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This test can be very important when you think about new actions that a person may need to take. If your Mum has a new prescription will she remember to take it? Even if she can remember to take the Rx she has been on for years, she may not remember the new one. Will she remember to do her exercises once she is back home? Again, short term memory recall in at play here.
If Mum does not remember having a conversation or phone call, this can be indicative of a problem. Often people post here about family members complaining that no one visits, when the family knows there are regular visitors. Yup, could be short term memory issues.
I went through an incredibly stressful time 5 years ago. At that time my short term recall was terrible. I had to use notes, which I did remember to check, in order to function .
draw a clock is my bugaboo. :(
I can see short term decline, but she also has hearing difficulties, but did have her hearing aids in. He did make her repeat the words.
I am curious as to if/what she understands at times. but some of the things she does, she has done all her life.
I feel for you.. and i will say that you write very well...your story is just heartbreaking. 😢 With this kind of short-term memory loss we learn to compensate in other areas, which become our strengths. I had a brain tumor in my young forties which affected my sh-term memory, but i do make lists and notes to remember what is important. I also challenged myself to earn a Master’s degree, complete at age 59! You can do amazing things when you put your mind to it. 🤓
This is not a great way to assess a persons memory and if this is all they have done I would not put much stock in the results.
And a MME is not given just once it is repeated months later to determine how much of a decline there has been. So if this was the first and only time she was given this "test" I would put even less value to it in the matter of results.
Funny thing is when they gave my Husband 3 words to remember they were something like Denim, Cotton, Apple. He did not recall all of them and I said later if they has said Screwdriver, Hammer, Race Car he would have been able to recall the words.
My mom often mentioned that my late dad's neurologist used the same three words every single time he was tested. Nowadays, when Mom's doctor says, "I'm going to say three words and I want you to remem...", she cuts him off and blurts, "apple, penny, table!"
You didn't say why your mom is in rehab. Did she have surgery that required general anesthesia? Did she have pneumonia or a UTI? All of these can cause temporary, and sometimes permanent, issues with cognition. Being in a rehab facility also frequently unmasks cognitive impairment because the person is no longer in their own environment. If this is the case, there's often a referral to speech therapy for cognitive interventions.
The best thing to do in this situation is speak directly with the social worker and/or team members if you have concerns. Cognitive assessment should be an ongoing process when someone is in rehab. It's not a one-time screen and everything is determined from that. Your mom's memory lapse may have been situational but if she is showing difficulty in other areas of cognitive function, then this is an opportunity to identify them so that good supports can be put in place.
I had wondered if she had dementia, but she seemed to be ok. Now however, she is seems to be a bit more difficult. Even with hearing aids, she is very hard of hearing. I am seeing her attempt to read lips also. She was never very bright to begin with, never had a time line ever, is illiterate. she talks about stuff that happens years past as if they happened yesterday.
I live 45 min away, one brother lives 90min away and is having surgery, so he won't be able to come down for at least 6 weeks. she lives in an inlaw apt with our youngest brother, who works some days and some nights and is hardly home. Frankly, I don't want to have to deal with a person that cannot toilet herself and is just plain mean! she is 150 lbs, I can't lift her either.
this nursing home won't talk to me about mom unless she is present. I am thinking that maybe I should just ask my questions anyway. I think I was trying to spare her feelings.
I visited her last night and got an earful! I went to the nursing station and it seems there were just 2 nurses on the floor - not a huge floor by any means. one gave me a difficult time, I am not on her healthcare proxy, but I am on the hippa. says she couldn't talk to me because of not being on the health care proxy - the nursing supervisor said there can only be 2 people on it and I was ok with both brothers. I will be taking one off and adding me.
Even when I was school, including university lectures, I found I got relatively little information out of hearing, and often found my classroom notes almost useless, often reverting to textbooks to absorb the subject. I take in information much better by visual rather than auditory means.
As an inpatient I was often asked where I was, the name of the hospital,city etc.
Likewise with the day or date question. If one is retired, it's likely that the exact date or day is less important than when one was employed or had family members working or in school. A week having a holiday can make it even more confusing. I sometimes have to stop and think to come up with the right answer, or at least "well, I know Friday was the 22nd, so today, which is Sunday, must be the 24th".