Age-friendly Primary Health Care Centres Toolkit - World Health ...

AGE-FRIENDLY PRIMARY HEALTH CARE CENTRES TOOLKITWhat for ?By whom ?How long ?Tool 2: MMSEScreening of cognitive impairmentsMedical doctor15 minutesMiniMentaLNAME OF SUBJECT __________________ Age______________________Years of School Completed ____Approach the patient with respect and encouragement. Date of Examination________Ask: Do you have any trouble with your memory? Yes [ ] No [ ]May I ask you some questions about your memory? Yes [ ] No [ ]SCORE ITEM5 ( ) TIME ORIETATIOAsk:What is the year ______________ (1), season_____________(1),month of the year__________ _ _ (1), date_______________(1),day of the week_______________ (1)?5 ( ) PLACE ORIETATIOAsk:Where are we now? What is the state_________(1),city _________(1), part of the city________________(1),building____________(1), floor of the building_____ ______(1)?3 ( ) REGISTRATIO OF THREE WORDSSay: Listen carefully. I am going to say three words. You say them back after I stop.Ready? Here they are... PONY (wait 1 second). QUARTER (wait 1 second), ORANGE(wait one second). What were those words?_____________________________(1)_____________________________(1)_____________________________(1)Give 1 point for each correct answer, then repeat them until the patient learns all three.5 ( ) SERIAL 7s AS A TEST OF ATI'EIO AD CALCULATIOAsk: Subtract 7 from 100 and continue to subtract 7 from each subsequent remainderuntil I tell you to stop. What Is 100 take away 7 ? (1)Say:Keep Going___________________ (1), __________________(1),_____________________________(1), __________________(1).3 ( ) RECALL OF THREE WORDSAsk:What were those three words I asked you to remember?Give 1 point for each correct answer.___________________(1),_____________________________(1), __________________(1).2 ( ) AMIGAsk:What is this? (show pencil)_______(1), What is this? (show watch)___________(1).54