{"id":8587,"date":"2022-02-17T16:18:21","date_gmt":"2022-02-17T16:18:21","guid":{"rendered":"https:\/\/raceequalityfoundation.org.uk\/adapt\/?page_id=8587"},"modified":"2022-03-26T11:34:30","modified_gmt":"2022-03-26T11:34:30","slug":"the-assessment-and-diagnosis-of-dementia","status":"publish","type":"page","link":"https:\/\/raceequalityfoundation.org.uk\/adapt\/the-toolkit\/the-assessment-and-diagnosis-of-dementia\/","title":{"rendered":"The assessment and diagnosis of dementia"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8587\" class=\"elementor elementor-8587\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d8f876b elementor-section-height-min-height elementor-section-items-stretch elementor-section-content-middle elementor-section-boxed elementor-section-height-default\" data-id=\"d8f876b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-28d57ee\" data-id=\"28d57ee\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f280624 elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f280624\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0289e7c\" data-id=\"0289e7c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-95cce9b elementor-widget-tablet__width-inherit elementor-widget elementor-widget-heading\" data-id=\"95cce9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">There is no single test to diagnose dementia, and healthcare professionals are commonly required to conduct a variety of assessments. As a first step, people with symptoms of dementia are asked to complete a cognitive (mental abilities) test to assess the person\u2019s memory and communication skills. These tests do not \u2018diagnose\u2019 dementia but screen people who may benefit from further assessments. The cognitive assessments are often pen-and-paper tests, with a range of questions leading to a final score. These tests include questions about memory, attention, orientation, language, and communication. The tests are often carried out by a GP or healthcare professionals in specialist services such as memory clinics. <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ad7bbfc elementor-widget elementor-widget-spacer\" data-id=\"ad7bbfc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d0649e elementor-widget elementor-widget-text-editor\" data-id=\"2d0649e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Most cognitive tests have been validated and tested in English and have a strong bias for western culture, language, and education. Following an in-depth analysis of currently available cognitive tests, we present four tools below which show promise in being effective in identifying people living with dementia from South Asian backgrounds. These four tools received positive feedback from healthcare professionals during ADAPT workshops designed to evaluate the tools. Please note that while these tools are not without their shortcomings, they are currently the strongest in terms of reliability, validity, and cultural sensitivity. After each summary, we provide a quotation from the workshops to illustrate how the tools are valued by healthcare professionals.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-9dc1958\" data-id=\"9dc1958\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9ccf858 elementor-widget__width-initial elementor-widget-mobile__width-auto elementor-widget elementor-widget-image\" data-id=\"9ccf858\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/raceequalityfoundation.org.uk\/adapt\/wp-content\/uploads\/elementor\/thumbs\/dementia-diagnosis-pnjgddk5xjpy559o7fmobznf0rcazi5kgju46nqivk.jpg\" title=\"Dementia diagnosis\" alt=\"Dementia diagnosis\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1cad50f elementor-absolute elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"1cad50f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"Layer_1\" x=\"0px\" y=\"0px\" viewBox=\"0 0 300 300\" style=\"enable-background:new 0 0 300 300;\" xml:space=\"preserve\"><style type=\"text\/css\">\t.st0{display:none;}<\/style><path id=\"blob_3_\" class=\"st0\" d=\"M267.5,196.1c-22.9,31.1-59.2,59-108.1,84.2c-51.9,20.3-95,12.9-131.1-42  c-32.1-48.8-29.1-90.2,14.5-132.1C86.4,64.1,138.5,35,194.6,15c44.9-16,84.9,2.6,93.6,47.9C298.5,122.7,293.2,161.3,267.5,196.1z\"><\/path><path id=\"blob\" d=\"M268.7,201.4c-24,30.7-60.8,58.2-110.5,82.5s-93.1,8.9-130.2-46s-31.1-99.5,18-133.5S146.7,40.8,200.5,16  s84.7-7.8,92.5,51.1S292.7,170.7,268.7,201.4z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a05faa3 elementor-absolute elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"a05faa3\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"Layer_1\" x=\"0px\" y=\"0px\" viewBox=\"0 0 300 300\" style=\"enable-background:new 0 0 300 300;\" xml:space=\"preserve\"><path id=\"blob_1_\" d=\"M105.6,279.6C57.8,254.6,25.7,215,9.4,160.6s1-90.1,51.7-107s94.1-28.9,130.5-35.8s64.9,5.9,86,38.4  c21.1,32.4,24.4,64.8,10.1,96.9c-14.3,32.1-36.3,67.5-66,106.2S153.4,304.5,105.6,279.6z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f1e2a7 elementor-widget elementor-widget-text-editor\" data-id=\"2f1e2a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Please note that these tools should only be used by trained health care professionals. Also, as mentioned previously, the diagnosis of dementia requires several different types of assessments, and a single cognitive tool should not be relied upon.