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Topic: Mental status examination

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In the News (Thu 20 Jun 19)

  Mental status examination - Wikipedia, the free encyclopedia
Mental status examination, or MSE, is a medical process where a clinician working in the field of mental health (usually a social worker, psychiatrist, psychiatric nurse or psychologist) systematically examines a patient's mind.
The result of this examination is combined with the psychiatric history to produce a "psychiatric formulation" of the person being examined.
It is customary to separate speech from thought in the MSE, although this is rather artificial.
en.wikipedia.org /wiki/Mental_status_examination   (1364 words)

 THE MERCK MANUAL OF GERIATRICS, Ch. 38, Mental Status Examination
Problems with mental status can be suggested by the medical history (by both its content and its manner of delivery by the patient); however, determination and documentation of current mental status require a mental status examination.
Identification of the underlying cause of abnormal mental status requires integrating all information from the history, the mental status examination, other components of the physical examination, and laboratory tests.
Mental status examination begins with the clinical assessment of the patient and is followed by use of one or more quantitative assessment instruments (see Table 38-1), the most widely used being the Mini-Mental State Examination.
www.merck.com /pubs/mm_geriatrics/sec5/ch38.htm   (217 words)

 Mental Status Examination | AHealthyMe.com
A mental status examination (MSE) is an assessment of a patient's level of cognitive (knowledge-related) ability, appearance, emotional mood, and speech and thought patterns at the time of evaluation.
The purpose of a mental status examination is to assess the presence and extent of a person's mental impairment.
A MSE cannot be given to a patient who cannot pay attention to the examiner, for example as a result of being in a coma or unconscious; or is completely unable to speak (aphasic); or is not fluent in the language of the examiner.
www.ahealthyme.com /topic/topic103548140   (1473 words)

 Alzbrain.org Alabama's Alzheimer's Resource   (Site not responding. Last check: 2007-11-02)
A mental status examination is an assessment of the patient's intellectual and emotional function.
The mini-mental status examination is the minimum assessment that is appropriate for screening of intellectual loss.
The mental health center can perform the clinical history for dementia, the mental status examination and the cognitive screen while the physician can perform the physical exam including the neurological assessment as well as ordering appropriate laboratory tests.
www.alzbrain.org /MentalHealth/dementia.htm   (1651 words)

 Mental Health: Culture, Race, Ethnicity - Chapter 1, Scope and Terminology
Mental Illness The term that refers collectively to all mental disorders, which are health conditions characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning.
The formal diagnosis of a mental disorder is made by a clinician and hinges upon three components: a patient’s description of the nature, intensity, and duration of symptoms; signs from a mental status examination; and a clinician’s observation and interpretation of the patient’s behavior, including functional impairment.
Other mental health experts point out that the discussion of idioms of distress is too limited and fails to capture their nuances, from their everyday meanings within a culture to their significance as symptoms of distress and their possible application to many different disorders across cultures (Kirmayer & Young, 1998; see also Chapter 6).
www.mentalhealth.samhsa.gov /cre/ch1_scope.asp   (3425 words)

 Pacific Neuropsychiatric Institute: Mental Status Examination   (Site not responding. Last check: 2007-11-02)
Some mental status headings are ambiguous as you can, for example, describe certain signs under a person's appearance and very often, the same features could equally well relate to the patient's affect - the appearance of the patient may be sad and that same sadness should be picked up with regard to his emotions.
The mental status examination in psychiatry is the equivalent of the physical examination in general medicine.
We should distinguish between the historical mental status evaluation, which consists of the symptom cluster descriptions relevant to mental status, and the mental status examination, that component of evaluation often relating to the historical data but eliciting physical signs about mental status.
www.pni.org /neuropsychiatry/mental_status.html   (594 words)

