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Validating the gds depresion screen in the nursing home

Depression is an important problem in long-term care (LTC); up to half of LTC residents have been reported to have clinically significant depression ( Jongenelis et al., 2004; Seitz, Purandare, & Conn, 2010; Snowdon & Fleming, 2008; Teresi, Abrams, Holmes, Ramirez, & Eimicke, 2001; van Asch et al., 2013 ).

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The author deals with the use of measuring tools, such as the Standardized Mini-Mental State Examination (SMMSE), Short Portable Mental Status Questionnaire (SPMSQ) and Short Form Geriatric Depression Scale (GDS) in the consideration and diagnostics of cognitive functions of seniors.

In general, aging is physiologically associated with a drop in the performance of cognitive functions, which is individually variable and specific.

Changes in cognitive functions are present from those associated with physiologic aging through moderate cognitive deficiency (MCI – Mild Cognitive Impairment) up to dementia.

The target of the work was to demonstrate the applicability of the measuring tools, Standardized Mini-Mental State Examination, Short Portable Mental Status Questionnaire and Short Form Geriatric Depression Scale in the consideration and nursing diagnostics of the cognitive dysfunction.

The measuring tools were administered in a sample of 200 seniors in cities of Martin and Turčianske Teplice.

The Pearson correlation coefficient between resulting scores SMMSE and SPMSQ expresses a strong negative correlation.

In clinical practice it is to assume that when reducing the resulting SMMSE score, then there is a high probability of an increase in the SPMSQ.

For a reduction in the load to the senior, in this consideration, it is unnecessary to use several measuring tools if there is a strong correlation between them.

Based on data on the validity, reliability, sensitivity and specificity, SMMSE seems to be more suitable for the nursing practice.

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