mini mental status exam Diagnosing Dementia: The Mini Mental Status Exam (MMSE) The Mini Mental Status Exam is a brief test given to patients at risk or suspected of developing dementia; it measures memory, orientation and math skills. July 02, 2015 Written By: Dementia.org Published On July 02, 2015 If you suspect that a loved one is developing cognitive impairment beyond normal memory issues associated with aging, the next step is to have them evaluated by a psychiatrist or neurologist. Diagnosing dementia can be difficult because symptoms typically occur gradually and are often associated with many different disorders. Certain tests, including the Mini Mental Status Exam, seek to eliminate ambiguity and concretely define a patient's overall cognitive ability. When The Test Is Used There are several different mental status tests that can be implemented to gather information to diagnose a patient with dementia, or monitor the progression of the condition. The Mini Mental Status Exam (MMSE) is one of these tests, and is administered to patients at risk for or suspected of developing dementia. The test was developed around 1975, and has been used to track an individual's mental deterioration over time. The MMSE aims to determine whether a patient: Has a sense of him/herself, as well as where he/she is and the date and time Is aware of the symptoms he/she is experiencing Is capable of remembering basic lists Is capable of following instructions and performing simple math Procedure The MMSE is conducted by a health professional in about ten minutes. The test consists of 30 possible points, which are distributed across memory, orientation and math skills—covering eight sections. While variations of the test do exist, the point allocation and subjects covered generally remain the same. (5 points) “Orientation to time" measures an individual's sense of date and time (5 points) “Orientation to place" measures an individual's sense of location (3 points) “Registration" is a patient's ability to repeat a short list of prompts, usually common objects (5 points) “Attention and calculations" use serial sevens (counting backward from 100 by increments of 7), or similar basic math to determine a patient's arithmetic ability (3 points) “Recall" determines if a patient can remember the list from “Registration" (2 points) “Language" forces a patient to name common objects, usually two (1 point) “Repetition" asks a patient to repeat a given phrase (6 points) “Complex Commands" gives an abstract instruction, such as to draw an object, to test a patient's capacity for complex cognitive function. What It Means The MMSE features a clear grading scale: 25 or more points is considered “intact" 21-24 points is considered “mild" cognitive impairment 10-20 points is considered “moderate" cognitive impairment 0-9 points is considered “severe" cognitive impairment Scores in the bottom two categories strongly indicate the presence of dementia. The exam, while beneficial in its cognitive assessment, should only serve as a portion of a full clinical assessment to determine whether a patient has developed dementia. Low scores are highly correlated with instances of dementia, but several other factors can complicate the assessment—including physical injuries, other existing mental conditions and previous difficulty with math and/or language. The test cannot serve as an exclusive diagnosis of dementia, but it can be very useful as a complementary tool and a method to track a patient's progression as the disease develops.0642 Recommended Articles montreal cognitive assessment The Montreal Cognitive Assessment (MoCA) diagnosis Should I See A Psychiatrist, Or A Neurologist? symptoms Signs Of Dementia In The Brain Most Searched Types Alzheimer's Huntington's Disease Parkinson's Disease Creutzfeldt-Jakob Disease Early-Onset Dementia Tags: mini mental status exam diagnosis treatments Learn More: The Montreal Cognitive Assessment (MoCA) End Stage Of Dementia The Mini Mental Status Exam (MMSE) Dementia From Oxygen Deprivation The Best Foods For Dementia Patients Dementia Grief – What Makes It Unique?