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© 1993 Oxford University Press

research-article

Assessment in Severe Dementia: The Guy's Advanced Dementia Schedule

TONY WARD, BRIDGET DAWE, ANDREW PROCTER, ELAINE MURPHY and JOHN WEINMAN

United Medical and Dental Schools, Guy's Hospital London Bridge SE1 9RT

Address correspondence to Dr T. Ward, MRC Applied Psychology Unit, 15 Chaucer Road, Cambridge CB2 2EF

Previous findings suggest that severely demented subjects are often capable of responding in some way to stimulation. This study describes the development of a schedule which can discriminate between subjects on the basis of their responses to a range of objects of varying familiarity. The schedule includes extensive prompting to elicit a range of responses from simple taking of objects through to naming and using. The measure was found to be reliable and valid against the Clifton Assessment Procedures for the Elderly and the Mini-Mental State Examination. Scores were able to discriminate between subjects scoring 0 on the Mini-Mental State Examination. It is suggested that scores on the schedule may reflect residual cognitive capacities and orientation to the environment and as such this measure could prove useful to a range of future studies.

Received August 23, 1992;
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