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Blessed Dementia Scale

The document appears to be a rating scale called the Blessed Dementia Scale used to assess changes in everyday activities, habits, personality, and interests in patients with dementia. It contains categories for evaluating abilities like household tasks, money management, recall of events, eating, dressing, and changes in rigidity, emotional control, initiative and more. Scores are given for each item with higher numbers indicating greater impairment. References at the bottom describe previous uses and validations of the scale.

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Abdur Rasyid
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1K views2 pages

Blessed Dementia Scale

The document appears to be a rating scale called the Blessed Dementia Scale used to assess changes in everyday activities, habits, personality, and interests in patients with dementia. It contains categories for evaluating abilities like household tasks, money management, recall of events, eating, dressing, and changes in rigidity, emotional control, initiative and more. Scores are given for each item with higher numbers indicating greater impairment. References at the bottom describe previous uses and validations of the scale.

Uploaded by

Abdur Rasyid
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BLESSED Patient Name: ____________________________

DEMENTIA- Rater Name: ____________________________


SCALE Date: ____________________________

Instruction
One point for each correct answer unless otherwise indicated. Score

CHANGES IN PERFORMANCE OF EVERYDAY ACTIVITIES


A Inability to perform household tasks ______
A Inability to cope with small sums of money ______
A Inability to remember shortlist of items; for example, in shopping list ______
A Inability to find way about indoors ______
A Inability to find way about familiar streets ______
A Inability to interpret surroundings; for example, to recognize whether in ______
hospital or at home; to discriminate between patients, doctors, nurse, relatives,
other hospital staff, etc.
A Inability to recall recent events; for example, recent outings, visits of relatives ______
or friends to hospital, etc.
* Tendency to dwell in the past ______

CHANGES IN HABITS
D Eating ______
(0) = cleanly, with proper utensils
(1) = messily, with spoon only
(2) = simple solids (for example, biscuits)
(3) = has to be fed
D Dressing ______
(0) = unaided
(1) = occasionally misplaced buttons, etc.
(2) = wrong sequence, commonly forgetting itmes
(3) = unable to dress
D Sphincter control ______
(0) = complete control
(1) = occasional wet bed
(2) = frequent wet bed
(3) = doubly incontinent

Provided by the Internet Stroke Center — www.strokecenter.org


CHANGES IN PERSONALITY, INTERESTS, DRIVE
B Increased rigidity ______
B Increased egocentricity ______
B Impairment of regard of feeling for others ______
B Coarsening of affect ______
B Impairment of emotional control ______
(for example, increased petulance and irritability)
B Hilarity in inappropriate situations ______
C Diminished emotional responsiveness ______
* Sexual misdemeanour (arising de novo in old age) ______
C Hobbies relenquised ______
C Diminished initiative or growing apathy ______
* Purposeless hyperactivity

References
Blessed G, Tomlinson BE, Roth M. “The association between quantitative measures of dementia
and of senile change in the cerebral grey matter of elderly subjects.
Br J Psychiatry. 1968;114:797-811.
Stern Y, Hesdorffer D, Sano M, Mayeux R. “Measurement and prediction of functional capacity
in Alzheimer’s disease.
Neurology. 1990;40:8-14.

Zillmer EA, Fowler PC, Gutnick, HN, Becker E. “Comparison of two cognitive bedside
screening instruments in nursing home residents: a factor analytic study.”
Journal of Gerontology. 1990;45:69-74.

Provided by the Internet Stroke Center — www.strokecenter.org

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