Download mini-mental state exam (mmse pdf

One point is given for each letter spelled in the correct order backwards to a maximum score of five. If more or less then 5 letters are given, then one point is deducted for each extra or missing letter. When writing, only give a point if it is a comprehensible sentence with a subject and verb. Ignore spelling, grammatical or punctuation errors.

The quality of handwriting such as tremor and letter size does not count. When scoring the intersecting pentagons, only give a point if the pentagons overlap to form a 4-sided embedded figure. In higher education levels, the MMSE scores increase and the range of scores narrow. While the MMSE is a screening test and not a diagnostic tool, MMSE findings can be used to correlate to dementia subtypes and the severity of neuropsychiatric disorders including depression.

At MMSE scores above 24, it lacks sensitivity to diagnose mild neurocognitive disorders , and other cognitive tests, like the MoCA or detailed neuropsychological testing is needed. Similarly, in severe dementia i. The MMSE is also less sensitive in the measurement executive function problems, since it is more geared towards memory and language. Thus, the MMSE relies heavily on verbal cognitive function at the expense of non-dominant hemisphere skills.

The MMSE has no assessment of executive functioning or visual memory. The MMSE score can also be affected by race and ethnicity, and is lower in older black and ethnic minority groups. The lower scores are due to reduced English fluency, lower educational levels, and socioeconomic status. Practice effects are improvements in cognitive testing performance due to repeated exposure to the test material. To reduce the bias of practice effects, different words can be used for the recall task, and different common objects can be used for naming.

Last edited on June 5, Diagnostic Use and Average Scores. Download MMSE. Instructions MMSE. Calculation Serial 7s Ask the patient to take away 7 from It is good practice to do both serial 7s and WORLD in cognitive testing, note the performance on both, and use the highest score available. NICE has issued rapid update guidelines in relation to many of these. This guidance is changing frequently. The mini mental state examination MMSE is a commonly used set of questions for screening cognitive function [ 1 ].

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 [ 2 ]. The MMSE is far more sensitive in detecting cognitive impairment than the use of informal questioning or overall impression of a patient's orientation. Before administering the MMSE it is important to make the patient comfortable and to establish a rapport.

Praising success may help to maintain the rapport and is acceptable. However, persisting on items the patient finds difficult should be avoided. The MMSE was originally distributed without cost but the current copyright holders are Psychological Assessment Resources PAR who "will not grant permission to include or reproduce an entire test or scale in any publication including dissertations and theses or on any website".

All users will need to purchase the tests from PAR [ 6 ]. We regret, therefore, that we have removed further details of the test from this site. J Alzheimers Dis. There is no fee to use SAGE for individual clinical use and noncommercial educational use. Researchers at Ohio State evaluated study participants using SAGE and then evaluated the same subjects with other established assessment tools. The test has a sensitivity of 79 percent and a false positive rate of 5 percent in detecting cognitive impairment from normal subjects.

In another study, researchers at Ohio State performed an item analysis of the test questions. Take me there. View Data PDF. When older adults start struggling with using technology such as smart phones, computers and tablets, this could be an early sign of dementia. A neurologist at The Ohio State University Wexner Medical Center explains how to help if your loved ones no longer remember how to use their cellphone, or forget passwords and how to login to their online accounts.

Sometimes, what feels like a memory problem is really difficulty with attention or increased awareness of normal forgetting. By clicking "Subscribe" you agree to our Terms of Use. We'll be in touch every so often with health tips, patient stories, important resources and other information you need to keep you and your family healthy. Why take the SAGE test? What do I do after I take the test?

Terms and conditions. By clicking "I agree", you agree to the terms and conditions stated above. I agree and download test. How to administer and interpret the test. How to administer the test The test is self-administered and can be taken at a person's home, in a physician's office or virtually anywhere. The steps to administer the test are as follows: Inform the examinee that there are four pages to complete. Have the examinee fill out the test in ink without the assistance of others.

Calendars and clocks should not be available during the testing. Do not answer specific questions. Just say, "Do the best that you can. Average time to complete is 10 to 15 minutes. How to interpret the results Examinees who download SAGE from the Internet and take it at home are instructed to bring their completed test to their primary care physician.

Scharre at Ohio State and licensed to BrainTest. How to help when seniors struggle with technology When older adults start struggling with using technology such as smart phones, computers and tablets, this could be an early sign of dementia.

Is there a link between menopause and dementia? Get tips from Ohio State experts right to your inbox. Email address. First name. Last name.