... 2008Nosubjectivecomplaints of memorydecit.Nomemorydecitevidentonclinicalinterview.Subjectivecomplaints of memorydecit,mostfrequentlyinfollowingareas:(a)forgettingwhereonehasplacedfamiliarobjects;(b)forgettingnamesoneformerlyknewwell.Noobjectiveevidence of memorydecitonclinicalinterview.Noobjectivedecitsinemploymentorsocialsituations.Appropriateconcernwithrespecttosymptomatology.Earliestclear-cutdecits.Manifestationsinmorethanone of the followingareas:(a)patientmayhavebecomelostwhentravelingtoanunfamiliarlocation;(b)co-workersbecomeaware of patient'srelativelypoorperformance;(c)word and namendingdecitbecomesevidenttointimates;(d)patientmayreadapassageorabook and retainrelativelylittlematerial;(e)patientmaydemonstratedecreasedfacilityinrememberingnamesuponintroductiontonewpeople;(f)patientmayhavelostormisplacedanobject of value;(g)concentrationdecitmaybeevidentonclinicaltesting.Objectiveevidence of memorydecitobtainedonlywithanintensiveinterview.Decreasedperformanceindemandingemployment and socialsettings.Denialbeginstomanifestin the patient.Mildtomoderateanxietyaccompaniessymptoms.Clear-cutdecitoncarefulclinicalinterview.Decitsmanifestinfollowingareas:(a)decreasedknowledge of current and recentevents;(b)mayexhibitsomedecitinmemory of onespersonalhistory;(c)concentrationdecitelicitedonserialsubtractions;(d)decreasedabilitytotravel,handlenances,etc.Frequentlynodecitinfollowingareas:(a)orientationtotime and place;(b)recognition of familiarpersons and faces;(c)abilitytotraveltofamiliarlocations.Inabilitytoperformcomplextasks.Denialisdominantdefensemechanism.Flattening of affect and withdrawalfromchallengingsituationsfrequentlyoccur.Patientcannolongersurvivewithoutsomeassistance.Patientisunableduringinterviewtorecallamajorrelevantaspect of theircurrentlives,e.g.,anaddressortelephonenumber of manyyears, the names of closefamilymembers(such as grandchildren), the name of the highschoolorcollegefromwhichtheygraduated.Frequentlysomedisorientationtotime(date,day of week,season,etc.)ortoplace.Aneducatedpersonmayhavedifcultycountingbackfrom40by4sorfrom20by2s.Personsatthisstageretainknowledge of manymajorfactsregardingthemselves and others.Theyinvariablyknowtheirownnames and generallyknowtheirspouse’s and children’snames.Theyrequirenoassistancewithtoileting and eating,butmayhavesomedifcultychoosing the properclothingtowear.Mayoccasionallyforget the name of the spouseuponwhomtheyareentirelydependentforsurvival.Willbelargelyunaware of allrecentevents and experiencesintheirlives.Retainsomeknowledge of theirpastlivesbutthisisverysketchy.Generallyunaware of theirsurroundings, the year, the season,etc.Mayhavedifcultycountingfrom10,bothbackward and, sometimes,forward.Willrequiresomeassistancewithactivities of dailyliving,e.g.,maybecomeincontinent,willrequiretravelassistancebutoccasionallywillbeabletotraveltofamiliarlocations.Diurnalrhythmfrequentlydisturbed.Almostalwaysrecalltheirownname.Frequentlycontinuetobeabletodistinguishfamiliarfromunfamiliarpersonsintheirenvironment.Personality and emotionalchangesoccur.Thesearequitevariable and include:(a)delusionalbehavior,e.g.,patientsmayaccusetheirspouse of beinganimpostor,maytalktoimaginaryguresin the environmentortotheirownreectionin the mirror;(b)obsessivesymptoms,e.g.,personmaycontinuallyrepeatsimplecleaningactivities;(c)anxietysymptoms,agitation and evenpreviouslynonexistentviolentbehaviormayoccur;(d)cognitiveabulia,i.e.,loss of willpowerbecauseanindividualcannotcarryathoughtlongenoughtodetermineapurposefulcourse of action.Allverbalabilitiesarelostover the course of thisstage.Frequentlythereisnospeechatall,onlyunintelligibleutterances and rareemergence of seeminglyforgottenwords and phrases.Incontinent of urine,requiresassistancetoileting and feeding.Basicpsychomotorskills,e.g.,abilitytowalk,arelostwith the progression of thisstage. The brainappearstonolongerbeabletotell the bodywhattodo.Generalizedrigidity and developmentalneurologicreexesarefrequentlypresent.Level ... this?(acceptexactansweronly).b) What season is this?(accepteither:lastweek of the oldseasonorrstweek of anewseason).c) What month is this?