II. Advantages: Compared with MMSE

  1. Free for clinical use
    1. In contrast, MMSE was initially taught as a free, gold standard exam in medical school
    2. Later required a fee for clinical use
  2. Identifies mild cognitive disorders
    1. In contrast, MMSE is often normal in mild cognitive disorders, especially with college education

III. Criteria: 11 Questions for a total of 30 points

  1. Orientation: 3 (day of the week, year, U.S. state)
    1. Assign 1 point for each correct (3 points total)
  2. Memory: Remember 5 objects (Apple, Pen, Tie, House, Car)
    1. Assign 5 points on correct recall
  3. Calculation: Start with $100 and spend $3, then $20; how much is spent and how much remains
    1. Assign 2 points for $77
  4. Name as many animals as possible in 5 minutes
    1. Assign 3 points for 15 or more, 2 points for 10 or more, 1 point for 5 or more
  5. Reverse number sequences (87, 649, 8537)
    1. Assign 1 point for 946 and 1 point for 7358
  6. Given a clock face, write the hour markers 1-12 and place the hands on the clock at 10 minutes to eleven
    1. Assign 1 point for correct markers and 1 point for correct time
  7. From 3 shapes (square, triangle, rectangle), choose the triangle and choose the largest
    1. Assign 1 point for each of the 2 tasks
  8. A brief story is read and patient answers four questions about it
    1. Assign 2 points for each of the 4 questions

IV. Interpretation: High School Education

  1. Normal: 27-30
  2. Mild Neurocognitive Disorder (MNCD): 21-26
  3. Dementia: <21

V. Interpretation: Less than High School Education

  1. Normal: 25-30
  2. Mild Neurocognitive Disorder (MNCD): 20-24
  3. Dementia: <20

VI. Resources

  1. Saint Louis University Mental Status (SLUMS) PDF
    1. http://medschool.slu.edu/agingsuccessfully/pdfsurveys/slumsexam_05.pdf

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