Impaired Cognition

C4. Impaired Cognition
C4.1 Perform a patient-centred interview that will help to identify a patient that may be at risk of cognitive impairment, including an interview with a relative or friend if necessary. The information gathered should include current functional status, current living environment, current supports available and potential safety concerns.
C4.2 Perform a formal clinical assessment of dementia using a evidence based tool e.g. MOCA
C4.3 Propose an initial investigation for secondary causes of dementia
C4.4 Propose an initial management plan of dementia, including non-pharmacologic and pharmacologic options



Freedman A, Vasa P Dementia One-Page Primer. DFCM Open. 2011. Available at: Attribution CC BY-NC-ND

Recommendations on Screening

Canadian Task Force on Preventive Health Care, Pottie K, Rahal R, et al. Recommendations on screening for cognitive impairment in older adults. CMAJ. 2016;188(1):37-46. doi: 10.1503/cmaj.141165 [doi].


Pfizer Canada Inc. Instructions for administering the Mini-Mental State Examination (MMSE). 2007. Available from

MoCA Test English

Nasreddine Z. Montreal Cognitive Assessment. Version 7.1. Available at:

MoCA Instructions English

Nasreddine Z. Montreal Cognitive Assessment (MoCA) Version 3: Administration and Scoring Instructions. May 2011. Adapted by Nasreddine Z, Phillips, Chertkow NH. Available at:

Behavioural Treatment Options for Dementia

Alzheimer’s Association. Challenging Behaviors. 2011. Available at: