The Evaluation Process for Cognitive Impairment

Studies report approximately 12-18% of people aged 60 or older have some level of Mild Cognitive Impairment (MCI). So how do you know if you are one of them? The first step to diagnosing MCI typically comes after a person starts to complain of forgetfulness or cognitive problems or initiated at the urging of family members. Doctors explain it is usually more serious if it comes at the request of those closest to the person because as a person develops more of the signs of Alzheimer’s disease, they are often not aware of their memory loss. So, how is MCI diagnosed?

Your doctor will begin with a thorough evaluation to try and determine if the problem is MCI, Alzheimer’s, normal age-related memory loss, or caused by another factor. It is important to note not all cases of MCI develop into dementia and an evaluation could identify medications as the problem. A Harvard Medical School article states, “Establishing the cause and scope of the impairment helps set a baseline for future evaluations to determine if the condition is progressing to dementia.” 

Some of the preliminary tests include a complete blood workup to rule out anemia, infection, kidney and liver disorders, or diabetes. Other tests may check for thyroid abnormalities, elevated blood calcium, and vitamin B12 deficiencies. 

Cognitive tests begin with an in-depth medical history as well as questions regarding the person’s memory lapses and other thinking problems. Your physician will probably request a family member be there to reaffirm and document the changes. Experts say quickly progressing memory problems are most likely another issue as true dementia progresses slowly. 

Your physician may refer you to a neuropsychologist for more tests including paper and pen and computer tests to assess memory, language and, other cognitive skills including motor and visual function. If deemed necessary, they may do structural and functional brain scans or an amyloid PET scan, which detects in a living brain the signs of amyloid plaques, the hallmark of neurodegenerative diseases like Alzheimer's.  

Along with assisted living, MorningStar at Jordan offers individualized, loving care to those with Alzheimer’s and other dementia-related diseases.  Every aspect of MorningStar’s memory care is geared toward residents’ needs from meaningful activities, trained caregivers, food service, security, and more. Please contact us or visit our website for more information. 

MorningStar at Jordan’s mission statement of “to honor, to serve, to invest” sets us apart from other senior living communities. We have built a foundation on honoring God, valuing our seniors and selecting staff with a felt calling to serve. Set in a warm, loving atmosphere with beautiful surroundings and resort-style amenities, we provide outstanding assisted living and memory care.