Definition The mental status examination is a structured assessment of the patient's behavioral and cognitive functioning.
The "daVinci Anatomy Icon" denotes a link to related gross anatomy pictures. During the course of the normal interview, most of the information relevant to this assessment is obtained indirectly. This review provides an opportunity to consciously think of the elements contained within the MSE.
In the day to day practice of medicine and, in fact, throughout all of our interactions we continually come into contact with persons who have significantly impaired cognitive abilities, altered capacity for memory, disordered thought processes and otherwise abnormal mental status.
If a person seems "odd, confused or not quite right" what do we mean by this? What about their behavior, appearance, speech, etc.
Knowing when to "cut your losses" and abandon a more detailed examination obviously takes a bit of experience! In fact, even if you had the experience and knowledge to generate diagnoses, this still may not be possible after a single patient encounter.
The interview provides a "snap shot" of the patient, a picture of them as they exist at one point in time. The components of the MSE are as follows: How does the patient look? Neatly dressed with clear attention to detail?
Is the patient conscious? If not, can they be aroused?
Can they remain focused on your questions and conversation? What is their attention span?
Is it normal in tone, volume and quantity? Appropriate for the particular situation? Awareness of environment, also referred to as orientation: Do they know where they are and what they are doing here?
Do they know who you are? Can they tell you the day, date and year? How do they feel? You may ask this directly e. Is it appropriate for their current situation? How do they appear to you?Mental Status Examination: 52 Challenging Cases, DSM and ICD Interviews, Questionnaires and Cognitive Tests for Diagnosis and Treatment (Volume 1) 2nd Edition/5(43).
The mental status examination is an essential tool that aids physicians in making psychiatric diagnoses. Familiarity with the components of the examination can help physicians evaluate for and.
The mental status examination is useful in helping differentiate between a variety of systemic conditions, as well as neurologic and psychiatric disorders ranging from delirium and dementia to. 1 Mini-Mental State Examination (MMSE) Patient’s Name: Date: Instructions: Ask the questions in the order listed.
Score one point for each correct response within each question or activity. Maximum Score Patient’s Score Questions 5 “What is the year?
Date? Day of the week?. The mental status examination or mental state examination (MSE) is an important part of the clinical assessment process in psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, ICDCM: , 1 Case Management: The Mental Status Examination.
Part 1: Introduction. The mental status examination (MSE) is based on your observations of the client. It is not related to the facts of the client's situation, but to the way the person acts, how the person talks, and how the person.