No.:________________ Name:________________
關於 CDR 評分... 請參照下表決定每個功能類別減損的程度及評分
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Impairment | |||||
None (0) | Questionable (0.5) | Mild (1) | Moderate (2) | Severe (3) | |
Memory | No memory loss or slight inconstant forgetfulness | Consistent slight forgetfulness; partial recollection of events; "benign" forgetfulness | Moderate memory loss; more marked for recent events; defect interferes with everday activities | Severe memory loss; only highly learned material retained; new material rapidly lost | Severe memory loss; only fragments remain |
Orientation | Fully oriented | Fully oriented except for slight difficulty with time relationships | Moderate difficulty with time relationships; oriented for place at examination; may have geographic disorientation elsewhere | Severe difficulty with time relationships; usually disoriented to time, often to place | Oriented to person only |
Judgment and Problem Solving | Solves everday problems and handles business and financial affairs well; judgment good in relation to past performance | Slight impairment in solving problems, similarities, and difference | Moderate difficulty in handling problems, similarities, and differences; social judgment usually maintained | Severely impaired in handling problems, similarities, and differences; social judgment usually impaired | Unable to make judgments or solve problems |
Community Affairs | Independent function at usual level in job, shopping, and volunteer and social groups | Slight impairment in these activities | Unable to function independently at these activities although may still be engaged in some; appears normal to casual inspection | No pretense of independent function outside home | |
Appears well enough to be taken to functions outside a family home | Appears too ill to be taken to functions outside a family home | ||||
Home and Hobbies | Life at home, hobbies, and intellectual interests well maintained | Life at home, hobbies, and intellectual interests slightly impaired | Mild but definite impairment of function at home; more difficult chores abandoned; more complicated hobbies and interests abandoned | Only simple chores preserved; very restricted interests, poorly maintained | No significant function in home |
Personal Care | Fully capable of self-care | Need prompting | Requires assistance in dressing, hygiene, keeping of personal effects | Requires much help with personal care; frequent incontinence | |
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