The mental status examination includes general observations made during the clinical encounter, as well as specific testing based on the needs of the patient and physician. Slums is a screening tool that was developed to give clinicians a better gauge of early changes in an individuals cognitive levels that could signal the onset of dementia and indicate to. Qualified health care professionals who have been trained by viewing a vaproduced video available online can use the form, and must be retrained annually. It tests the individuals orientation, attention, calculation, recall, language and motor skills. The current diagnostic term for dementia is major neurocognitive disorder, but the word dementia wont be going away soon. Slumsscreening for cognitive impairment in older adults.
Normative data on mmse age years education 1824 2529 3034 3539 4044 4549 5054 5559 6064 65. Louis university mental status examination is a 30point screening questionnaire that tests for orientation, memory, attention, and executive functions. Slums dementia test available in various languages elder. Louis university mental status slums administration. Slums dementia test available in various languages derrick alzheimers, professional resources nina tumosa, professor of internal medicine at saint louis university, gave me different versions of the saint louis university mental status exam slums, each in a different language. Minimental status exam orientation 10 points registration 3 points attention and calculation 5 points recall 3 points language 8 points visuospatial 1 point total30, if less than 25, consider dementia. The saint louis university mental status slums examination for detecting mild cognitive impairment and dementia is more sensitive than the minimental status examination mmse a pilot study. Before administering the slums the training video should be viewed and then.
Saint louis university mental status slums examination. The slums was created by the director of the division of. The exam serves as a tool to indicate whether a doctor should consider further testing to diagnose dementia. The minimental status examination offers a quick and simple way to quantify cognitive function and screen for cognitive loss. Saint louis university mental status exam rehabmeasures. The following two fictional reports are samples of psychiatricoriented mses.
Louis university mental status slums during a medical visit. Comparison of the saint louis university mental status. The saint louis university mental status examination slums, mini mental state examination mmse, short test of mental state stms and test your memory tym were administered for comparison. See more ideas about psychiatry, therapy tools and therapy. Andrew rosenzweig, md, mph, is an alzheimers disease expert and the chief clinical officer for medoptions. Steven gans, md, is boardcertified in psychiatry and is an active supervisor, teacher, and mentor at massachusetts general hospital. The objective of this study was to compare slums and the mmse for detecting dementia and mild neurocognitive disorder mncd using diagnostic and statistical manual. The saint louis university mental status slums examination for detecting mild cognitive impairment and dementia is more sensitive than the minimental status examination mmse a. Mental status exam items american physician institute for advanced professional studies llc 8772258384 general appearance alertness. The slums exam is also considered to be more sensitive than a test like the mmse minimental status examination and so can pick up on any issues sooner. Medicare annual wellness visit algorithm for assessment of. This video is a visn 15 geriatric research, education, and clinical center grecc project produced in cooperation with the employee education system. Mmse and slums abstract practitioners have long relied upon the mini mental status exam mmse to quickly assess cognitive functioning in older adults. It is not related to the facts of the clients situation, but to the way the person acts, how the person talks, and how the person looks while in your presence.
Dementia is a condition or syndrome, not just a single disease. Louis university mental status slums sh tariq, n tumosa, jt chibnall, hm perry iii, and je morley. Sh tariq, n tumosa, jt chibnall, hm perry iii, and je morley. Because the slums exam is more comprehensive than the mmse, be sure to ask your aging loved ones physician which exam will be. The mental status examination describes the sum total of the examiner s observations and impressions of the psychiatric patient at the time of the interview. The saint louis university mental status slums examination for detecting mild cognitive impairment and dementia is more sensitive than the mini mental status examination mmse a pilot study. Mmse and slums scores correlated with each other r 0. Whereas the patients history remains stable, the patients mental status can change from day to day or hour to hour. The saint louis university mental status exam is an assessment tool for mild cognitive impairment and dementia and was developed in partnership with the geriatrics research, education and clinical center at the st. Nina tumosa, professor of internal medicine at saint louis university, gave me different versions of the saint louis university mental status exam slums, each in a different language. These sample reports can be helpful if youre learning to conduct mental status examinations and write mse reports.
A mental status examination can be an abbreviated assessment done. Several of these, including the montreal cognitive assessment moca. Please repeat the words after i have said all three. Psychometric properties of the saint louis university. Also tests calculation, abstraction, clock drawing. Cordell cb, borson s, boustani m, chodosh j, reuben d, verghese j, et al. The saint louis university mental status examination slums is a brief oralwritten exam given to people that are suspected to have dementia or alzheimers disease. To date, there has been a paucity of research on its psychometric properties. Mental status slums examination saint louis university. Each section of the test involves a related series of questions or commands. The st louis university mental status exam, also known as slums test, identifies the subtle symptoms of dementia and allows individuals to seek medical intervention early for the treatment of dementia. The mental status examination mse is based on your observations of the client. The saint louis university mental status slums exam possesses many.
Using a sample of 148 male veterans referred to a va mild cognitive impair. Some providers repeat patient assessment with an alternate tool e. The saint louis university mental status slums examination is a relatively new brief cognitive screening measure developed for use with veterans. The saint louis university mental status examination slums is a method of screening for alzheimers. Click on the image or right click to open the source website in a new browser window. The saint louis university mental status examination slums test is a brief oralwritten exam given to people that are suspected to have dementia or alzheimers disease. Brief interview for mental status bims repetition of three words ask resident. Clinicians signature date time high school education l. Slums dementia test available in various languages. The slums exam is a clinician administered examination used to identify persons who have dementia or mild neurocognitive impairment. These images are a random sampling from a bing search on the term saint louis university mental status.
The montreal cognitive assessment moca was designed as a rapid screening instrument for mild cognitive dysfunction moca mental status exam pdf. Dementia evaluation and treatment dementia evaluation. Download the slums test a dementia alzheimers exam. Understanding the importance of early treatment dementia this test may be done in the doctors office and does not need time between appointments to monitor a change in mental status. Generally, mental status examinations mses can have a more neurological focus or a more psychiatric focus. There are many causes of dementia, and alzheimers disease is the most common by far in the united. The slums was conducted as a result of the patient failing the minicog assessment. The saint louis university mental status slums examination for detecting mild cognitive. The saint louis university mental status slums examination is a 30point screening questionnaire that tests for orientation, memory, attention, and executive functions. Mental status slums examination normal mci dementia name age is patient alert. This tool was created to automate the scoring of the saint louis university mental status slums exam.