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Cornell Depression Scale
b
Y
Cornell Depression scale
2
X
g
m
1
p
F
What is the Cornell Depression Scale?
Purpose
Purpose
- Assess the signs and symptoms of major depression in people who are suffering from a cognetive impairment such as dementia
E
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Assessment
- Information for the assessment is gathered from two semi structured interviews
- The first interview is conducted with an informant
- Second interview is conducted with the person the interview is being conducted on
D
Interview
Interviews
- Interview with informant is conducted first
- Interview consists of questions that ask about changes in symptoms of depression in the past week
- Interview with patient is conducted next
- Interview consists of the same questions
C
Scoring Structure
Scoring is based of a scale of severity from 0-2
0- Absent
1- Mild/intermittent
2- Severe
Scoring Structure
Score below 6 - Absent
Score higher than 10 - Probabable major depression
Score higher than 18 - Definitive major depression
B
- Anxiety
- Saddness
- Lack of reactivity to plesant events
- Irritability
- Agitation
- Retardation
- Multiple physical complaints
- Acute loss of interest
- Appetite loss
- Weight loss
- Lack of energy
- Diurnal vriation of method
- Difficulty falling asleep
- Multiple awakenings during night
- Early morning awakenings
- Thoughts of suicide
- Self deprecation
- Pessimism
- Congruent delusions
How to use the tools results
-meetings with doctors/support staff
-Non pharmacological approach
- pharmacological approach
A
home
Changes that can be made in the living environment
-ACAT assessment
-daily activities
-weekly activities
-social groups / outings
-family visits/ family dynamics
A
How is the CDS used in planning?
- change in living environment
-continuation of any diseases
A
*SCENARIO*
A
HOW WOULD YOU RATE THIS CLIENT?
WHAT WOULD YOU RECOMMEND THE CLIENT DO?
WHICH THERAPIES SHOULD THEY TRY?