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Blessed-Dementia Scale

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Activity
One point for each, unless otherwise indicated.

CHANGES IN PERFORMANCE OF EVERYDAY ACTIVITIES

• Inability to perform household tasks
• Inability to cope with small sums of money
• Inability to remember shortlist of items; for example, in shopping list
• Inability to find way about indoors
• Inability to find way about familiar streets
• Inability to interpret surroundings; for example, to recognize whether in hospital or at home; to discriminate between patients, doctors, nurse, relatives,other hospital staff, etc.
• Inability to recall recent events; for example, recent outings, visits of relatives or friends to hospital, etc.
• Tendency to dwell in the past

CHANGES IN HABITS

Eating

(0) = cleanly, with proper utensils
(1) = messily, with spoon only
(2) = simple solids (for example, biscuits)
(3) = has to be fed

Dressing

(0) = unaided
(1) = occasionally misplaced buttons, etc.
(2) = wrong sequence, commonly forgetting itmes
(3) = unable to dress

Sphincter control

(0) = complete control
(1) = occasional wet bed
(2) = frequent wet bed
(3) = doubly incontinent

CHANGES IN PERSONALITY, INTERESTS, DRIVE

• Increased rigidity
• Increased egocentricity
• Impairment of regard of feeling for others
• Coarsening of affect
• Impairment of emotional control
  (for example, increased petulance and irritability)
• Hilarity in inappropriate situations
• Diminished emotional responsiveness
• Sexual misdemeanour (arising de novo in old age)
• Hobbies relenquised
• Diminished initiative or growing apathy
• Purposeless hyperactivity