In particular, the circle size is not always indicative of the planning ability of the patient. The activity helped me realize that the interpretation of the CDT is not always straightforward. Thus, there is no reason she should be restrained from driving a car. In summary, CDT revealed that there were no evident cognitive or memory problems in Elizabeth. Thus, even though the circle size suggested that Elizabeth may have had problems with planning, the explanation provided by the patient proved otherwise. At the same time, she was afraid she would need several attempts to draw a clock, so she wanted to leave some space for further attempts. However, the patient explained that she was nervous, and her hands were shaking. Second, the test took more than 10 minutes, which was unexpected. First, the circle was drawn in the top left corner of the paper and was relatively small for the sheet of paper provided. There were two concerns about the results of CDT that bothered me. The hands indicate the correct time (ten past eleven), and the sizes of the hands can be distinguished. Even though the circle was more like an ellipse, all the numbers were in the correct order and in the correct places. The results of the CDT do not suggest that the patient has any signs of dementia. The same patient, Elizabeth M., was assessed for dementia during her visit to the hospital (see Appendix B). Clock-drawing test (CDT) is one of the most frequently used to understand if a patient has cognitive impairment or memory problems (Park et al., 2018). Thus, prevention of the condition is extremely important to improve the physical and emotional well-being of older adults (Park et al., 2018). The prevalence of dementia is increasing, which is associated with increased morbidity and mortality of geriatric patients (Livingston et al., 2017). Since all this information was acquired in several minutes, I find GDS a very helpful tool. Moreover, the screening test helped me realize that Elizabeth did not feel it was great to be alive and feared that something was going to happen to her. However, the application of GDS revealed that she was close to the danger zone. For instance, in the case with Elizabeth, I was sure that her score would be 1-2. It does not take much time however, it can be very insightful. I learned that screening for depression is not a difficult task. While she does not like to start any new activities and prefers to stay home, Elizabeth explains this by the limitation of her body. The low score seems to be associated with support from relative and active engagement in activities of her interest. This implies that she is not in increased danger of suicide and other associated consequences of the condition. The results of the assessment revealed no significant danger of depression in Elizabeth.
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