Standardised minimental state examination smmse tool. To determine the diagnostic accuracy of the minimental state examination mmse at various cut points for dementia in people aged 65 years and over in community and primary care settings who had not undergone. 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. Points 5 3 no points 1 3 2 2 6 30 copy cube velvet 1 st trial 2nd trial subject has to repeat them in the forward order subject has to repeat them in the backward order. The mini mental state examination mmse is a tool that can be used to systematically and thoroughly assess mental status. The test covers a variety of cognitive domains, including orientation to time and place, short. Score one point for each correct response within each question or activity. The mini mental state examination mmse is a commonly used set of questions for screening cognitive function. The minimental status examination offers a quick and simple way to quantify cognitive function and screen for cognitive loss. Because the guidelines for its application are brief, the administration and scoring of the test can vary between different individuals. Folstein minimental state exam 30 item screening tool useful for documenting serial cognitive changes an cognitive impairment document not only the total score but what items were missed on the mmse insightjudgment insight.
It is also used to estimate the severity and progression of cognitive impairment and to follow the course of cognitive. Mini mental state examination oxford medical education. The score for world reversal is 17 per cent of smmse score 5 of 30 points. The cognitive capacity screening examination ccse tests orientation, serial subtraction, memory, and similarities. It offers a brief assessment of the persons attention, concentration, orientation to.
The validity of using the mini mental state examination in nice dementia guidelines. The mini mental status exam mmse is one of these tests, and is administered to patients at risk for or suspected of developing dementia. Mini mental state examination mmse how to complete for. This study evaluates the efficacy of the mmse in the south african context. Standardised minimental state examination smmse please see accompanying guidelines for administration and scoring instructions say.
Please indicate with if the item has been attempted by the patient on the mmse test sheet. The education adjusted cutoff scores are calculated by data management. 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. Give the patient a piece of plain blank paper and ask him to follow your instructions. Take the paper in your right hand, fold it in half and put it on the floor. The modified minimental state test evelyn teng, 1987 purpose the modified minimental state mmms, or 3ms test extends the scope of the minimental state examination mmse. Some test items receive a higher score than others. The minimental state examination mmse is a widely used screening test for cognitive impairment in older adults. Instructions for administration of minimental status. The mmse tests orientation, immediate and shortterm memory, concentration, arithmetic ability, language, and praxis. Abbreviated mental test score the abbreviated mental test score amts was introduced by hodkinson in 1972 to rapidly assess elderly patients for the possibility of dementia the following questions are put to the patient. Standardized minimental state examination smmse 822221 nov 2911 page 1 of 4 directions for administration of the ssmse. In interpreting test scores, allowance may have to be made for education and ethnicity the mmse provides measures of orientation, registration immediate memory, shortterm memory but not longterm memory as well as language functioning the examination has been validated in a number of populations.
Therefore it is possible to switch from mmse to the mmse2. Abbreviated mental test score british geriatrics society. Sv without compromising longitudinal data and without any change in the normal range of scores. Examiners record individual test item scores on the mmse test form. Minimental state examination mmse free printable, downloadable, pdf version. Can provide a method of monitoring deterioration over time. In fact, health care providers typically will look at a patients medical history, physical exam results, and sometimes neurological test results, including brain scans. Whereas the patients history remains stable, the patients mental status can change from day to day or hour to hour. Each section of the test involves a related series of questions or commands. A guide to the standardized minimental state examination. Currently, the minimental state examination mmse is the most frequently used brief cognitive instrument. An mse is the psychological equivalent of a physical exam and describes the mental state and behavior of an individual undergoing the exam.
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. Evaluating the efficacy of the mmse 1 evaluating the. Parkinsons toolkit minimental state examination mmse. The test was developed around 1975, and has been used to track an individuals mental deterioration over time. Teng minimental state examination 3ms health abc operations manual page 5 5. Incorrect scoring of world reversal may result in incorrect assumptions of clinical change. Mini mental state examination mmse in 1975, it has become widely used as a screening test for cognitive impairment and it is routinely used as an inclusion exclusion criterion and outcome measure in clinical trials. I am going to ask you some questions and give yousome problems to solve. Standardized minimental state examination request pdf. 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.
The generalizability coefficient n 411 between the mmse and the mmse2. The stated minimental test varies from the original by questioning about month when the original minimental test asked about. It is assumed that everyone has had repeated opportunities to learn and report their date and place of birth. Assess the persons ability to hear and understand very simple conversation, e. It tests the individuals orientation, attention, calculation, recall, language and motor skills. Before the questionnaire is administered, try to get the person to sit down facing you. Main differences between the 3ms and the mmse the modified minimental state 3ms test has been designed to enhance the usefulness of the popular minimental state examination mmse folstein, folstein, and mchugh, 1975. Instructions for administ ration of mini mental status examination mmse 3 stage command. Mini mental state examination mmse how to complete for patients with sensory deficit if patient has sensory deficit eg visual hearing loss, paralysis of limbs the mmse score should be adjusted to adjust the mmse score. A comparison of scoring protocols on the clock drawing test in relation to ease of use, diagnostic group, and correlations with minimental state examination.
Please repeat the words after i have said all three. The minimental state examination mmse is probably the best known. Parkinsons toolkit instructions for administration and scoring of the mmse. Compared with the mmse, the 3ms has more standardized administration and more graded scoring. The mmse is far more sensitive in detecting cognitive. The 3ms was intended to improve discrimination among different levels of dementia. Primarily a screening tool for dementia, the mmse is currently the most widely used screening tool of cognitive functioning. Cognitive performance on the minimental state examination.
The above minimental test score is based on the format taught to oxford university medical students 2. Minimental state examination mmse for the detection of. The mini mental state examination mmse is a cognitive test that is commonly used as part of the evaluation for possible dementia. All of these steps, along with the results of a mental status test like the the mmse, help. Health abc operations manual page 1 teng minimental. The saint louis university mental status slums examination for detecting mild cognitive impairment and dementia is more sensitive than the minimental status examination mmse a pilot study. It is commonly used in medicine and allied health to screen for dementia.