The mental status exam mse is the psychological equivalent of a physical exam that describes the mental state and behaviors of the person being seen. Lenore kurlowicz, phd, rn, cs and meredith wallace, phd, rn, msn why. Cognitive impairment recognition, diagnosis and management in primary care. Minimental state examination mmse heart and stroke foundation. The mmse is a required part of this dementia assessment. Year month day date time country town district hospital ward examiner names 3 objects eg apple, table, penny patient asked to repeat 1 point for each correct. Mini mental state examination oxford medical education. Not to be confused with mental status examination or miniinternational neuropsychiatric interview. This in turn could adversely impact the physical functioning and quality of life of older adults. Each section of the test involves a related series of questions or commands. Cognitive impairment is no longer considered a normal and inevitable change of aging. The mini mental state examination mmse comprehensive. Mental state examination mmse for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations. The minimental state examination mmse or folstein test is a 30point questionnaire that is.
It includes both objective observations of the clinician. Maximum score patients score questions 5 what is the year. Folstein mini mental state exam 30 item screening tool. It tests the individuals orientation, attention, calculation, recall, language and motor skills. Although older adults are at higher risk than the rest of the population, changes in cognitive function often call for prompt and aggressive action. If the subject cannot spell world even with assistance, score 0. This examination is not suitable for making a diagnosis but can be used to indicate the presence of cognitive impairment, such as in a person with suspected dementia or following a head injury.
For example, one question, derived from the older bendergestalt test, asks to copy a. The persons score is the maximum number of lines that can be drawn without crossing any. Say ball, flag, tree clearly and slowly, about on second for each. Score one point for each correct response within each question or activity. The minimental status examination offers a quick and simple way to quantify cognitive function and screen for cognitive loss. Please see accompanying guidelines for administration and scoring instructions. Minimental state a practical method for grading the. Cognitive hction may decline as a result of certain risk factors e. The mmse tests a number of different mental abilities, including a persons memory, attention and language. For example, one question, derived from the older bender gestalt test, asks to copy a. The minimental state examination mmse or folstein test is a 30point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment.
Folstein designed the mmse as a clinical aid in the cognitive assessment of elderly patients. Background the mini mental state examination mmse is a cognitive test that is commonly used as part of the. It is commonly used in medicine and allied health to screen for. Differentiate aging and dementia exactly as it appears in the pdf available. Populationbased norms for the minimental state examination by age and. Standardised minimental state examination smmse tool ihpa.
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