A MOCA 24/30 in a functional 75 years old complaining of forgetfullness, will this be considered mild neurocognitive disorder. What are the limiting factors of MMSE and MOCA? What could overshoot the result?
Response: That could be mild NCD - Function is the main element to differentiate mild vs major - many limiting factors for both tests: education, language barrier, age, hearing impairment, pbs with eyesight,etc.
Do you recommend MOCA vs MMSE? Does your recommendation differ if for diagnosis versus monitoring?
Response: This depends on driving history. Follow-up could be enough, otherwise on-road testing.
Any benefit for statin, in pt with no other statin indication, to prevent progression?
Response: No indication in primary prevention in that context.
How to deal with patients (with early disease/ mild cognitive impairment) ask for MAID?
Response: As you know, individuals cannot yet ask for "anticipated" MAID. If they fulfill criteria for MAID (90 days, significant suffering, non-treatable condition, etc.), then you can do the request.
If Mini-Cog is normal, is it enough to stop there?
Response: Yes, unless there are other worrisome complaints.
1.Determine what is benign forgetfulness and distinguish from mild cognitive impairment and major neurocognitive disorder
2.Use and interpret standardized screening tests judiciously
3.Develop a timely and strategic approach to clinical diagnosis