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-af86784 elementor-widget elementor-widget-spacer\" data-id=\"af86784\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b6e775b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b6e775b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-e3fb96a\" data-id=\"e3fb96a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3502e6e elementor-widget elementor-widget-heading\" data-id=\"3502e6e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">The Addenbrooks Cognitive Examination 3 (ACE III) <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c48eafc elementor-widget elementor-widget-text-editor\" data-id=\"c48eafc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The ACE III is considered more diagnostically sensitive and reliable than the Mini Mental State Examination (MMSE) and also more culturally sensitive. The test can be used to identify dementia and mild cognitive impairment. It consists of five cognitive domains: attention, memory, fluency, language, and visuo-spatial abilities.\u00a0<span style=\"color: var(--the7-base-color); font: var(--the7-base-font-big); letter-spacing: var(--the7-base-letter-spacing); text-transform: var(--the7-base-text-transform); word-spacing: normal; text-decoration: var(--the7-base-text-decoration);\">The ACE III is available in Hindi, Guajarati, and Urdu. It is important to be aware that while the ACE III has been used in a number of different languages, the final scores derived from it are heavily influenced by the subject\u2019s level of education and may not be suitable for people with little or no education.<\/span>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-889d2c3\" data-id=\"889d2c3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-287f8fe elementor-blockquote--skin-border elementor-widget elementor-widget-blockquote\" data-id=\"287f8fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"blockquote.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<blockquote class=\"elementor-blockquote\">\n\t\t\t<p class=\"elementor-blockquote__content\">\n\t\t\t\t\u201cThe ACE is the standard, it\u2019s what we use in our clinic predominantly, but it's not an appropriate tool for somebody whose first language isn't English. And you know they're not educated in the UK, it doesn't, it's not a one size fits all, it\u2019s back to what works for that person I think.\u201d\t\t\t<\/p>\n\t\t\t\t\t<\/blockquote>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f69fa9 elementor-widget elementor-widget-text-editor\" data-id=\"9f69fa9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Translated versions of the ACE III can be found at:<br \/><a href=\"https:\/\/www.sydney.edu.au\/brain-mind\/resources-for-clinicians\/dementia-test.html\" target=\"_blank\" rel=\"noopener\">https:\/\/www.sydney.edu.au\/brain-mind\/resources-for-clinicians\/dementia-test.html<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0b55494 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0b55494\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0ca3918\" data-id=\"0ca3918\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-213f8f5 elementor-absolute elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"213f8f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"Layer_1\" x=\"0px\" y=\"0px\" viewBox=\"0 0 300 300\" style=\"enable-background:new 0 0 300 300;\" xml:space=\"preserve\"><style type=\"text\/css\">\t.st0{display:none;}<\/style><path id=\"blob_3_\" class=\"st0\" d=\"M267.5,196.1c-22.9,31.1-59.2,59-108.1,84.2c-51.9,20.3-95,12.9-131.1-42  c-32.1-48.8-29.1-90.2,14.5-132.1C86.4,64.1,138.5,35,194.6,15c44.9-16,84.9,2.6,93.6,47.9C298.5,122.7,293.2,161.3,267.5,196.1z\"><\/path><path id=\"blob\" d=\"M268.7,201.4c-24,30.7-60.8,58.2-110.5,82.5s-93.1,8.9-130.2-46s-31.1-99.5,18-133.5S146.7,40.8,200.5,16  s84.7-7.8,92.5,51.1S292.7,170.7,268.7,201.4z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-813a058 elementor-absolute elementor-widget__width-initial elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"813a058\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"Layer_1\" x=\"0px\" y=\"0px\" viewBox=\"0 0 300 300\" style=\"enable-background:new 0 0 300 300;\" xml:space=\"preserve\"><path id=\"blob_1_\" d=\"M105.6,279.6C57.8,254.6,25.7,215,9.4,160.6s1-90.1,51.7-107s94.1-28.9,130.5-35.8s64.9,5.9,86,38.4  c21.1,32.4,24.4,64.8,10.1,96.9c-14.3,32.1-36.3,67.5-66,106.2S153.4,304.5,105.6,279.6z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-af8e15b elementor-widget__width-initial elementor-widget-mobile__width-auto elementor-widget elementor-widget-image\" data-id=\"af8e15b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/raceequalityfoundation.org.uk\/adapt\/wp-content\/uploads\/elementor\/thumbs\/dementia-diagnosis-2-pnjgddjzu9rs34h04vatrlflu2a5oq2z1kw9fnceq0.jpg\" title=\"Dementia diagnosis\" alt=\"Dementia diagnosis\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d05d59b\" data-id=\"d05d59b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-348577d elementor-widget elementor-widget-heading\" data-id=\"348577d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Montreal Cognitive Assessment (MoCA) <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-deba8dc elementor-widget elementor-widget-text-editor\" data-id=\"deba8dc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The MoCA is a much shorter cognitive test compared with both the ACE III and the MMSE. It is therefore less onerous for people to complete. The MoCA has been shown to be effective in the early detection of dementia and mild cognitive impairment. The test focuses on executive functioning, naming, memory, attention, language, abstraction, and delayed recall. It is currently available in Hindi.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-df60e11 elementor-blockquote--skin-border elementor-widget elementor-widget-blockquote\" data-id=\"df60e11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"blockquote.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<blockquote class=\"elementor-blockquote\">\n\t\t\t<p class=\"elementor-blockquote__content\">\n\t\t\t\t\u201cWell, the nurses tend to use the ACE III. I know in the pandemic I've been told that they were trained to do the MoCA and it was just easier and quicker to do.\u201d\t\t\t<\/p>\n\t\t\t\t\t<\/blockquote>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8b330fc elementor-widget elementor-widget-text-editor\" data-id=\"8b330fc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/mocatest.org\/pdf_files\/test\/MoCA-Test-Hindi.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/mocatest.org\/pdf_files\/test\/MoCA-Test-Hindi.pdf<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a8c7732 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a8c7732\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-236fdb6\" data-id=\"236fdb6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-dd03b82 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dd03b82\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-e666704\" data-id=\"e666704\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e73fa0e elementor-widget elementor-widget-heading\" data-id=\"e73fa0e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Rowland Universal Dementia Assessment Scale (RUDAS) <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b939cf elementor-widget elementor-widget-text-editor\" data-id=\"5b939cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The RUDAS is a new, condense cognitive screening instrument which aims to minimise any effects of cultural learning and language. It focuses on memory, body orientation, praxis, drawing, judgement, memory recall, and language. While the RUDAS is available only in English, it has been found, due to a lack of reliance on cultural knowledge, to be easily administered via an interpreter.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-6e91ef0\" data-id=\"6e91ef0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-69c4aef elementor-blockquote--skin-border elementor-widget elementor-widget-blockquote\" data-id=\"69c4aef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"blockquote.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<blockquote class=\"elementor-blockquote\">\n\t\t\t<p class=\"elementor-blockquote__content\">\n\t\t\t\t\u201cWe use either the ACE III or we use the MOCA or the RUDAS. So quite often when we're using interpreters we use the RUDAS because it seems to be the one that's the best for people that don't have English as a first language.