Mini mental or mmse test 5 areas to explore

The mini mental or MMSS test consists of a test to detect deficiencies at the cognitive level.

In Spain, it is known as the Wolf mec, which is an adapted and validated test to be used instead of the MMSS (Mini-Mental State Examination), very useful for the screening of dementia.

There are currently two versions of this mini mental test; One version is thirty points and another is thirty -five points. But, in international comparison, the thirty -point is the most appropriate.

Content

• What is the mini mental test and what is it for?
• How is the mini mental test managed?
• How do you do the site in the Mental Test?
  • Bibliography

What is the mini mental test and what is it for?

The mini mental test was designed in 1975 by Folstein and Mchung, With the purpose of performing a brief analysis of the mental state of a person and who, above all, could leave a clear difference between organic functional disorder and a psychiatric patient.

Today it is used a lot to identify and make evaluations about the progressions of cognitive disorders related to neurodegenerative diseases such as Alzheimer's, for example.

The MEC was the first Spanish version that was made of the MMSE, and which was adapted by wolf and other collaborators. Currently, the thirty -point version is widely used, although some specialists prefer the first version of thirty -five points.

But actually, The mini mental test is a short scale that does not take more than five to ten minute to administer it.

In each item or section several cognitive areas are explored, such as orientation, concentration, calculation, memory and language.

How is the mini mental test managed?

To administer the MINI mental test, the following instructions must be followed: First, invite the patient to cooperate and, second, never correct the patient, even when mistaken. The correct points of each section must be added at the end.

1. Orientation: For this point does not count autonomous community as a valid response, or provinces for nation.
2. Fixation: each word must be clearly repeated. The points to be given will be those corresponding to the first words repeated correctly. It should be told at this point that these words must be remembered because later they will be asked again. Up to six attempts are allowed for the patient to repeat the words correctly and learn them.
3. Concentration and calculation: A subtraction of three must be made. If the patient does not understand, he can make a reformulation of the question. For example: “If you have thirty pesetas and give me three, how many do you have left? The process must be followed, but never repeat the figure that the patient gives. In each correct subtraction it is given a point.
4. Memory: In this section the patient is given a broad margin of time so that he can remember without giving him help. Regardless of the order, for every word you remember will be given a point.
5. Language and construction: The person who manages the test must read the phrase slowly and with a good articulation. Each error in the letter corresponds to a zero as point in the item. As for verbal order, if the patient takes the paper with the left hand, it should be valued as an error. If you double it more than twice, it is also taken as an error. As for reading, writing and drawing, it is important to urge the patient to wear their glasses, if necessary. In the phrase the patient should be warned that he is not considered correct if he only writes his name. An example can be placed, only if necessary, but insist on the need to write something different. Prayer must have a subject, verb and a complement to be able to assign a point. Figure: The pentagon must have its five sides and five angles. It should be intertwined in two contact points.

How do you do the site in the Mental Test?

The maximum score, as the case may be, can be thirty -five points. At least in that version.

If the score is less than twenty -three, then it is considered that there is a deterioration at the cognitive level.

Some questions may not be answered, due to little academic instruction or for visual failures, then, in these cases, the question is eliminated and the final score is corrected.

For example, if the patient has visual problems, or blindness, and cannot obtain the four points of thirty -five, then the final score is calculated based on thirty -one points.

Regarding the interpretation, it should be noted that This instrument is brief and simple application, So do not require great skills to manage it.

But, if it should be clear that the level of schooling and age can influence the final score.

When the patient has a low cultural level, it is illiterate, or has sensory deficits, there are certain limitations, since all areas cannot be explored, so there is a possibility that a patient with cognitive impairment passes inadvertently.

Finally, when the patient is under 65 years old and his score is less than 23, then there is a deterioration. If the patient is not geriatric, but the score is less than 27, it is not considered normal either.

Now, some patients, especially who are suffering from depression or anxiety, can obtain low scores because their level of concentration is altered, without this being an indication of dementia. But, with insistence, they can perform the tasks indicated in the items.

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Bibliography

• Anthony, j. C., Leresche, l., Niaz, u., Von Korff, M. R., & Folstein, m. F. (1982). Limits of the 'mini-Mental state'as a screening test formentia and delirium among hospital patients. Psychological Medicine, 12(2), 397-408.
• Castro-Rojas, Maria & Salazar-Villanea, Monica. (2014). Mini Mental State Examination (MMSE).
• Carneo-Pardo, c. (2014). Is it time to retire the mini-Mental?. Neurology, 29(8), 473-481.
• Cockrell, j. R., & Folstein, m. F. (2002). Mini-Mental State Examination. Principles and practice of Geriatric Psychiatry, 140-141.
• León-Jiménez, f., Jara-Romero, l. AND., Chang-Dávila, d., Chichón-Peralta, J. L., & Piedra-Hidalgo, M. F. (2012, July). Mental health scarf through the mini test in medical students. In Annals of the Faculty of Medicine (Vol. 73, no. 3, pp. 191-196). UNMSM. School of Medicine.