The minimental status examination offers a quick and simple way to quantify cognitive function and screen for cognitive loss. Variability in annual minimental state examination score. Write the greater of the two socres in the box labeled final score at right, and use it in deriving the total score. 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. Standardised minimental state examination smmse tool. A score below 20 usually indicates cognitive impairment. The score is the number of letters in correct order. The severity of a persons dementia gives an indication of which drugs may be of benefit. Differentiate aging and dementia exactly as it appears in the pdf available here without. 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. Examiners record individual test item scores on the mmse test form. Scores on the higher end indicate a higher cognitive function, while lower scores signal more severe cases of dementia. Mmse2 pocket norms guide includes raw means and standard deviations by age and education level, age and educationbased. Place index finger of right hand on your nose and then on your left ear.
Can provide a method of monitoring deterioration over time. Score one point for each correct response within each question or. It is commonly used in medicine and allied health to screen for dementia. Minimental state examination mmse answer sheet score points orientation. This score is used to denote the overall score for the test. Cognitive impairment recognition, diagnosis and management in primary care. Score if it is sensible and has a subject and a verb.
Minimental state examination mmse form iowa is often used in mini mental status exam form, medical examination form, medical forms and medical. The smmse takes less time to administer and has significantly reduced the variability of the mmse. The mmse is a brief screening tool that provides a quantitative assessment of cognitive impairment and to record cognitive changes over time. If the subject cannot spell world even with assistance, score 0. Minimental state examination score by age and educational level. It is also used to estimate the severity and progression of cognitive impairment and to follow. Take the paper in your right hand, fold it in half and put it on the floor. Minimental state examination mmse oxford medical education. Document vitals and ciwaar assessment on the withdrawal assessment sheet. Minimental state examination mmse heart and stroke foundation. Testretest minimental state examination mmse scores for patients with alzheimer disease. Score one point for each correct response within each question or activity. The mini mental state examination mmse cga toolkit.
Minimental state examination form download printable pdf. 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. Its possible to achieve a very high score but still have significant cognitive deficits, especially in areas such as executive functioning that the mmse is not designed to test for. Method score interpretation single cutoff 25 increased odds of dementia decreased odds of dementia education 21 one of the things a doctor considers when deciding if drugs will help a person with dementia. Guide to administration and scoring guide with slight revisions 2009. What is the year, where are we country, name 3 objects allotting one second to say each one. 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.
If started on scheduled medication, additional prn medication should be given for a total ciwaar score of 15 or greater. Mmse score ranges were then established between each pair of bordering cutoff scores. Dementia is a decline in mental ability that is severe enough to affect daily life. If the subject just reads and does not close eyes, you may repeat. The individual can receive a maximum score of 30 points. Ask patient to read and obey a written command on a piece of paper stating close your eyes. The minimental state examination also called the minimental status examination or the mmse is a test that was first published in 1975. Enter 99 if the resident was unable to complete the interview. Read the words on this page and then do what it says 1 then, hand.
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. Please indicate with if the item has been attempted by the patient on the mmse test sheet calculate the total score by adding up the score on all the items that the person was able to complete calculate the maximum obtainable score by adding up the. Mmse score sheet pdf pdf minimental state exam for children mmc in children with. Geriatric depression scale gds scoring instructions instructions. The mmse is a required part of this dementia assessment. The mmse is far more sensitive in detecting cognitive. Please indicate with if the item has been attempted by the patient on the mmse test sheet. The cdts were then rated by physicians and nurses using five different methods of scoring. It is also used to estimate the severity and progression of cognitive impairment and to follow the course of cognitive.
The mini mental status examination mmse is the most commonly used test for complaints of memory problems. It provides a global score which correlates with daily function. If the score is below 25, the result is usually considered to be abnormal indicating possible cognitive impairment. Instructions for administ ration of mini mental status examination mmse 3 stage command. Spell the word world you may help the person to spell the word correctly. Compared with the mmse, the 3ms has more standardized administration and more graded.
The standardised minimental state examination was developed to provide clear unequivocal guidelines for administration and scoring. The rowland universal dementia assessment scale rudas. Subjects whose education attainment level is some college or higher, a score on the mmse of 26 or below. Each section of the test involves a related series of questions or commands. More score sheets 35 free templates in pdf, word, excel. Median minimental state examination score by age and educational l subject. It is a paperbased 30point test widely used to detect cognitive issues. No could not recall no could not recall no could not recall yes, after cueing something to wear yes, after cueing a color yes, after cueing a piece of furniture 2. Reliability of a standardized minimental state examination compared with the traditional minimental state examination. 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.
Folstein minimental state exam learning about electronics. This tool crudely quantifies elements of the history and examination relevant to the risk of vascular dementia. The current version of the mmse mmse2 is owned by psychological assessment resources par a possible score of 30 is used to provide a picture of an. Mini mental status exam mmse physical exam step 2 cs. Ask the patient if he or she can recall the three words you previously asked him or her to. The final score is then summarized and used as a total score. While there are many instruments available to measure depression, the geriatric depression scale gds, first created by yesavage, et al. A cut point of sheet with close your eyes score on reverse of this sheet on it. Refer to accompanying guide for scoring instructions score on reverse of this sheet 5 5. The score is the number of letters in correct order e.
