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. Instructions for administ ration of mini mental status examination mmse 3 stage command. Standardised minimental state examination smmse tool. Minimental state examination mmse heart and stroke foundation. The 41point tics is a longer test than the mmse such that the tics provides a more extensive validation of a 26point telephone version of the minimental state examination. The mini mental state examination mmse is a tool that can be used to systematically and. In fact, health care providers typically will look at a patients medical history, physical exam results, and sometimes neurological test results, including brain scans. Mini mental status exam mmse physical exam step 2 cs.
Three word recall scoring look directly at person and say, please listen carefully. Differentiate aging and dementia exactly as it appears in the pdf available here without. In general participant scoring below educationadjusted cutoff scores on the mmse may be cognitively impaired. The examiner repeats them until patient learns all of them, if possible. A practical method for grading the cognitive state of patients for the clinician. Scoring of the mini mental status exam mmse scores on the mini mental status exam range from 0 to 30, with scores of 25 or higher being traditionally considered normal. Please repeat the words after i have said all three. The minimental status exam mmse is a cognitive screening tool that provides a brief, objective measure of cognitive function. Place index finger of right hand on your nose and then on your left ear. The minimental state mms examination is a widely used screening test for dementia.
The mini mental status exam mmse is one of the most widely used screening instruments for dementia. 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. Take the paper in your right hand, fold it in half and put it on the floor. 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. The score for world reversal is 17 per cent of smmse score 5 of 30 points. If the subject cannot spell world even with assistance, score 0. The mmse is far more sensitive in detecting cognitive. The test was developed around 1975, and has been used to track an individuals mental deterioration over time. Pfeiffer short portable mental status questionnaire spmsq. The m odified m ini m ental s tate 3ms test has incorporated.
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. Par mmse2 minimental state examination, 2nd edition. Compared with the mmse, the 3ms has more standardized administration and more graded scoring. The mmse2 has also been translated into german, dutch, french, russian, spanish for the us, simplified chinese, spanish for latin america, european spanish, and italian. This video demonstrates an administration of the standardised minimental state examination smmse with an actor playing the role of a. The 3ms was intended to improve discrimination among different levels of. The standardised minimental state examination was developed to provide clear unequivocal guidelines for administration and scoring. The mini mental state examination mmse is a commonly used set of questions for screening cognitive function.
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. Reliability of a standardized minimental state examination compared with the traditional minimental state examination. Please see accompanying guidelines for administration and scoring instructions. Score degree of impairment formal psychometric assessment daytoday functioning 2530 questionably significant. Populationbased norms for the minimental state examination by age and educational level. Because the overall difficulty and raw score range remain the same as in the original, mmse2. The mental status examination mse is a component of all. Since then it has been translated into many languages and has become the most widely used brief test of. Mini mental state examination oxford medical education. While the structure and scoring of the original 30point mmse remain, problematic items were replaced and several tasks were modified to adjust difficulty level. 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. The mini mental status exam mmse is one of these tests, and is administered to patients at risk for or suspected of developing dementia. When greater sensitivity is desired, a cut point of state mms examination is a widely used screening test for dementia.
The modified minimental state mmms, or 3ms test extends the scope of the minimental state examination mmse. Pfeiffer short portable mental status questionnaire spmsq the following instructions are for administering the short portable mental status questionnaire spmsq. The modified minimental state 3ms examination evelyn lee teng, ph. Widely used tool for detecting cognitive impairment, assessing severity, and monitoring cognitive changes over time. The standardised minimental state examination smmse. The minimental status examination offers a quick and simple way to quantify cognitive function and screen for cognitive loss. The mmse is a 30 point test that was designed as a short screening measure of cognitive status. I am going to say three words that i want you to repeat back to me now and try to remember. In administering the spmsq, the interviewer should read the introduction printed at the top. The saint louis university mental status exam is an assessment tool for mild cognitive impairment and dementia and was developed in partnership with the geriatrics research, education and clinical center at the st. It tests the individuals orientation, attention, calculation, recall, language and motor skills. The modified mini mental state 3ms incorporates four added test items, more graded scoring, and some other minor changes.
The smmse takes less time to administer and has significantly reduced the variability of the mmse. All of these steps, along with the results of a mental status test like the the mmse, help. Scores less than 10 generally indicate severe impairment, while scores. Incorrect scoring of world reversal may result in incorrect assumptions of clinical change. It can be used to screen for cognitive impairment, to estimate the severity of the impairment, and to document cognitive change over time. Validation of a 26point telephone version of the mini. Each section of the test involves a related series of questions or commands. The minimental state exam mmse is a widely used test of cognitive function among the elderly. Scoring sh tariq, n tumosa, jt chibnall, hm perry iii, and je morley. Brief interview for mental status bims repetition of three words ask resident. 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. Minimental state examination mmse 224 51 minimental state examination mmse additionally, scoring software can be purchased that generates detailed reports based on respondent results.
The administration and scoring manual contains detailed information about administration, scoring, and choosing which version of the mmse2 to use. 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. Unlike a detailed mental status exam, screening questionnaires are less. These modifications are designed to sample a broader variety of cognitive functions, cover a wider range of. Standardised minimental state examination smmse tool ihpa. Give the patient a piece of plain blank paper and ask him to follow your instructions. 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. 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. 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.
This questionnaire is optional for both consumer andor caregiver. It is commonly used in medicine and allied health to screen for dementia. A score below 20 usually indicates cognitive impairment. The validity of using the mini mental state examination in nice dementia guidelines. It is also used to estimate the severity and progression of cognitive impairment and to follow the course of cognitive. Instructions for administration of minimental status.
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