SEMINAR – MINI-MENTAL STATUS EXAMINATION
(MHN)
• NAME – PRATIK ARUN KALBANDE
• ROLL NO. -23
• SUBJECT – MENTAL HEALTH NURSING
• TOPIC – MINI-MENTAL STATUS EXAMINATION
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• SUBMITTED TO - RESP. GAIKWAD MAM
MINI MENTAL STATUS EXAMINATION
(MMSE)
INTRODUCTION –
THE MINI MENTAL STATUS EXAMINATION (MMSE) IS A BRIEF, STRUCTURED 30-POINT
QUESTIONNAIRE USED TO ASSESS COGNITIVE FUNCTION.
DEVELOPED BY FOLSTEIN ET AL. (1975), IT IS WIDELY USED IN PSYCHIATRY, NEUROLOGY, AND
GERIATRIC MEDICINE.
MMSE IS ESPECIALLY USEFUL FOR SCREENING DEMENTIA, DELIRIUM, AND COGNITIVE IMPAIRMENT,
AND FOR MONITORING PROGRESSION OF ILLNESS OR TREATMENT RESPONSE.
OBJECTIVES –
1. TO PROVIDE A QUICK, STANDARDIZED METHOD FOR ASSESSING COGNITIVE STATUS.
2. TO HELP IN SCREENING FOR DEMENTIA AND DELIRIUM.
3. TO EVALUATE ORIENTATION, MEMORY, ATTENTION, LANGUAGE, AND VISUOSPATIAL SKILLS.
4. TO MONITOR CHANGES IN COGNITION OVER TIME.
• STRUCTURE OF MMSE (30 POINTS TOTAL)-
• 1. ORIENTATION (10 POINTS)
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• TIME (5 POINTS): ASK DATE, DAY, MONTH, YEAR, SEASON.
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• PLACE (5 POINTS): ASK ABOUT PLACE, CITY, DISTRICT, STATE, COUNTRY.
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• 2. REGISTRATION (3 POINTS)
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• NAME THREE UNRELATED OBJECTS (E.G., BALL, TREE, BOOK) AND ASK PATIENT TO REPEAT THEM.
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• 3. ATTENTION AND CALCULATION (5 POINTS)
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• SERIAL SUBTRACTION: SUBTRACT 7 FROM 100, CONTINUE 5 TIMES.
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• ALTERNATIVE: SPELL THE WORD “WORLD” BACKWARD.
• 4. RECALL (3 POINTS)
• ASK THE PATIENT TO RECALL THE THREE OBJECTS LEARNED EARLIER.
• 5. LANGUAGE (8 POINTS)
• NAME TWO COMMON OBJECTS (E.G., PEN, WATCH). (2 POINTS)
• REPEAT A PHRASE: “NO IFS, ANDS, OR BUTS.” (1 POINT)
• FOLLOW A 3-STAGE COMMAND (E.G., “TAKE THIS PAPER, FOLD IT, PUT IT ON THE FLOOR”). (3 POINTS)
• READ AND OBEY A WRITTEN INSTRUCTION (E.G., “CLOSE YOUR EYES”). (1 POINT)
• WRITE A SENTENCE (MUST CONTAIN A SUBJECT AND VERB). (1 POINT)
• 6. VISUOSPATIAL ABILITY (1 POINT)
• COPY A PAIR OF INTERSECTING PENTAGONS.
• SCORING & INTERPRETATION
• MAXIMUM SCORE: 30
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• 24–30: NORMAL COGNITION
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• 18–23: MILD COGNITIVE IMPAIRMENT
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• 0–17: SEVERE COGNITIVE IMPAIRMENT
• CLINICAL APPLICATIONS
• SCREENING FOR DEMENTIA (E.G., ALZHEIMER’S DISEASE).
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• DETECTING DELIRIUM IN HOSPITALIZED PATIENTS.
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• MONITORING PROGRESSION OF NEUROCOGNITIVE DISORDERS.
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• RESEARCH TOOL FOR ASSESSING TREATMENT OUTCOMES.
• LIMITATIONS
• INFLUENCED BY EDUCATION LEVEL AND LANGUAGE.
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• NOT SENSITIVE FOR MILD COGNITIVE IMPAIRMENT.
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• DOES NOT ASSESS EXECUTIVE FUNCTION IN DETAIL.
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• SHOULD NOT BE USED ALONE FOR DIAGNOSIS – ALWAYS COMBINED WITH HISTORY,
PHYSICAL EXAM, AND OTHER ASSESSMENTS.
Role of nurse-
Administer the test in a quiet, distraction-free environment.
Use simple, clear instructions.
Observe both verbal and non-verbal responses.
Record scores accurately and report to the psychiatrist/neurologist.
Provide reassurance and maintain patient dignity during assessment.
CONCLUSION -
THE MINI MENTAL STATUS EXAMINATION (MMSE) IS A VALUABLE, QUICK, AND STANDARDIZED TOOL
FOR ASSESSING COGNITIVE FUNCTION.
IT HELPS MENTAL HEALTH NURSES DETECT COGNITIVE DECLINE, PLAN NURSING CARE, AND
MONITOR TREATMENT EFFECTIVENESS.
DESPITE ITS LIMITATIONS, MMSE REMAINS ONE OF THE MOST WIDELY USED COGNITIVE SCREENING
TESTS WORLDWIDE.
• REFERENCE -
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• FOLSTEIN MF, FOLSTEIN SE, MCHUGH PR. “MINI-MENTAL STATE”: A PRACTICAL METHOD FOR
GRADING THE COGNITIVE STATE OF PATIENTS FOR THE CLINICIAN. JOURNAL OF PSYCHIATRIC
RESEARCH, 1975.
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• TOWNSEND, M. C. – PSYCHIATRIC MENTAL HEALTH NURSING.
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• KAPLAN & SADOCK’S SYNOPSIS OF PSYCHIATRY.
