When a patient is seen by a neurologist or a physiatrist it is easier to look at the chart and see a test score assigned to the patient by previous clinicians. Given the fact that in our modern medicine each patient is assessed and treated by multiple clinicians developing clinical tests deemed necessary. From executive function to memory, attention and motor planning, cognitive ability of a patient is a strong determinant of longterm outcome and prognosis. Whether hemorrhagic or ischemic, stroke is the main cause of vascular cognitive impairment (VCI). 4- MMSE and MoCA forms to download (PDF- English & French).3- Montreal Cognitive Assessment (MoCA): Sensitivity, Specificity and Predictive Values.2- Mini-Mental Status Examination (MMSE): Sensitivity, Specificity and Predictive Values.Here, we argue that in clinical settings, despite their usefulness, these tests do not provide helpful information and potentially create a preconceived notion about patients cognitive status if administered in the first few weeks of stroke onset. These test are administered mainly to detect Mild Cognitive Impairment (MCI) in older population, but in recent years their utility has increased in the realm of stroke care and research. Make sure to let your health care provider know about any new problems your loved one has with memory, language, or ability to function in daily life.The need for stratification and a common scale amongst clinicians to evaluate and rate patients cognitive status has led to development of clinical scales and tests such as Mini-Mental Status Examination (MMSE) and Montreal Cognitive Assessment (MoCA)-as well as a dozen more tests. Your loved one also may be asked to take the MMSE test again in the future to see how memory loss has progressed. These drugs may improve certain symptoms of dementia, but they haven’t been shown to slow or stop the progress of dementia. If your loved one is diagnosed with dementia, he or she may be offered a drug designed to help patients with dementia. These may include assisted living, memory care or a nursing home. You may need to find more care options for your loved one, such as regular in-home care or dementia care options in a residential care community. Your health care professional will let you know what next steps to take, depending on the diagnosis. Your loved one will have to undergo other tests for their diagnosis, including a physical exam, a medical history, brain scans, and possibly other memory tests.Īlthough health care providers use the MMSE often, researchers encourage health care professionals to consider the results along with the patient’s personality, behavior, and how he or she is able to manage at home and with daily life activities. The health care professional will consider this result when determining whether to diagnose your loved one with dementia. If your loved one has a score between 10 and 20 points on the MMSE, he or she may have moderate dementia. The scores are generally grouped as follows: The MMSE has a maximum score of 30 points. Some test items receive a higher score than others. The total possible score on the test is 30 points. The MMSE asks questions such as, “What is the year?”, “Where are we now?”, “Make up and write a sentence about anything,” and “Spell WORLD backwards.” The MMSE is used to help measure short- and long-term memory, concentration and understanding instructions. The MMSE is not the only test given to find out if someone has dementia, but it is a test that is often used by health care professionals. This person may have Alzheimer’s disease, which is the most common form of dementia. ![]() Dementia refers to a decline in mental ability that is severe enough to affect daily life. The Mini-Mental State Examination (MMSE) is a test that health care professionals give to someone who may have dementia.
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