Implemented EU of the treatments(processings) of quantitative data, 2012/2013, session 2, 1st part(party) 1Railing(Bar) of data collection investigates “insanity”General data of the patientDate of birth (DD/MM/YYYY): / __ / __ / ____/Sex:MaleFeminineLevel cultural socio:Frame(Executive) and senior executiveEmployeeWorkerOtherProtective measures:Yes NoIf, yes which one? Protection(saving) of justice Guardianship Supervision(Guardianship) Curatelle TutelleOrigin: EHPAD place of residenceFalls of the patient in the last 12 months?Yes NoDiagnosis of the cognitive disorders(confusions)Type(Chap) of insanity:Degenerative insanity?If yes, which one ( a single answer)? Diseases Alzheimer Insanity of the Parkinson’s disease Insanity with body of Lewy Degeneration lobaire fronto-temporal Other degenerative insanities Vascular insanity Mixed insanity OtherAge(Seniority) of the cognitive disorders(confusions) (in years): ….Date the Diagnosis: / __ / __ / ____/Diagnosis made:During the hospitalizationBefore the hospitalizationOther general dataDate entrance(entry) to the unity(unit) (DD/MM/YYYY): / __ / __ / ____/Physical indication(index) of Mass in the entrance(entry) (in kg / m2): ..Physical indication(index) of Mass at the exit(release) (in kg / m2): ..There are neurosensory disorders(confusions):Yes or NoIf yes, they are ( several possible answers): hearing Visual