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Addenbrooke'S Cognitive Examination - Ace-R: Scoring and Instructions Guide For Indian English Version

This document provides scoring instructions for administering the Addenbrooke's Cognitive Examination - Revised (ACE-R) test to assess cognitive abilities in Indian English. It describes the test sections to be administered including orientation, memory, verbal fluency, language, and visuospatial abilities. Scoring guidelines are provided for each subtest with examples of correct and incorrect responses. The document aims to make scoring clear and reduce patient anxiety during test administration.

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Ecaterina Chiriac
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186 views

Addenbrooke'S Cognitive Examination - Ace-R: Scoring and Instructions Guide For Indian English Version

This document provides scoring instructions for administering the Addenbrooke's Cognitive Examination - Revised (ACE-R) test to assess cognitive abilities in Indian English. It describes the test sections to be administered including orientation, memory, verbal fluency, language, and visuospatial abilities. Scoring guidelines are provided for each subtest with examples of correct and incorrect responses. The document aims to make scoring clear and reduce patient anxiety during test administration.

Uploaded by

Ecaterina Chiriac
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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ADDENBROOKES COGNITIVE EXAMINATION ACE-R

Revised Version (2005)

Scoring and Instructions Guide for Indian English Version


These instructions were designed in order to make questions and scoring clear for the tester. Please read them carefully before giving the test. If possible, leave scoring for the end of the session, as the patient will not be able to check whether the tester is ticking for correct answers or crossing for wrong ones. It might avoid anxiety that usually disturbs patients performance on the test. ORIENTATION score ! to "! #sk the sub$ect the day, date, month, year and season. %ne point each. #sk the sub$ect the name of the hospital &or building', the floor &or room', the town, state and country. (egister responses. #llow mistakes for the date &) or * days'. If assessing a patient at home, ask the number of the place i.e. "+,, and for the floor you might ask the name of the room &kitchen, living room, etc'. If at a single storey health setting, ask about a local landmark. -hen season is changing, i.e., .une and the patient says summer, give one point, as the two seasons are in transition. /o not give one point if the answer is 0winter Seasons 1 summer 2 3arch, #pril, 3ay, .une4 rainy 2 .uly, #ugust, 5eptember, %ctober4 winter 2, 6ovember, /ecember, .anuary, 7ebruary4 REGISTRATION score 0 to 3 Tell the sub$ect to repeat and remember. 5peak slowly. (epeat it if necessary &maximum + times'. Tell that you will ask them later. (egister number of trials. 5core first attempt. ATTENTION AND CONCENTERATION score 0 to 5 8alculation1 if sub$ect makes a mistake, carry on and check subsequent answers. (egister responses. If any mistake is made, give also the spelling task. #sk the sub$ect to spell 0world backwards, when the test above contain mistakes. Scorin ! 9 correct sequence : ; points 9 count one error for each omission, letter transposition &switching ad$acent letters', insertion &inserting a new letter', or misplacement &moving -, %, (, <, / by more than one space' E"#$%&es 'score in %#rent(eses)! %mission /<%- &=' Transposition /OL - &+' /<OR - &=' Insertion /<T %- &+' /<( O &+' /<RR %-&=' 3isplacement <%- ! &+' <( O! &+' <( %-! &+' <(%-D &=' # response such as 0<(--%/ has + errors &for a score of *'. It includes transposition of the - and %, insertion of an extra -, and misplacement of the /. If the patient adds " or more of the same letter at the end of the word, score as " error &eg. 0 </(%---' would be * errors, " transposition and " addition'. (egister responses. %ne point for each correct calculation or letter spelt. 5core only the best performed task. RECA** score 0 to 3 #sk the sub$ect to recall the ob$ects that you asked them to repeat and remember. (egister responses. 5core one point each.

