CARG Geriatric Assessment – Healthcare Professional Tool
Karnofsky Performance Status
Timed “Up and Go”
Cognition: Orientation-Memory-Concentration Test
1. What year is it now? [without looking at a calendar]
Patient’s Response
Maximum Errors
1
1
Score
Weight
x4
x4
Final Score
2. What month is it now? [without looking at a calendar]
Patient’s Response
Maximum Errors
1
1
Score
Weight
x3
x3
Final Score
Memory Phrase Repeat this phrase after me: ‘John Brown, 42 Market Street, Chicago.’
3. About what time is it? [within 1 hour – without looking at your watch]
Patient’s Response
Maximum Errors
1
1
Score
Weight
x3
x3
Final Score
4. Count backwards from 20 to 1.
Maximum Errors
2
2
Score
Weight
x2
x2
Final Score
5. Say the months in reverse order.
Maximum Errors
2
2
Score
Weight
x2
x2
Final Score
6. Repeat the memory phrase.
Maximum Errors
5
5
Score
Weight
x2
x2
Final Score