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mental status examination (MSE)
A descriptive inventory of behavior & a method by which to systematically organize & record observations which describe a patient's behavior.
Indications:
- standardized cognitive testing for elderly who report short-term memory loss & deteriorating independence
- allows for screening in multiple domains, & for deficits that may assist with localization & diagnosis [2]
Function:
1) aid in understanting a patient's psychological state
2) help in diagnosis
3) baseline for comparison of future assessments
4) written, descriptive record of the patient
Components:
1) appearance
-> an individualized & vivid portrait of the patient
2) behavior
a) posture
b) gait
c) tremors
3) speech
a) rate
b) volume
4) attitude
a) indicates how patients may get along with others
b) (e.g. suspicious, domineering, submissive, provocative uncooperative)
5) feelings
a) affect
b) mood
6) perception
a) illusions
b) hallucinations
7) orientation
-> orientation to time, place, person
8) thinking
a) level of consciousness
b) continuity of thinking
c) obsessions, compulsions
d) phobias
e) depersonalization & derealization
f) suicidal or homicidal thinking
g) delusions
h) ideas of reference or influence
9) higher intellectual function
a) memory
b) attention & concentration
c) general information, intelligence
d) calculation
e) abstraction
f) language
g) visual/spacial skills
h) judgement, insight
Related
cognitive scale
neuropsychologic testing
Specific
Alzheimer's disease assessment scale (ADAS)
Blessed dementia scale (BDS)
Brief cognitive rating scale (BCRS)
clinical dementia rating scale (CDR)
Cognetivity's Integrated Cognitive Assessment (CognICA)
cognitive abilities screening instruments (CASI)
consortium to establish a registry for Alzheimer's disease word list (CA-CWL)
dementia screening questionnaire for individuals with intellectual disabilities (DSIID)
Folstein Mini-Mental Status Examination (MMSE)
general practioner assessment of cognition (GPCOG)
geriatric evolution by relative's rating (GERRI)
Mattis dementia rating scale (MDRS)
memory impairment screen (MIS)
MiniCog
Montreal cognitive assessment (MoCA) tool
neurobehavioral cognitive status examination (NCSE)
neurobehavioral rating scale (NBRS)
Saint Louis University Mental Status Examination (SLUMS)
Self-Administered Gerocognitive Examination (SAGE)
short portable mental status questionnaire (SPMSQ)
Sweet 16
General
cognitive assessment
References
- Tsoi KK et al
Cognitive Tests to Detect Dementia. A Systematic Review and
Meta-analysis.
JAMA Intern Med. Published online June 08, 2015.
PMID: 26052687
http://archinte.jamanetwork.com/article.aspx?articleID=2301149
- NEJM Knowleged+ Question of the Week. May 1, 2018
https://knowledgeplus.nejm.org/question-of-week/1613