2011 Standardized Mini-Mental State Examination (Smmse) Form

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Standardized Mini-Mental State
Examination (SMMSE)
Directions for administration of the SSMSE:
1. Before the questionnaire is administered, try to
6. If the person answers: What did you say?, do not
get the person to sit down facing you. Assess the
explain or engage in conversation. Merely repeat the
person’s ability to hear and understand very simple
same directions a maximum of three times.
conversation, e.g. What is your name? If the person
7. If the person interrupts (e.g. What is this for?), reply,
uses hearing or visual aids, provide these before
I will explain in a few minutes, when we are finished.
starting.
Now if we could proceed please . . . we are almost
2. Introduce yourself and try to get the person’s
finished.
confidence. Before you begin, get the person’s
8. It is important to score the test as fairly as possible for
permission to ask questions, e.g. Would it be alright to
everyone. People who have physical, non-cognitive
ask you the same questions about your memory? This
disabilities should not score lower just because they
helps to avoid catastrophic reactions.
are physically unable to perform certain tasks (E.g..
amputee who cannot fold with both hands). If an item
3. Ask each question a maximum of three times. If the
subject does not respond, score 0.
is omitted, it is important to take this into account when
scoring the test. The score from this task is subtracted
4. If the person answers incorrectly, score 0. Accept that
from the total score (30) to give a new total.
answer and do not ask the question again, hint, or
The person’s score is then adjusted to this new total
provide any physical clues such as head shaking, etc.
score.
5. The following equipment is required to administer the
Formula for New Total Score=
instrument: A watch, a pencil, Page 2 of this SMMSE
(Actual score x 30) / adjusted total
with CLOSE YOUR EYES written in large letters and
two five-sided figures intersecting to make a four-sided
figure and a blank piece of paper.
Scoring WORLD backwards (instructions for item #4)
Write the person’s response below the correct response.
Draw lines matching the same letters in the correct response and the response given.
These lines MUST NOT cross each other. Draw only one line per letter.
The person’s score is the maximum number of lines that can be drawn without crossing any.
Examples:
D
L
R
O
W
D
L
R
O
W
= Score 3
= Score 5
D
R
W
O
D
D
L
R
O
W
D
L
R
O
W
D
L
R
O
W
= Score 1
= Score 3
L
L
O
W
R
O
D
L
R
O
W
D
L
R
O
W
= Score 3
= Score 0
L
R
R
W
O
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822221 Nov 29-11

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