Clinical Dementia Rating: Scoring

Clinical Dementia Rating 

 Scoring: See procedures manual for scoring instructions

SCREENING VISIT  Subject Number

 M C –

Subject Initials

Examiner Initials

–

Sum of Boxes

Examination Date MONTH

DAY

Global CDR 

YEAR  

.

 Instructions: Score only as decline from previous usual level due to cognitive loss, not impairment due to other factors. Score  Memory 

Orientation 

Health

Questionable Dementia

Mild Dementia

Moderate Dementia

Severe Dementia  

CDR 0

CDR 0.5

CDR1

CDR 2

CDR 3

 No memory loss or slight  inconsistent forgetfulness

Consistent slight forgetfulness; Moderate memory loss; more  partial recollection of events; marked for recent events; “benign” forgetfulness defect interferes with everyday  activities

Severe memory loss; only  Severe memory loss, only   highly learned mater ial fragments remain retained; new material rapidly  lost 

Fully or iented

Fully oriented except for slight difficulty with time relationships

Severe difficulty with time relationships; usually disoriented in time; often to place

Moderate difficulty with time relationships; oriented for  place at examination; may   have geographic disorientad isorientation elsewhere

Oriented to person only 

Solves everyday problems and Slight impairment in solving  Moderate difficulty in handling  Severely impaired in handling  Unable to make judgments or Judgment and  business and financial affairs  problems, similarities,  problems, similarities, dif problems, similarities, difsolve problems Problem Solving   well; judgment good in relation to past performance

differences

ferences; social judgment  usually maintained

Community  Affairs

Independent function at  usual level in job, shopping,  volunteer and social groups

Slight impairment in these activities

Unable to function independently at these activities though may still be engaged in some; appears normal to casual inspection

Home and Hobbies

Life at home, hobbies, intellectual interests well maintained

Life at home, hobbies, intellectual interests slightly  impaired

Fully capable of self care

 No pretense of independent function outside home h ome  Appears well enough to be taken to functions outside a  family home

 Appears too ill to be taken to functions outside a family   home

Mild but definite impairment  Only simple chores preserved;  No significant function  very restricted interests, in home of function at home; more  poorly maintained difficult chores abandoned; more complicated hobbies and interests abandoned  Needs prompting

Personal Care

ferences; social judgment  usually impaired

Requires assistance in

Requires much help with

dressing,effects hygiene, keeping of   personal care; frequent   personal incontinence