6. The Mini-Mental State Exam (MMSE) is a widely used test
of cognitive function among the elderly; it includes tests of
orientation, attention, memory, language and visual-spatial
skills.
The mini-mental state examination is proprietary and takes
about 10-15 minutes to administer.
INTRODUCION
7. The Mini-Mental status Examination is a cognitive test to
screen for the presence of cognitive impairment example
Dementia.
DEFINITION
8. It is useful in helping differentiate between a variety of systemic
conditions, as well as neurologic and psychiatric disorders ranging
from delirium and dementia to bipolar disorder and schizophrenia.
It provides measures of orientation,registration & short-term
memory,attention, voluntary movement &language functioning.
PURPOSE OF MMSE
9. The shortened version of the mini mental state examination is an
accurate predictor of dementia.
It has also been recommended for the screening of cognition in
depressed patients.
CONT..
10. Try to get the person to sit down facing you.
• Assess the person’s ability to hear and understand very simple
conversation, e.g. what is your name? if the person uses hearing
or visual aids, provide these before starting.
GUIDELINES OF ADMINISTERING MMSE
11. Introduce yourself and try to get the person’s confidence.
• Before you begin, get the person’s permission to ask questions,
e.g. would it be all right to ask you some questions about your
memory? this helps to avoid catastrophic reactions.
CONT....
12. Ask each question a maximum of three times.
• If the person answers incorrectly , give score zero.
Accept that answer and do not ask the question again.
• Hint, or provide any physical clues such as head shaking, etc.
CONT....
13. If the person answers what did you say?, do not explain or engage in
conversation, merely repeat.
• If the person interrupts (e.g. queries what is this for?), just reply: I
will explain in a few minutes, when we are finished. now if we could
proceed please, we are almost finished.
CONT....
15. CATEGORIES OF MMSE
Categories represents different cognitive domains or functions;
Orientation: Temporal and geographical
Language functions: Reading, Comprehension, Writing, Repetition & Naming
Registration: First recall & Second recall
Mental Reversal
Construction Praxis- copying a figure (visuo-Spatial task)
17. INTERPRETATION of MMSE
Interpreting the MMSE Score
Widely accepted cutoff of 24/30 for MMSE
Don't forget age and education determine the correct cut score !
27-30: normal
21-26: mild cognitive impairment
11-20: moderate cognitive impairment
0-10: severe
18. Advantage of MMSE
"Could be administered without additional equipment at
patient bedside
Requires little critical thinking in interpretation
Quick to administer (10 minutes or less)
21. The MMSE fulfilled its original goal of providing a brief screening
test that quantitatively assesses the severity of cognitive impairment
and documents cognitive changes occurring over time.
The MMSE should not, by itself, be used as a diagnostic tool to
identify dementia.
CONCLUSION
22. • R Sreevani the health sciences publisher new delhi , london, philadelphia, panama
karnataka , india. A guide to mental health and psychiatric nursing page no. - 116 - 117.
• Folstein MF. Folstein SE. & McHugh, PR. (1975), Mini Mental State of patient for
clinician, J. of Psychiatric Res., 12, 189-198.
• Gangull M, Ratcliff G, Chandra V, Sharma S, Gliby JE, Pandav R, Belle S, Ryan CM,
Baker CR, Seaberg CR, and DeKooky ST. A Hindi version of the MMSE: the development
of a cognitive screening instrument for a largely illiterate rural elderly population in India.
International Journal of Geriatric Psychiatry, 10:367 377 (1995).
BIBLIOGRAPHY
