Mini mental status examination

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Mini mental status examination

  1. 1. MR. JAYESH PATIDARwww.drjayeshpatidar.blogspot.comMINI MENTAL STATUSEXAMINATION
  2. 2. CONCEPT…The mini mental stateexamination is a cognitive testused to screen for thepresence of cognitiveimpairment.www.drjayeshpatidar.blogspot.com
  3. 3. USES OF MSE… It provides measures of orientation,registration & short-term memory,attention, voluntary movement &language functioning. The shortened version of theminimental state examination is anaccurate predictor of dementia.www.drjayeshpatidar.blogspot.com
  4. 4. SCORING… It is a reliable test, with score of 25-30considered normal, 18-24 indicativeof mild to moderate, scores of 17 orless correlate with substantialimpairment in activities of daily living. Social background, educational level& verbal ability can influence results& should be taken into account intheir interpretation.www.drjayeshpatidar.blogspot.com
  5. 5. COMPONENTS OF MMSE… Orientation Registration Attention Calculation Recall Language etc.www.drjayeshpatidar.blogspot.com
  6. 6. FORMATOFMINI MENTALSTATUSEXAMINATIONwww.drjayeshpatidar.blogspot.com
  7. 7. COMPONENT DESCRIPTION PATIENTSCOREPOINTSI. OrientationWhat is the year?Season?Date?Day?Month?Which is our state?Country?Town or city?Hospital?Floor?1111111111II. Attention & calculationSpell “ world” backwards give 1 point for each letter that isin the right place (for example, DLROW =5)alternatively, do serial 7s (ask the person to countbackwards from 100 in blocks of 7 i.e. 93, 86, 79, 65).Stop after five subtractions. Give one point for eachcorrect answer.5www.drjayeshpatidar.blogspot.com
  8. 8. COMPONENT DESCRIPTION PATIENTSCOREPOINTSIII. RegistrationName three objects (for example, apple, table, pen) takingone second to say each one. Then ask the individual torepeat the names of all three objects. Give one point foreach correct answer. Repeat the object names until allthree are learned3IV. RecallAsk for the three objects repeated above (for example,apple, table, pen). Give one point for each correct object3V. LanguagePoint to a pencil & ask the person to name this object (1point). Do the same thing with a wrist watch (1 point)2Ask the person to repeat the following. No „ifs‟ & or „buts‟ (1point). Allow only one trial 1Give the person a piece of blank white paper & ask them tofollow a three stage command. Take a paper in your 3www.drjayeshpatidar.blogspot.com
  9. 9. COMPONENT DESCRIPTION PATIENTSCOREPOINTSWrite „CLOSE YOUR EYES‟ in large letters & show it to thepatient. Ask him or her to read the message & do whatit says (give 1 point if they actually close their eyes).1Ask the individual to write a sentence of their choice on ablank piece of paper. The sentence must contain asubject & a verb, & must make sense. Spellingpunctuations & grammar are not important (1 point)1Show the person a drawing of two pentagons whichintersect to form a quadrangle. Each side should beabout 1.5 cm. ask them to copy the design exactly as itis (1 point). All 10 angles need to be present & the twoshapes must intersect to score 1 point. Tremor &rotation are ignored.1Total score 30www.drjayeshpatidar.blogspot.com
  10. 10. www.drjayeshpatidar.blogspot.com

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