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Diagnosing Memory
Loss
The detection of small, abnormal
memory changes takes both time and specialized training.
The early detection of dementia
is important for its effective treatment. The effective detection of dementia in
its earliest stages requires an extensive battery of assessments given by a
trained professional. Unfortunately, physicians are not given any
special training in assessing memory problems and must either rely on tools
that are not sensitive to minor or even moderate changes in memory (e.g.,
the Mini Mental Status Exam), or they must rely on the self report of
patients (research indicates that patients are not effective at detecting
changes in their own memory functioning).
This combination of factors
contributes to the Surgeon General’s findings that only 3% of those with
mild memory impairment and less than 25% of those with moderate to severe
memory impairment will be detected by their physicians (Report to the
Surgeon General, 1999). This low detection rate is alarming, but
understandable. The detection of small, abnormal memory changes takes both
time and specialized training.
At MARS, we provide the
gold-standard in memory assessment and we use yearly assessments to further
increase the efficacy of these instruments. At MARS we assess memory
functioning based on; (1) normative standards, (2) the patient’s rate of
change over the years, and (3) the patient’s memory functioning as estimated
based on their broader cognitive functioning. The combination of a sensitive
memory assessment repeated yearly provides a very sensitive mechanism for
identifying the presence of memory disorders early in their formation.
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