The minimental state examination johns hopkins university. A score of 23 or lower is indicative of cognitive impairment. 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. The 2nd edition of the minimental state examination mmse2 is a useful screening tool for cognitive impairment in adults. Minimental state examination mmse heart and stroke foundation.
The score is the number of letters in correct position. Brief interview for mental status bims repetition of three words ask resident. The mini mental state examination mmse is the most commonly used instrument for. Orientation registration attention and calculation recall language copying 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. The minimental state exam mmse is a widely used test of cognitive function.
The mini mental state examination template has five sections to determine the perceptual stability. The mini mental state examination mmse comprehensive. Instructions for administration of minimental status. Cognitive impairment recognition, diagnosis and management in primary care. I am going to ask you some questions and give yousome problems to solve. Please repeat the words after i have said all three. How the mini mental status exam works the mmse is commonly used because it only takes 5 10 minutes and doctors or nurses dont need any equipment or special training. Standardised minimental state examination smmse ihpa. The minimental state examination, 2nd edition mmse2. Mini mental state examination oxford medical education. The person administering the mini mental st atus exam needs to be sensitive. The mini mental s introduction folstein and colleagues published the mini mental state examination mmse for brief quantitative assessment of cognitive function 30 years ago folstein et al.
The mini mental state examination mmse is a tool that can be used to systematically and. The mini mental status examination mmse is the most commonly used test for complaints of memory problems. Be prepared with the items you need to complete the exam. Since then it has been translated into many languages and has become the most widely used brief test of.
The mmse was designed as a screening test for the purpose of evaluating cognitive impairment in older adults. If the subject cannot spell world even with assistance, score 0. The mental status examination mse is based on your observations of the client. Minimental state examination mmse oxford medical education. B ask the individual to spell the word world backwards. The examiner gives the patient a piece of blank paper. Clock drawing test and the minimental status examination to improve gps screening for dementia. The test has 30 questions that are each worth 1 point. Can be administered in 5 minutes or less are equal to or superior to the minimental state exam mmse for detecting dementia are easily administered by medical staff members who are not physicians are relatively free from educational, language andor cultural bias. Each section of the test involves a related series of questions or commands. Sep 10, 2015 this video demonstrates an administration of the mini mental state examination, 2nd edition mmse 2 with an actress playing the role of a client. Cartoncino con scritto chiuda gli occhi ospedale regionale di lugano medicina mmed 036 pagina 2 di 6. Free minimental state examination form pdf form download.
It is also used to estimate the severity and progression of cognitive impairment and to follow. Standardised minimental state examination smmse tool. Show the patient two simple objects, such as a wristwatch and a pencil. Lenore kurlowicz, phd, rn, cs and meredith wallace, phd, rn, msn why. Provided by the alzheimers drug therapy initiative for physician use. It is not related to the facts of the clients situation, but to the way the person acts, how the person talks, and how the person looks while in your presence. The mini mental status examination offers a quick and simple way to quantify cognitive function and screen for cognitive loss. Examiners record individual test item scores on the mmse test form. The mini mental state examination mmse is a tool that can be used to systematically and thoroughly assess mental status. Diagnostic and statistical manual of mental disorders, fourth edition dsmiv. Minimental 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. It includes both objective observations of the clinician and subjective descriptions given by the patient. It is commonly used in medicine and allied health to screen for dementia.
The mini mental state examination mmse or folstein test is a 30point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment. A mental status examination can be an abbreviated assessment done. Mini mental status exam mmse physical exam step 2 cs. Adaptat dupa burns, lawor b, craig s assessment scales in old age psychiatry. Instructions for administration and scoring of the mmse. Cognitive assessment toolkit alzheimers association. Score one point for each correct response within each question or activity. Minimental state examination, 2nd edition mmse2 marshal f.
It can be used by clinicians to help diagnose dementia and to help assess its progression and severity. The 2nd edition of the minimental state examination mmse 2 is a useful screening tool for cognitive impairment in adults. A practical method for grading the cognitive state of patients for the clinician study. The mini mental state examination mmse was first published in 1975 by m. Standardised minimental state examination smmse tool ihpa. Standardized minimental state examination 2014 2 4. The one exception is world where examiners record the response of subjects in the exact order that it is given by the subject.
Reliability of a standardized mini mental state examination compared with the traditional mini mental state examination. Anleitung zum mini mental status examination mmse onkopedia. The minimental status examination offers a quick and simple way to quantify cognitive function and screen for cognitive loss. Standardised minimental state examination smmse please see accompanying guidelines for administration and scoring instructions say. The mini mental state examination mmse is a tool that can be used. Sep 15, 2015 this video demonstrates an administration of the minimental state examination, 2nd edition mmse 2 with an actress playing the role of a client with cognitive impairment. Maximum rating of 30 points is feasible when the respondent attempts to solve them meticulously and sanely. It tests the individuals orientation, attention, calculation, recall, language and motor skills.
Administration should be conducted privately and in the examinees primary language. Mmse2 pocket norms guide includes raw means and standard deviations by age and education level, age and educationbased t scores, and a reliable change score table. The 2nd edition of the mini mental state examination mmse 2 is a useful screening tool for cognitive impairment in adults. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Cognitive impairment is no longer considered a normal and inevitable change of aging. Although older adults are at higher risk than the rest of the population, changes in cognitive function often call for prompt and aggressive action. The mini mental state examination template provides the guidelines to access the mental condition of the resident. 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. Mar 05, 2015 the clock drawing test versus minimental status examination as a screening tool for dementia. 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. A practical method for grading the cognitive state of patients for the clinician.
636 633 1433 811 219 715 677 167 491 973 982 939 544 199 1005 268 1111 571 308 1314 1198 1196 99 1232 563 378 166 1493 1035 1046 502 492 1063 240 1329 523 1520 1022 1297 34 1180 1463 1462 835 227 473