\u201d\t\t\t<\/p>\n\t\t\t\t\t<\/blockquote>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-565c483 elementor-widget elementor-widget-text-editor\" data-id=\"565c483\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/www.dementia.org.au\/resources\/rowland-universal-dementia-assessment-scale-rudas\" target=\"_blank\" rel=\"noopener\">https:\/\/www.dementia.org.au\/resources\/rowland-universal-dementia-assessment-scale-rudas<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fd19ec6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fd19ec6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-18ce195\" data-id=\"18ce195\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4e99633 elementor-widget elementor-widget-spacer\" data-id=\"4e99633\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7dbda78 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7dbda78\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-6a05af4\" data-id=\"6a05af4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-09f5063 elementor-widget__width-initial elementor-widget-mobile__width-auto elementor-widget elementor-widget-image\" data-id=\"09f5063\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/raceequalityfoundation.org.uk\/adapt\/wp-content\/uploads\/elementor\/thumbs\/dementia-diagnosis-3-pnjgddk5xjpy559o7fmobznf0rcazi5kgju46nqivk.jpg\" title=\"Dementia diagnosis\" alt=\"Dementia diagnosis\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-726f1c2 elementor-absolute elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"726f1c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"Layer_1\" x=\"0px\" y=\"0px\" viewBox=\"0 0 300 300\" style=\"enable-background:new 0 0 300 300;\" xml:space=\"preserve\"><path id=\"blob_1_\" d=\"M268.7,219.8c-35.6,39.3-78.2,62.7-127.8,70.1c-49.6,7.4-87.5-12.2-113.5-58.9S-2,131.7,17.4,73.4  S74.3-3.9,129.7,16.4S231,65.8,267.4,103.8S304.2,180.6,268.7,219.8z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-57b5b65 elementor-absolute elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"57b5b65\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"Layer_1\" x=\"0px\" y=\"0px\" viewBox=\"0 0 300 300\" style=\"enable-background:new 0 0 300 300;\" xml:space=\"preserve\"><path id=\"blob\" d=\"M276.4,229.6c-24.3,42.3-57,56.9-98.3,43.8s-86.4-34.3-135.2-63.4s-51.6-63.3-8.4-102.3s90.5-63.9,141.6-74.7  s86.7,8.7,106.7,58.5S300.6,187.3,276.4,229.6z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-e22b3b8\" data-id=\"e22b3b8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-207db26 elementor-widget elementor-widget-heading\" data-id=\"207db26\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">The Alzheimer\u2019s Questionnaire <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de30ff5 elementor-widget elementor-widget-spacer\" data-id=\"de30ff5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2984cfc elementor-widget elementor-widget-text-editor\" data-id=\"2984cfc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The tests above are usually conducted by healthcare professionals once a person has been referred to a dementia service. However, considerable work has been done by community organisations to raise awareness of dementia. Staff often need to be able to identify symptoms before they can signpost people to relevant services. The Alzheimer\u2019s Questionnaire was designed to be used as a screening tool by community workers, encouraging timely diagnosis. In identifying cognitive difficulties, the tool has been found to be as effective as the MOCA and can be easily implemented at a community<span class=\"Apple-converted-space\">\u00a0 <\/span>level. The questionnaire consists of 21 questions, each with a yes\/no response, and it assesses the following domains: memory attention, orientation, functional ability, visuo-spatial, and language skills. The questionnaire is currently available only in English and Bengali but has been widely tested in India.<\/p><p>The English version can be found here:<br \/><a href=\"https:\/\/www2.gov.bc.ca\/assets\/gov\/health\/practitioner-pro\/bc-guidelines\/cogimp-alzheimer-questionnaire.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www2.gov.bc.ca\/assets\/gov\/health\/practitioner-pro\/bc-guidelines\/cogimp-alzheimer-questionnaire.pdf<\/a><span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b10ea7d elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b10ea7d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-033a778\" data-id=\"033a778\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cfacc5f elementor-widget-tablet__width-inherit elementor-widget elementor-widget-heading\" data-id=\"cfacc5f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">It is common for health care professionals to work with translators and interpreters during the assessment process if the person\u2019s first language is not English. The video below highlights some challenges and how to work well with translators during the assessment process.  <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-65a2181 elementor-widget elementor-widget-spacer\" data-id=\"65a2181\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-efaf756 elementor-widget elementor-widget-video\" data-id=\"efaf756\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;video_type&quot;:&quot;vimeo&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen allow=\"clipboard-write\" title=\"vimeo Video Player\" src=\"https:\/\/player.vimeo.com\/video\/678791616?color&amp;autopause=0&amp;loop=0&amp;muted=0&amp;title=1&amp;portrait=1&amp;byline=1#t=\"><\/iframe>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3afa459 elementor-widget elementor-widget-spacer\" data-id=\"3afa459\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-edcfeab\" data-id=\"edcfeab\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f22c2d6 elementor-absolute elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"f22c2d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"Layer_1\" x=\"0px\" y=\"0px\" viewBox=\"0 0 300 300\" style=\"enable-background:new 0 0 300 300;\" xml:space=\"preserve\"><style type=\"text\/css\">\t.st0{display:none;}<\/style><path id=\"blob_3_\" class=\"st0\" d=\"M267.5,196.1c-22.9,31.1-59.2,59-108.1,84.2c-51.9,20.3-95,12.9-131.1-42  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300 300\" style=\"enable-background:new 0 0 300 300;\" xml:space=\"preserve\"><path id=\"blob_1_\" d=\"M105.6,279.6C57.8,254.6,25.7,215,9.4,160.6s1-90.1,51.7-107s94.1-28.9,130.5-35.8s64.9,5.9,86,38.4  c21.1,32.4,24.4,64.8,10.1,96.9c-14.3,32.1-36.3,67.5-66,106.2S153.4,304.5,105.6,279.6z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5c4cea1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5c4cea1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-fd9119e\" data-id=\"fd9119e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5d0810e elementor-align-left elementor-widget elementor-widget-the7_button_widget\" data-id=\"5d0810e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"the7_button_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\"><a href=\"https:\/\/raceequalityfoundation.org.uk\/adapt\/the-toolkit\/the-importance-of-dementia-awareness\/\" class=\"box-button elementor-button elementor-size-lg\">Dementia awareness<i aria-hidden=\"true\" class=\"elementor-button-icon feather feather-arrow-left\"><\/i><\/a><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-72cafe5\" data-id=\"72cafe5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a777814 elementor-align-right elementor-widget elementor-widget-the7_button_widget\" data-id=\"a777814\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"the7_button_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\"><a href=\"https:\/\/raceequalityfoundation.org.uk\/adapt\/the-toolkit\/psychosocial-interventions-for-people-living-with-dementia-and-their-families-from-south-asian-communities\/\" class=\"box-button elementor-button elementor-size-lg\">Psychosocial interventions<i aria-hidden=\"true\" class=\"elementor-button-icon feather feather-arrow-right\"><\/i><\/a><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>There is no single test to diagnose dementia, and healthcare professionals are commonly required to conduct a variety of assessments. As a first step, people with symptoms of dementia are asked to complete a cognitive (mental abilities) test to assess the person\u2019s memory and communication skills. These tests do not \u2018diagnose\u2019 dementia but screen people&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":873,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8587","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/raceequalityfoundation.org.uk\/adapt\/wp-json\/wp\/v2\/pages\/8587","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/raceequalityfoundation.org.uk\/adapt\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/raceequalityfoundation.org.uk\/adapt\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/raceequalityfoundation.org.uk\/adapt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/raceequalityfoundation.org.uk\/adapt\/wp-json\/wp\/v2\/comments?post=8587"}],"version-history":[{"count":115,"href":"https:\/\/raceequalityfoundation.org.uk\/adapt\/wp-json\/wp\/v2\/pages\/8587\/revisions"}],"predecessor-version":[{"id":9327,"href":"https:\/\/raceequalityfoundation.org.uk\/adapt\/wp-json\/wp\/v2\/pages\/8587\/revisions\/9327"}],"up":[{"embeddable":true,"href":"https:\/\/raceequalityfoundation.org.uk\/adapt\/wp-json\/wp\/v2\/pages\/873"}],"wp:attachment":[{"href":"https:\/\/raceequalityfoundation.org.uk\/adapt\/wp-json\/wp\/v2\/media?parent=8587"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}