 PNI.org | Pacific Neuropsychiatric Institute   (Site not responding. Last check: 2007-11-02)
Examining personality style from the MCMI-III can give the clinician valuable information on how the expression of symptomatology will be seen by others and the relative strengths and weaknesses in personality structure.
These criteria are based on unambiguous clinical mental status features using the mental status mnemonic ACCLAIMED covering areas broadly translated under appearance, consciousness and concentration, cognitive function, localization of cortical pathology, affect, insight and judgement, motivation and motoric elements, ego environment interaction, and dangerousness and disability.
Mental arithmetic reasoning should be asked about regarding the patients ability to keep up with finances, make change, and estimate necessary everyday calculations.
www.pni.org /neuropsychiatry/chit/evaluation.html   (8504 words)

 THE MERCK MANUAL OF GERIATRICS, Ch. 38, Mental Status Examination
Mental status examination should be performed, to some extent, in all patients, even if only to document that no problem exists.
The examiner should explain to the patient the need for a mental status examination and request the patient's consent and cooperation.
Orientation to time and place is graded; ie, patients with cognitive impairment may know the year but not the day of the week; they may know the state they live in but not the floor of the building they are on.
www.merck.com /mrkshared/mmg/sec5/ch38/ch38b.jsp   (1375 words)

 eMedicine - History and Mental Status Examination : Article Excerpt by: Guy E Brannon, MD
Legally, a mental status if conducted against the patient’s will is considered assault with battery.
Therefore, it is important to secure the patient’s permission or to document that a mental status is being done without the patient’s approval if in an emergency situation.
The time it takes to complete the initial interview may vary; however, with experience, interviewers develop their own comfortable pace and should not feel rushed to complete the interview in any time that is less than comfortable for either the interviewer or the patient.
www.emedicine.com /med/byname/history-and-mental-status-examination.htm   (730 words)

 Mini-mental state examination - Definition, Purpose, Precautions, Description, Results
The mini-mental state examination, which is also known as the MMSE, standardized MMSE, SMMSE, or the Folstein, is a brief examination consisting of eleven questions intended to evaluate an adult patient's level of cognitive functioning.
The patient is asked to repeat a short phrase after the examiner; to count backward from 100 by 7s; to name the current President of the United States (in Great Britain, the names of the Queen and her four children); and similar brief items.
In the second part of the examination, the patient is asked to follow verbal and written instructions, write a sentence spontaneously, and copy a complex geometric figure similar to a Bender-Gestalt figure—a series of nine designs each on separate cards given the test taker who is asked to reproduce them on blank paper.
www.minddisorders.com /Kau-Nu/Mini-mental-state-examination.html   (989 words)

 [No title]
The mental status of older adults upon admission to a hospital setting is predictive of behavioral problems during their hospitalization.
Mental status assessment screens for changes in cognition and mood, but does not provide a diagnosis of dementia.
Mental status assessment is designed to elicit cognitive abilities and deficits, emotional functioning, and basic intellectual functioning.
www.hartfordign.org /guides/Module5CognitiveMentalAssessment.doc   (1338 words)

 eMedicine - History and Mental Status Examination : Article by Guy E Brannon, MD
To examine patients' abstract thought process, have them identify similarities between 2 objects and give the meaning of proverbs, such as "Don't cry over spilled milk." Once this is completed, perform the physical examination and needed laboratory tests to help exclude medical causes of presenting symptoms.
The history and MSE are crucial first steps in the assessment and are the only diagnostic tools psychiatrists have to select treatment for each patient and, therefore, ultimately are the deciding factor for initial treatments.
The formulation is for the current situation and identifies the specific event, state of mind, topics of concern and defense mechanism(s) used, relationships, and the strengths that the patient brings to the treatment setting.
www.emedicine.com /med/topic3358.htm   (5920 words)

