Mini Mental Assessment


Department of Primary Health Care, University College and Middlesex School of Medicine, London.


The use by non-medical staff of a brief screening instrument (the mini-mental state examination) to detect cognitive impairment among the elderly in primary care is described. Patients aged 75 years and over registered with nine general practices in north and north west London were invited by their general practitioners to take part in the study and 1170 patients participated, a response rate of 90%. The prevalence of possible or probable cognitive impairment (score below 25 on the mini-mental state examination) was 12.8%. Six per cent of patients scored below 19, at which score a high probability of dementia exists, although less than a third of this group had a diagnosis of dementia in their medical records. There was no significant difference between men and women or by social class in the proportion of patients with low scores, but the proportion with dementia rose from 2.5% in those aged 75-79 years to 29.0% among those aged 90 years and over. Under the new general practitioner contract there is a requirement to provide annual services to the elderly, including a 'mental assessment'. In a practice with a list size of 2000 around 130 patients are likely to be aged 75 years and over. Of these around 17 would require further assessment for possible dementia on the basis of results obtained using the mini-mental state examination.

These references are in PubMed. This may not be the complete list of references from this article.
  • O'Connor DW, Pollitt PA, Hyde JB, Brook CP, Reiss BB, Roth M. Do general practitioners miss dementia in elderly patients? BMJ. 1988 Oct 29;297(6656):1107–1110.
  • Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189–198.
  • Wilcock GK. The challenge of Alzheimer's disease-no longer a silent epidemic. Health Trends. 1988 Feb;20(1):17–20.
  • Anthony JC, LeResche L, Niaz U, von Korff MR, Folstein MF. Limits of the 'Mini-Mental State' as a screening test for dementia and delirium among hospital patients. Psychol Med. 1982 May;12(2):397–408.
  • O'Connor DW, Pollitt PA, Treasure FP, Brook CP, Reiss BB. The influence of education, social class and sex on Mini-Mental State scores. Psychol Med. 1989 Aug;19(3):771–776.
  • PARSONS PL. MENTAL HEALTH OF SWANSEA'S OLD FOLK. Br J Prev Soc Med. 1965 Jan;19:43–47.

You might also like

Nursing Clipboard with Storage and Reference for Nursing Students and Nurses: White Durable Plastic Medical Clipboard (Includes 2 Freebies: Nursing Brain Sheet and Physical Assessment Sheet)
Office Product (NRSNG)
  • Nursing Clipboard With Clinical Reference Guides (designed by ICU Nurses) with Storage and dry erase Writable Surface
  • 9X13 with 1 Inch Deep Storage Space for Clinical Paperwork, Assignments, Notes and Separate Storage Space for Pens
  • Removable Top, HIPAA Compliant Storage Space (keep your patient information private unlike foldable clipboards without a cover)
  • Quick Nursing References (lab values, nursing pharmacology, ABG values, medical Spanish, EKG, assessment, GCS, math for meds, medications antidotes, more)
  • The ONLY Nursing Clipboard You Will EVER Need: This is the best medical clipboard designed specifically for nurses and nursing students. Store your patient assessments...
Ezyoutdoor 5 Pieces Mini Knife Hand Tools Knife Webbing Buckle Pocket Tool for Bottle Opener Fruit Knife Sports Outdoor Self-Defense Survival Half Serrated and Salf Straight Edge
Home Improvement (Ezyoutdoor)
  • Ezyoutdoor specialize in outdoor sports equipment accessories.
  • Key-sized multi-tool that easily attaches to an existing key chain or strap
  • Ideal gift/tools/Climbing Carabiners for the outdoor climbing fans
  • A variety of useful tools in a compact, easy to use design
  • Package included : 5 pieces(half serrated and half straight edge),life warranty,7-15 shipping days with tracking number
RTI: Assessments & Remediation for K-2: Rubrics, Record-Keeping Sheets, and Research-Based Assessments With Reproducible Testing Mini-Books That Help ... in Reading and Writing Throughout the Year
Book (Scholastic Teaching Resources (Teaching)
  • Used Book in Good Condition
ElectroFlip Hidden Mini Spy DVR Video Audio Recorder Cam for Employee Assessment , Electronics & computer
GPS or Navigation System (ElectroFlip)
  • NEW
  • ElectroFlip
GE Protimeter GE Protimeter BLD2000 Mini Moisture Meter, LED Display, 6 to 90% Range, 9 V Power, 7-1/64" Length x 1-29/32" Width x 1.09" Height
BISS (GE Protimeter)
  • Bright LED display for clarity
  • Durable and rugged design
  • Color coded moisture scale for simple classification of dry, borderline or damp conditions in materials
  • Comfortable to hold and easy to use
  • Auto shut off for increased battery life

Copyright © . All Rights Reserved