Antero r#+e Me$or, score 0 to -

Tell the sub$ect1 0 Im going to read you a name and address that Id like you to repeat after me. -ell be doing that + times, so you have a chance to learn it. Ill be asking you later. If patient starts repeating along with you, ask him>her to wait until you give it in full. (ecord score for each trial. 6onetheless only the third score contributes to the #8? score &!2,points'. Retro r#+e Me$or, score 0 to . #sk the sub$ect the name of the current 8hief 3inister, the lady who was Prime 3inister, The hero of the film 3era 6aam .oker and the 7ather of our nation 5core one point each, allowing answers like Indira, @andhi.. Aapoor VERBA*/*0ENC1 *etters score 0 to 5ub$ect might repeat or perseverate words, eg produce, production, productive. -rite and count them on the space 0total provided but do not consider them for the final scoring. In the same way, intrusions such as words beginning with other letters are recorded but not scored. Proper names &Patiala, Parvati' do not count. Ani$#&s score 0 to 5ub$ect might repeat words. -rite and count them but they should not be considered for the final scoring. It also might happen that sub$ect misunderstands or perseverates by saying animals beginning with 0p. (epeat the ob$ective of the task along the B! seconds if necessary. If sub$ect says dog, and later #lsatian and dalmation, count and register the + as 0total but do not accept then dog as 0correct &count only * out of the +, i.e. #lsatian and dalmation'. The same applies to reptiles, birds, breeds of dogs and insects. *ANG0AGE Co$%re(ension score 0 or 2 Tell the sub$ect1 0 read this sentence and do as it says &8lose your eyes'. Co$%re(ension score 0 to3 5core one point for each correct command &+2stage command'. 3ritin The sentence should contain a sub$ect and a verb, and it should have a meaning. /o not accept 0Cappy Dirthday or 06ice day as a sentence. Re%etition #sk the sub$ect to repeat after you. 8ircle the words that were repeated wrongly. 5core first attempt only. N#$in '4#tc( #n+ %enci&) score 0 to 5 8orrect answers1 pencil4 wristwatch or watch. N#$in '5 #ni$#&s #n+ 5 o67ects) score 0 to 20 8orrect answers1 goat, candle, flag, camel, sickle, giraffe, drum, crown, pig, crocodile 5core one point each. Co$%re(ension score 0 to . #sk the sub$ect to point to the pictures according to the statement read. 5core one point each. #llow self2corrections Re#+in #sk the sub$ect to read aloud the words. 5core one point only if all words are correctly read. (egister mistakes.

VIS0OS8ATIA* ABI*ITIES

8ent# ons score 0 or 2! The pentagons should clearly show ; sides and the intersection. 3ire C96e score 0 to 5 C&oc: score 0 to 5 #sk the sub$ect to draw a clock face with the numbers in it. -hen he>she has finished, ask to put the hands at 0ten past five. 8ircle2 " point maximum if it is a reasonable circle 6umbers2 * points if all included and well distributed, " point if all included but poorly distributed Cands2 * points if both hands are well drawn, different lengths and placed on correct numbers &you might ask which one is the small and big one' "point if both placed on the correct numbers but wrong lengths %( " point if one hand is placed on the correct number and drawn with correct length %( " point if only one hand is drawn and placed at the correct number i.e. ; for 0ten past five 8ERCE8T0A* ABI*ITIES Co9ntin +ots score 0 to . 5ub$ect is not allowed to point them. 8orrect answers, from top left clockwise1 E, "!, F and ,. I+enti;,in &etters score 0 to . 8orrect answers, from top left clockwise1 A, 3, T and # RECA** AND RECOGNITION Rec#&& score 0 to Tick and score one point to each item recalled. Reco nition score 0 to 5 This test should be done to give the sub$ect a chance to recognise items that he or she could not recall. If the sub$ect recalls the name and address correctly, this test is not needed and the sub$ect scores ;. Cowever, many sub$ects will recall it partly. 5tart by ticking the correct items on the shadowed column &right hand side' and then tell them 0<et me give you some hints. -as the number &or whatever was forgotten or mistaken' x, y or GH and so on. ?very recognised item scores one point. #dding recalled items with recognised ones should make final score of this test. 3aximum score is ;. E"#$%&e 2 5unilkumar 5harma *; 5hastri (oad Patelnagar #llahabad ")! !)")! ! " 5core +>, The tester should then ask1 2 -as it 5unilkumar 5harma, 5unilkumar 5ingh or (akesh Iadav 2 -as it *;, ;*, or +,H 2 -as it #llahabad, @walior or IndoreH MMSE The 335? score can be obtained by adding up scores in the shadowed boxes on the right hand side of each test 8opyright *!!!, .ohn (. Codges

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