 Mini-Mental Related Articles - used to detect: cognitive deficits, alzheimer's disease, dementia, cognitive screen
The MMS as it is extracted from the clinical examination has an advantage in assessment of patients and clinical problems not so obvious in tests such as the WAIS that are designed for other purposes such as prediction of school or occupational performance.
A short, standardized form was devised for the serial testing of the cognitive mental state in patients on a neurogeriatric ward, as well as for consecutive admission to a hospital.
The Mini-Mental Status was useful in quantitatively estimating the severity of cognitive impairment, in serially documenting cognitive change, and in teaching residents a method of cognitive assessment.
www.minimental.com /article.html   (2208 words)

 Patient Evaluations for Bipolar Disorder
After interviewing the patient, performing a physical examination, and gathering more information from family, friends, and perhaps other physicians to whom the patient is known, the problem may be classified as being primarily caused by a physical health problem or by a mental health problem.
Lastly, insight into the patient's mental and physical states, the current circumstances of medical or mental health care, and the patient's ability to use age-appropriate judgments are assessed and integrated into the evaluation of the global mental state of the patient at that moment.
Cardiovascular, pulmonary, and abdominal examinations are also essential because abnormal pulmonary functioning or poor vascular perfusion of the brain may cause abnormal mood, behavior, or cognition.
www.concernedcounseling.com /communities/bipolar/overview_2.asp   (1930 words)

 Compensation and Pension Examination
Unless alcohol or drug abuse is secondary to or is caused or aggravated by another mental disorder, you should separate, to the extent possible, the effects of the alcohol or drug abuse from the effects of the other mental disorder(s).
Mental incompetency, for VA benefits purposes, means that the veteran, because of injury or disease, is not capable of managing benefit payments in his or her best interest.
Describe changes in psychosocial functional status and quality of life since the last exam (performance in employment or schooling, routine responsibilities of self care, family role functioning, physical health, social/interpersonal relationships, recreation/leisure pursuits).
www.vba.va.gov /bln/21/benefits/exams/disexm56.htm   (1436 words)

 Resource Guide: Mental Health Assessments
As a part of the 1998 Mental Health Strategic Plan, conducting assessment activities were found to be one of the most important functions of the mental health services model.
Assessment in the case of mental health services requires that the mental health staff person know the individual needing mental health services well and involve as many pertinent professionals, family members, and others as possible in the assessment process, based upon the urgency of the situation.
Many mental health practitioners do what is called a mental status examination.
learningforlife.fsu.edu /mentalhealth/resource_guide/assessment.html   (667 words)

 Mental Status Assessment
The most common of these is the Folstein Mini-Mental Status Examination, a 30-point test of orientation, memory, attention, and ability to draw, read, and follow directions.
Because many patients are sensitive about loss of memory, it is important to preface tests of mental status with a brief explanation of the routine nature of this part of the examination.
The University of Minnesota is committed to the policy that all persons shall have equal access to its programs, facilities, and employment without regard to race, color, creed, religion, national origin, sex, age, marital status, disability, public assistance status, veteran status, or sexual orientation.
www.geriatrics.umn.edu /SAT/mentalst.htm   (219 words)

 Neuropsychology & Behavioral Neuroscience
Mental functions are commonly disturbed by neurologic disorders.
Mental functions reflect the state of the entire.organism.
Examine patient's ability to conceive, formulate and execute complex, purposive, skilled, volitional acts.
neuro.psyc.memphis.edu /NeuroPsyc/np-m-stat.htm   (1731 words)

 Types of Mental Status Examinations -Techniques & SettingsPsychiatric Interview
When a patient has been referred to an ambulatory clinic for a situational or personality problem, and none of the indications for a comprehensive screening examination pertain (see next section), a brief, informal screen is sufficient.
The brief screening MSE is completed during the inception, reconnaissance, and detailed inquiry stages of the psychiatric interview.
The interviewer should be alerted to the need for a comprehensive screening MSE whenever there is a reasonable possibility that the patient has psychosis or primary or secondary brain dysfunction.
psychiatry.healthse.com /psy/more/types_of_mental_status_examinations   (211 words)