(accepteither: the rstday of anewmonthor the lastday of the previousmonth).d) ... 2008Nosubjectivecomplaints of memorydecit.Nomemorydecitevidentonclinicalinterview.Subjectivecomplaints of memorydecit,mostfrequentlyinfollowingareas:(a)forgettingwhereonehasplacedfamiliarobjects;(b)forgettingnamesoneformerlyknewwell.Noobjectiveevidence of memorydecitonclinicalinterview.Noobjectivedecitsinemploymentorsocialsituations.Appropriateconcernwithrespecttosymptomatology.Earliestclear-cutdecits.Manifestationsinmorethanone of the followingareas:(a)patientmayhavebecomelostwhentravelingtoanunfamiliarlocation;(b)co-workersbecomeaware of patient'srelativelypoorperformance;(c)word and namendingdecitbecomesevidenttointimates;(d)patientmayreadapassageorabook and retainrelativelylittlematerial;(e)patientmaydemonstratedecreasedfacilityinrememberingnamesuponintroductiontonewpeople;(f)patientmayhavelostormisplacedanobject of value;(g)concentrationdecitmaybeevidentonclinicaltesting.Objectiveevidence of memorydecitobtainedonlywithanintensiveinterview.Decreasedperformanceindemandingemployment and socialsettings.Denialbeginstomanifestin the patient.Mildtomoderateanxietyaccompaniessymptoms.Clear-cutdecitoncarefulclinicalinterview.Decitsmanifestinfollowingareas:(a)decreasedknowledge of current and recentevents;(b)mayexhibitsomedecitinmemory of onespersonalhistory;(c)concentrationdecitelicitedonserialsubtractions;(d)decreasedabilitytotravel,handlenances,etc.Frequentlynodecitinfollowingareas:(a)orientationtotime and place;(b)recognition of familiarpersons and faces;(c)abilitytotraveltofamiliarlocations.Inabilitytoperformcomplextasks.Denialisdominantdefensemechanism.Flattening of affect and withdrawalfromchallengingsituationsfrequentlyoccur.Patientcannolongersurvivewithoutsomeassistance.Patientisunableduringinterviewtorecallamajorrelevantaspect of theircurrentlives,e.g.,anaddressortelephonenumber of manyyears, the names of closefamilymembers(such as grandchildren), the name of the highschoolorcollegefromwhichtheygraduated.Frequentlysomedisorientationtotime(date,day of week,season,etc.)ortoplace.Aneducatedpersonmayhavedifcultycountingbackfrom40by4sorfrom20by2s.Personsatthisstageretainknowledge of manymajorfactsregardingthemselves and others.Theyinvariablyknowtheirownnames and generallyknowtheirspouse’s and children’snames.Theyrequirenoassistancewithtoileting and eating,butmayhavesomedifcultychoosing the properclothingtowear.Mayoccasionallyforget the name of the spouseuponwhomtheyareentirelydependentforsurvival.Willbelargelyunaware of allrecentevents and experiencesintheirlives.Retainsomeknowledge of theirpastlivesbutthisisverysketchy.Generallyunaware of theirsurroundings, the year, the season,etc.Mayhavedifcultycountingfrom10,bothbackward and, sometimes,forward.Willrequiresomeassistancewithactivities of dailyliving,e.g.,maybecomeincontinent,willrequiretravelassistancebutoccasionallywillbeabletotraveltofamiliarlocations.Diurnalrhythmfrequentlydisturbed.Almostalwaysrecalltheirownname.Frequentlycontinuetobeabletodistinguishfamiliarfromunfamiliarpersonsintheirenvironment.Personality and emotionalchangesoccur.Thesearequitevariable and include:(a)delusionalbehavior,e.g.,patientsmayaccusetheirspouse of beinganimpostor,maytalktoimaginaryguresin the environmentortotheirownreectionin the mirror;(b)obsessivesymptoms,e.g.,personmaycontinuallyrepeatsimplecleaningactivities;(c)anxietysymptoms,agitation and evenpreviouslynonexistentviolentbehaviormayoccur;(d)cognitiveabulia,i.e.,loss of willpowerbecauseanindividualcannotcarryathoughtlongenoughtodetermineapurposefulcourse of action.Allverbalabilitiesarelostover the course of thisstage.Frequentlythereisnospeechatall,onlyunintelligibleutterances and rareemergence of seeminglyforgottenwords and phrases.Incontinent of urine,requiresassistancetoileting and feeding.Basicpsychomotorskills,e.g.,abilitytowalk,arelostwith the progression of thisstage. The brainappearstonolongerbeabletotell the bodywhattodo.Generalizedrigidity and developmentalneurologicreexesarefrequentlypresent.Level...