Widely used tool for detecting cognitive impairment, assessing severity, and monitoring cognitive changes over time. 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. Minimental state exam, minimental status exam, folstein mini mental status exam, folstein mmse, mmse. Assessment of a modified minimental scale for cognitive functions in children article pdf available in indian pediatrics 429. Standardised minimental state examination smmse tool ihpa. It is also used to estimate the severity and progression of cognitive impairment and to follow the course of cognitive changes in an individual.
The cognitive subscale of the alzheimers disease assessment scale adascog is used as an efficacy measure in clinical drug trials of alzheimers disease ad. Standardised minimental state examination smmse ihpa. They are both brief, though the mmse is a little shorter, taking about seven to eight minutes to administer. The mmse was designed as a screening test for the purpose of evaluating. Instructions for administration of minimental status. Read the words on this page and then do what it says. 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 mmse and the evaluation of cognitive impairment the cutoff scores of 2425 provides a reliable diagnosis of dementia with high sensitivity, specificity and diagnostic values. 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. Score degree of impairment formal psychometric assessment daytoday functioning 2530 questionably significant if clinical signs of cognitive impairment are present, formal assessment of cognition may be valuable.
Before the questionnaire is administered, try to get the person to sit down. All of these steps, along with the results of a mental status test like the the mmse, help a provider. From the page scaling popup menu, select one of the following options. 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.
Scale or resize printed pages in acrobat and reader. The mmse is a required part of this dementia assessment. Alzheimers disease assessment scale cognitive adas cog administration and scoring guidelines introduction. Strengths and weaknesses of a clinical instrument martine simard is a research fellow, department of psychiatry. In this study, we explored the results from two samples of patients n290 and n217 who had completed the minimental state examination mmse. The mini mental state examination mmse comprehensive. Minimental state examination score by age and educational level.
This page includes the following topics and synonyms. Download handout as pdf print and use to make mmse administration faster. Clinicians need to better understand the relationship. The cognitive performance scale cps was initially designed to assess cognition in long term care residents. Relationship between the montreal cognitive assessment and. Which minimental state exam items can be used to screen. Minimental state examination form download printable pdf. 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. Begin with 100 and count back by 7 stop after 5 answers 93, 86, 79, 72, 65. Maximum score patients score questions 5 what is the year. Minimental state examination mmse heart and stroke foundation.
Score one point for each correct response within each question or activity. Reliability of a standardized minimental state examination compared with the traditional minimental state examination. Although older adults are at higher risk than the rest of the population, changes in cognitive function often call for prompt and aggressive action. Conversion between minimental state examination, montreal cognitive assessment, and dementia rating scale2 scores in parkinsons disease inger van steenoven, bsc,1 dag aarsland, md, phd,1,2,3 howard hurtig, md,4 alice chenplotkin, md,4 john e. A minimental state examination mmse is a set of 30 questions that doctors and other healthcare professionals commonly use to check for cognitive impairment problems with thinking, communication, understanding and memory. Scroll down for the calculated mmse score and interpretation. Name 3 objects allotting one second to say each one. On average, the mmse score of a person with alzheimers declines about two to four points each year. Comparison between the mmse and the eortc cognitive functioning scale was statistically significant p scale cps to detect. The minimental state exam mmse is a widely used test of cognitive function among the elderly.
A practical method for grading the cognitive state of patients for the clinician study. The mini mental state examination mmse used in adults was modified, using tests from. In general participant scoring below educationadjusted cutoff scores on the mmse may be cognitively impaired. Mini mental state examination oxford medical education. The montreal cognitive assessment moca was developed to enable earlier detection of mild cognitive impairment mci relative to familiar multidomain tests like the minimental state exam mmse. Acrobat can size the pages of a pdf to fit the selected paper size. Mental state examination mmse, a widely used global cognitive screening scale. Median minimental state examination score by age and. The mmse is not the only test used to determine if someone has dementia. Minimental state examination questionnaire mmse this example shows data from one subject collected at one visit for the mmse.
Assessment of a modified minimental scale for cognitive functions in children. The mini mental state examination mmse is a cognitive test that is commonly used as part of the evaluation for possible dementia. Please see accompanying guidelines for administration and scoring instructions. Populationbased norms for the minimental state examination by age and educational level. The mental status examination mse is based on your observations of the client. Both the mmse and the moca are routine cognitive screening tests rated on a 30point scale. The person administering the mini mental st atus exam needs to be sensitive. In general participant scoring below educationadjusted cutoff. This tool crudely quantifies elements of the history and examination relevant to the risk of vascular dementia. We use as an example our hindi adaptation of the mini. A score of 20 to 24 suggests mild dementia, to 20 suggests moderate dementia, and less than 12 indicates severe dementia.
In fact, health care providers typically will look at a patients medical history, physical exam results, and sometimes neurological test results, including brain scans. Description the subtests of the adascog should be given in the order indicated. Lenore kurlowicz, phd, rn, cs and meredith wallace, phd, rn, msn why. Alzheimers disease assessment scale cognitive adas.
Minimental state examination mmse1 questionnaire supplement to the study data. Standardised minimental state examination smmse the minimental state examination mmse was first published in 1975 by m. What is the year, where are we country, name 3 objects allotting one second to say each one. A mental status examination can be an abbreviated assessment done. Subsequently, the cps has also been used among inhome, postacute, and acute care populations even though cps clinimetric performance has not been studied in these settings. We used data from 1,648 ad participants in two identical 26week multicenter drug trials to examine the distribution of baseline adascog scores in relation to selected demographic and clinical variables, minimental state exam mmse. Cognitive impairment is no longer considered a normal and inevitable change of aging. Points total memory naming visuospatial executive attention language abstraction delayed recall orientation read list of words, subject must repeat them. Mmse discriminated well between subgroups of patients differing in disease severity as defined by ecog performance status.
Minimental state examination mmse for the detection of. A short and simple questionnaire for screening of cognitive impairment is required for these patients, in order to proceed with more advanced testing if necessary. It is commonly used in medicine and allied health to screen for dementia. During the minicog, a person is asked to complete two tasks. In this article we report methods and preliminary data on the development of a hindi cognitive screening instrument suitable for the ballabgarh elderly population.