44 2.5.2 Geriatric Syndromes

Common Clinical Tools and Use in LTC

Wound Care:

• Braden Scale

Pain Assessment:

• Pain Assessment in Advanced Dementia (PAINAD) Scale
• Brief Pain Inventory (BPI)

Delirium:

• 4 AT Rapid Assessment Test for Delirium
• Confusion Assessment Method (short)

Dementia:

• Montreal Cognitive Assessment Tool (MoCA)
• Mini Mental Status Examination (MMSE)
• Mini Cog Test^{[1][2][3][4][5][6][7][8]}

Responsive Behaviour:

• Direct Observational System (DOS)

Depression:

• The Patient Health Questionnaire (PHQ-9)
• Geriatric Depression Scale (GDS)

Palliative Care:

• Palliative Performance Scale (PPS)^{[9][10][11][12]}