Mini mental state examination mmse free printable, downloadable, pdf version the mmse is a 30point test advantages relatively quick and easy to perform requires no additional equipment can provide a method of monitoring deterioration over time disadvantages biased against people with poor education due to elements of language and mathematical testing bias against visually impaired. Scoring a score of 24 or above is considered normal. The saint louis university mental status exam is an assessment tool for mild cognitive impairment and dementia and was developed in partnership with the. Each section of the test involves a related series of questions or commands. The m odified m ini m ental s tate 3ms test has incorporated. A score of 20 to 24 suggests mild dementia, to 20 suggests moderate dementia, and less than 12 indicates severe. Mini mental state examination oxford medical education. Introduced by marshall folstein and others in 1975, the mmse is the most commonly used test to assess problems with memory and other cognitive functions. Instructions for administration of mini mental status examination mmse 3 stage command. In general participant scoring below educationadjusted cutoff scores on the mmse may be cognitively impaired. Mental status exam items american physician institute for advanced professional studies llc 8772258384.
For instance, when depressed, believing that the world is going to hell in a hand bask et. This test is used in medical field for screening for dementia. General domains tested in the mmse are orientation, registration, attention and calculation, recall and. Standardized minimental state examination 2014 standardized minimental state examination smmse scoring table 1. Sep 22, 20 mini mental status examination slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The mse is often confused with the folstein minimental state examination, which is a standardized screen for. Mini mental state exam a mental status screening instrument which tests arithmetic, memory and orientation. Also tests calculation, abstraction, clock drawing. The mental status examination continues to play a critically important role in evaluating cognitive and behavioral disorders, contributing to diagnosis, patient care, rehabilitation, and research. Score one point for each correct response within each question or activity. The mmse is a 30item assessment of global cognitive status that taps into domains such as orientation, concentration, attention, verbal learning without delayed recall, naming, and visuoconstruction.
Moreover, it is used for estimating the seriousness of the cognitive impairment at a specific time and follows the. The person administering the mini mental st atus exam needs to be sensitive. The mini mental status examination mmse is a brief, structured test of cognitive function. The mental status examination describes the sum total of the examiner s observations and impressions of the psychiatric patient at the time of the interview. 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. Clinical interpretation of the minimental state sciencedirect. Give the patient a piece of plain blank paper and ask him to follow your instructions.
Mini mental state examination second edition mmse2 acer. Mini mental statue examination mmse the mini mental status exam mmse is the beststudied instrument for screening for cognitive impairment similar sensitivity and specificity as using a more detailed functional activities questionnaire faq the accuracy of the mmse depends upon a persons age and educational level. It is a short questionnaire with 11 questions that is used to screen for cognitive impairment, especially in the elderly. Mini mental status examination linkedin slideshare. Psychiatric history taking and the mental status examination. It tests the individuals orientation, attention, calculation, recall, language and motor skills. Mini mental status examination to screen for cognitive impairment among the patients.
A score below 20 usually indicates cognitive impairment. Instructions for administration of mini mental status. Take the paper in your right hand, fold it in half and put it on the floor. Despite its weaknesses, the mmse has long been used to detect and monitor dementia progression. Before the questionnaire is administered, try to get the. Believing that your negative emotions reflect the state of the world. The mse is a structured observational system of the clients behavior, emotions, and thoughts. In general participant scoring below educationadjusted cutoff. The mini mental status exam mmse is one of the most widely used screening instruments for dementia. Low to very low scores correlate closely with the presence of dementia, although other. If you continue browsing the site, you agree to the use of cookies on this website. The scores assigned to each reading and writing activity are added to yield a total frwh score ranging from 0 to 28. Stages of cognitive impairment as defined by smmse scores score description stage duration years 3026 could be normal could be normal varies. Mini mental status examination, which is abbreviated as mmse, is also known as the folstein test.
Mini mental state examination and logical memory scores for. Before the questionnaire is administered, try to get the person to sit down facing you. Jan 21, 2015 this video demonstrates how to administer a mini mental status exam in a counseling setting. It is most commonly used to screen for alzheimers and dementia but has also been used for depression. Instructions for administration of minimental status. The mini mental state exam mmse is a widely used test of cognitive function among the elderly. Differentiate aging and dementia exactly as it appears in the pdf available. The test is often used as a screening or case finding instrument for the detec tion of organic mental disorders or cognitive impairment.
The structure provided here follows a fairly standard format and is organized around the anatomy of the brain. Mmse of folstein definition of mmse of folstein by medical. Clinical interpretation of the mini mental state scott b. The mini mental status examination offers a quick and simple way to quantify cognitive function and screen for cognitive loss. Learn what the test involves, as well as how to score it and how. Positive if score mmse is a widely used test of cognitive function among the elderly.
The minimental state exam mmse is a widely used test of cognitive function among the elderly. The mental status examination mse is an evaluation of a clients current overall functioning with emphasis on his or her cognitive and emotional functioning. During the mmse, a health professional asks a patient a series of questions designed to test a range of everyday mental skills. On the first mmse, the mean score for nondemented subjects was 22. Whereas the patients history remains stable, the patients mental status can change from day to day or hour to hour.
There are many different versions of the mental status exam. The modified mini mental state examination 9 excerpt from ian mcdowell, measuring health. Instructions for administration of minimental status examination mmse the mini mental status exam could be administered by the physician, a nurse or an assistant trained in the administration of such tools. Feb 06, 2017 the mini mental state examination mmse is a commonly used set of questions for screening cognitive function. Thus, we begin with tests that involve global brain function and that determine how well we will be able to perform the rest of the exam alertness, attention, and cooperation. Standardized minimental state examination smmse 822221 nov 2911 page 1 of 4 directions for administration of the ssmse. Overview of the minimental state exam for alzheimers. The mini mental state examination mmse is a tool that can be used to systematically and. I am going to ask you some questions and give you some problems to solve. Minimental state examination mmse heart and stroke foundation. Short test of mental status stms tests orientation, attention, recall, and copying. The mini mental state examination mmse is a tool that can be used to systematically and thoroughly assess mental status. Mini mental status examination in the korean version of the cerad assessment packet created date.
The minimental state examination mmse or folstein test is a 30point questionnaire that is. Assess the persons ability to hear and understand very simple conversation, e. The mini mental state exam mmse is a brief, structured test of mental status that takes about 10 minutes to complete. Mini mental status examination mmse flashcards quizlet. The mmse and minicog test are two commonly used assessments. Mmse mini mental state exam, mini mental state examination, mini mental status exam, mini mental status exam physical finding, folstein mini mental status exam, mini mental status exam, mini mental state examination, mini mental state examination, mini mental state examination, mmse mini mental state examination, mini mental. The most commonly used brief measure of cognitive functioning is the mini mental state exam or mmse. The nurses assessment of an older adults cognitive status is instrumental in identifying early changes in physiological status, ability to learn, and evaluating responses to treatment. A low mini mental state examination score was correlated with a higher mortality rate.