Table 1.

Suggested Screening for cognitive impairment

Ideal Patient Screening	Brief Patient Screening	Potential Contributing Factors
Subjective:  MDASI – BT  FACT – Cog  FACT – BT Objective:  NPE	Subjective:  Have you noted any changes in your thinking?  Have family members expressed any personality or behavioral concerns? Objective:  FACT – BT	Medication side effects Emotional distress Symptoms: Pain, fatigue, sleep disturbance Use of alcohol or other agents that alter cognition Screening endocrinopathies Vitamin deficiencies (B1, B12, D)