessment, which would definitely affect the scores throughout the rest of the assessment.

    • @thecorgisquad9861
      @thecorgisquad9861 8 ปีที่แล้ว

      +Bethany Elstrom I would definitely not want to see my score during any portion of the test until the very end. That would definitely be extremely distracting!

  • @imsosmart942
    @imsosmart942 3 ปีที่แล้ว +3

    Dr. Grande please make an appointment for Joe Biden to take one of these tests... Yesterday!

    • @Vanessa-pe2xs
      @Vanessa-pe2xs 4 หลายเดือนก่อน

      OMG if only they took your advice, we wouldn't be asking after the debate in 2024. You called it!!

    • @kathyolney4053
      @kathyolney4053 4 หลายเดือนก่อน

      Joe Biden had a Total Neurological exam,This includes this and MRI.Its part of their President Physical. All you have to do is Goggle it and you can read the whole Neurological exam.Nothing wrong with Joe Biden,he was Sick the night of the Debate.Trump had a need to Brag about his physical. You will never see Biden doing this.

  • @cookbookgirl
    @cookbookgirl ปีที่แล้ว

    How do you adapt the test for a client who is hard of hearing even with hearing aids?

  • @abhijeetpatil5720
    @abhijeetpatil5720 10 ปีที่แล้ว +1

    What if pt dont know clock, e.g. I had pt with low education from different county and never have used clock (asked family for time), do you know any other test?

  • @sherrietilghman2745
    @sherrietilghman2745 8 ปีที่แล้ว

    The clinician needs to be attentive to the clients answers during this assessment and or any assessment. Being one word or number off can change the point value for that section. It is a good idea for the clinician to be familiar with the instrument before administering it.

    • @melissaclendaniel9811
      @melissaclendaniel9811 8 ปีที่แล้ว

      +Sherrie Tilghman I absolutely agree with you here. When scoring this instrument if the administrator is not paying close attention to both the instructions and the client responses, the score outcome could be much different than the true score and thus the interpretation of the score could result in false implications about a client's cognitive capacity.

  • @amyhall4099
    @amyhall4099 ปีที่แล้ว

    Cool. I’m not going into dementia.

  • @amyhall4099
    @amyhall4099 ปีที่แล้ว

    100% in Cognitive Assesment.

  • @johnharrisonschulz
    @johnharrisonschulz 4 หลายเดือนก่อน

    Joe Biden will just initial at the bottom thinking that's what you're supposed to do.

  • @johnhawk8624
    @johnhawk8624 4 ปีที่แล้ว

    These types of tests are bullshit and always have been. Lots of very intelligent people have poor memory function when it comes to lists of random words and numbers yet have deep insight into complex concepts or possess talents that others who can ace these types of tests don't. I for one can very accurately draw anything that I am shown and am very good at math and science, but am an absolutely terrible speller. I would come out cognitively impaired if I were to take this test, which I am not. I'm just bad at this particular type of test.

    • @gus892
      @gus892 ปีที่แล้ว

      A client is asked in abstraction to name similarities between clock and ruler, but only one answer is accepted .
      I see may other flaws in these test questions.