 [No title]
Elicit, describe and precisely record the components of the mental status examination, including general appearance and behavior, motor activity, speech, affect, mood, thought processes, thought content, perception, sensorium and cognition (e.g., state of consciousness, orientation, registration, recent and remote memory, calculations, capacity to read and write, abstractions), judgment, and insight 5.
Finally, recognize and identify the effects of psychotropic medication in the physical examination Diagnosis, Classification, and Treatment Planning Overall Goal By the end of the clerkship, the student will be able to identify psychopathology, formulate accurate differential and working diagnoses, and develop appropriate assessment and treatment plans for psychiatric patients.
Discuss the process of admission to a psychiatric hospital, specifically: a) the implications of voluntary vs. involuntary commitment status b) the principles of civil commitment and c) the process for obtaining a voluntary of involuntary commitment and a physician's role in obtaining it 5.
navigator.medschool.pitt.edu /UL_media/614121412.doc   (4576 words)

 UpToDate The detailed neurologic examination in adults
There is no clear consensus among experts regarding the optimal order of performing or presenting the neurologic examination or its components (eg, the motor examination).
Components of the standard neurologic examination are found in Table 1 and discussed in detail in this review (show table 1).
The examination of comatose patients is discussed separately.
patients.uptodate.com /topic.asp?file=genneuro/2959   (398 words)

 The Mental Status Examination in Patients With Mental Retardation and Developmental Disabilities   (Site not responding. Last check: 2007-11-02)
Andrew S. Levitas, M.D., Anne DesNoyers Hurley, Ph.D. and Robert Pary, M.D. The Mental Status Examination (MSE) is a crucial part of the evaluation of any patient, providing clues to diagnosis beyond what is found in the history and serving as a check or confirmation of caregivers' reports and observations.
In the case of patients with mild or moderate mental retardation, the standard MSE format can be usefully followed, although some observations may differ in significance from similar findings in patients who do not have mental retardation and developmental disabilities (MR/DD), and some phenomena may take a different form.
For patients with severe or profound mental retardation the MSE format must be altered significantly to be adapted to their needs and the range of phenomena they display.
www.mhaspectsofdd.com /abstracts/Vol4Num1/1.htm   (155 words)

 Pub Preview: The Mental State Examination in Dementia - Alzheimer's Disease Education & Referral Center - ADEAR - A ...
Mental State Examination of the Older Adult (17:30-minute VHS videotape) - Presents a nurse administering a mental status examination to a woman with memory loss.
Shows how professionals may adapt the Mental State Examination for use with dementia patients who no longer are able to respond to formal cognitive testing.
Illustrates the examination of three female patients, each with differing degrees of impairment.
www.alzheimers.org /catalog/mental.html   (239 words)

 South Dakota Division of Mental Health QMHP Endorsement
However, endorsement is required to conduct the examination specified in SDCL 27A-10-6.
Individuals requesting to take the endorsement examination should submit a letter with their full name, home address, name and address of employment, telephone number, a photocopy of their respective South Dakota professional license, along with a $15.00 fee.
Also, very importantly, it is the responsibility of each individual endorsed as a Qualified Mental Health Professional to notify the Division of Mental Health with any employment changes, name changes, or address changes.
www.state.sd.us /dhs/dmh/qmhp.htm   (714 words)

 Mini-mental state examination - Wikipedia, the free encyclopedia
The mini-mental state examination (MMSE) or Folstein test is a brief 30-point questionnaire test that is used to assess cognition.
abbreviated mental test score (1972, geriatrics) and longer formal tests for deeper analysis of specific deficits.
The presence of purely physical problems can also interfere with interpretation if not properly noted; for example, a patient may be physically unable to hear or read instructions properly, or may have a motor deficit that affects writing and drawing skills.
en.wikipedia.org /wiki/Mini_mental_state_examination   (466 words)

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