The mmse is used to screen patients for cognitive impairment, track changes in cognitive functioning over time, and oftentimes to assess the effects of therapeutic agents on cognitive function 2. 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 score of 23 or lower is indicative of cognitive impairment. Method score interpretation single cutoff 25 increased odds of dementia decreased odds of dementia education 21 minimental state examination mmse free printable, downloadable, pdf version. Mary law, sue baptiste, anne carswell, mary ann mccoll, helene polatajko, nancy pollock the canadian occupational performance measure copm is an. It tests the individuals orientation, attention, calculation, recall, language and motor skills. Its common for someone with alzheimers disease to have a score that goes down two to four points each year, according to the alzheimers association. 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. The score ranges listed here are widely used, but it should be noted that an mmse score is only an initial indicator of cognitive status, and norms for the mmse vary greatly depending on a persons age, education level, and race. Have you dropped many of your activities and interests. Pdf minimental state examination mmse and the modified mmse. Mini mental state examination oxford medical education. Mary law, sue baptiste, anne carswell, mary ann mccoll, helene polatajko, nancy pollock the canadian occupational performance measure copm is an individualized measure designed for use by occupational therapists to detect selfperceived change in occupational performance problems over time. Instructions for administration of minimental status.
Abnormal moca and normal range mmse scores in parkinson. Alcohol withdrawal assessment scoring guidelines ciwa ar. The lowest score for the raw score each side is carried over to give a final score for the test. The rowland universal dementia assessment scale rudas is a short cognitive screening instrument designed to minimise the effects of cultural learning and language diversity on the assessment of baseline cognitive performance. Stage stage name characteristic expected untreated ad duration months mental age years mmse score. Standardized minimental state examination 2014 close your eyes d l r o w d l r o w d l r o w l o w r o d l r o w l r r w o d l r o w d r w o d d l r o w l d l r o w score 3 score 1 score 5 score 3 score 3.
The score ranges listed here are widely used, but it should be noted that an mmse score is only an initial indicator of cognitive status, and norms for the. Clinical judgment must be used in interpreting the test and best when in conjunction with the mmsep. The stages of alzheimers disease as defined by fast are. The mini mental state examination mmse the mini mental state examination mmse is the most commonly used test for complaints of memory problems.
Canad ian occupational performance measure authors. The minimental state examination mmse 1 is the most commonly administered psychometric screening assessment of cognitive functioning. Click to download the mini mental status exam pdf file. Give the patient a piece of plain blank paper and ask him to follow your instructions.
Learn what the test involves, as well as how to score it and how. Median minimental state examination score by age and. Mini mental state examination mmse how to complete for. This factsheet looks at how the mmse is used and provides information about the test so that. The mini mental state examination mmse is a tool that can be. At visit 2, cdt and mmse were repeated, and at visit 3 the cdt, cgi and the gds were repeated. The rowland universal dementia assessment scale rudas is a short cognitive screening instrument designed to minimise the effects of a cultural learning and language diversity on the assessment of baseline cognitive performance. Standardised minimental state examination smmse tool ihpa. Widely used tool for detecting cognitive impairment, assessing severity, and monitoring cognitive changes over time. The minimental state exam mmse is a brief, structured test of mental status that takes about 10 minutes to complete. The xaxis indicates the mmse score obtained at the initial testing session and the yaxis indicates the mmse score obtained when the test was repeated 1 month later.
Refer to accompanying guide for scoring instructions score on reverse of this sheet. The correlation was calculated with a twobytwo table for each pair of mmse score rangecdr stage using data from the entire training sample. Detecting dementia with the minimental state examination. Cohens kappa was used to determine the agreement of each mmse score range and its corresponding cdr stage. Cutoff score is subjective but any score below 4 deserves further assessment, and when in doubt other sources of evidence must be sought. The gds long form is a brief, 30item questionnaire in which participants. Maximum score patients score questions 5 what is the year.
Alzheimers disease makes up 60 to 80 percent of dementia cases. Prophylactic medication should be started for any patient with a total ciwaar score of 8 or greater ie. Please see accompanying guidelines for administration and scoring. Clinical judgment must be used in interpreting the test and best when in conjunction with the mmse p. Gestandaardiseerde mmse pdf free download minimental state examination. Introduced by marshall folstein and others in 1975, the mmse is the most commonly used test to assess problems with memory and other cognitive functions. Abnormal moca and normal range mmse scores in parkinson disease without dementia.
Overview of the minimental state exam for alzheimers. Populationbased norms for the minimental state examination by age and educational level. A person who scores a three on the right and a two on the left would receive a final score of two. Iowa minimental state examination mmse form download. This factsheet looks at how the mmse is used and provides information about the test so that the person taking it knows what to expect. Add scores for each question and fill in total score 0015. When a loved one develops dementia, you may feel worried and overwhelmed about the situation. Download free printable more score sheets samples in pdf, word and excel formats. Minimental state examination rehabmeasures database. Gestandaardiseerde mmse tijdschrift voor psychiatrie. It can be used by clinicians to help diagnose dementia and to help assess its progression and severity. Functional assessment staging test the functional assessment staging test fast is the most well validated measure of the course of ad in the published, scientific literature. Begin with 100 and count back by 7 stop after 5 answers 93, 86, 79, 72, 65.
Name 3 objects allotting one second to say each one. Take the paper in your right hand, fold it in half and put it on the. Download, fill in and print minimental state examination mmse form iowa pdf online here for free. The mini mental state examination mmse is a commonly used set of questions for screening cognitive function. The education adjusted cutoff scores are calculated by data management. The test is often criticized for being biased against the visually impaired and poorly educated people.
696 604 1179 978 20 1230 257 1527 1336 615 1031 989 6 1111 574 808 397 1179 85 679 1039 1158 1284 93 1195 243 240 1141 1306 541 1454 334 356 202 1270 287 861 923 986 315 803 270 1378 1276