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Saint Louis University Mental Status
Aka: Saint Louis University Mental Status, SLUMS
- Advantages: Compared with MMSE
- Free for clinical use
- In contrast, MMSE was initially taught as a free, gold standard exam in medical school
- Later required a fee for clinical use
- Identifies mild cognitive disorders
- In contrast, MMSE is often normal in mild cognitive disorders, especially with college education
- Criteria: 11 Questions for a total of 30 points
- Orientation: 3 (day of the week, year, U.S. state)
- Assign 1 point for each correct (3 points total)
- Memory: Remember 5 objects (Apple, Pen, Tie, House, Car)
- Assign 5 points on correct recall
- Calculation: Start with $100 and spend $3, then $20; how much is spent and how much remains
- Assign 2 points for $77
- Name as many animals as possible in 5 minutes
- Assign 3 points for 15 or more, 2 points for 10 or more, 1 point for 5 or more
- Reverse number sequences (87, 649, 8537)
- Assign 1 point for 946 and 1 point for 7358
- Given a clock face, write the hour markers 1-12 and place the hands on the clock at 10 minutes to eleven
- Assign 1 point for correct markers and 1 point for correct time
- From 3 shapes (square, triangle, rectangle), choose the triangle and choose the largest
- Assign 1 point for each of the 2 tasks
- A brief story is read and patient answers four questions about it
- Assign 2 points for each of the 4 questions
- Interpretation: High School Education
- Normal: 27-30
- Mild Neurocognitive Disorder (MNCD): 21-26
- Dementia: <21
- Interpretation: Less than High School Education
- Normal: 25-30
- Mild Neurocognitive Disorder (MNCD): 20-24
- Dementia: <20
- Resources
- Saint Louis University Mental Status (SLUMS) PDF
- http://medschool.slu.edu/agingsuccessfully/pdfsurveys/slumsexam_05.pdf
- References
- Tariq (2006) Am J Geriatr Psychiatry 14(11): 900-10. [PubMed]