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MENTAL IMPAIRMENT SCORE


STANDARD QUESTIONS 		Score 0 or 1
1. How old are you?  
2. What is the time (nearest hour)?  
3. Address for recall at end of test - this should be repeated by the patient
eg 2 Smith St 		 
4. What year is it?  
5. What is the name of this (hospital) place?  
6. Recognition of two relevant persons (Nurse/Doctor)  
7. What was the date of your birth?  
8. When was the first World War?  
9. Who is the Prime Minister?  
10. Count down from twenty - 1 (no errors)  
TOTAL CORRECT  
SCORE: 8-10 Intact; 5-7 Mild; 3-4 Moderate; 0-2 Severe intellectual dysfunction  

The questionnaire has defects. Mild or early dementia may score normal. The MIS contains key questions of orientation, memory and recall and acts as a good discriminator of mild, moderate and severe mental impairment. It has been validated with the Roth Hopkins Test that is said to correlate well with pathological brain changes in senile dementia. It rapidly penetrates a good social facade and ready flow of conversation characteristic of some patients suffering from dementia thereby revealing the true state of affairs - often to the surprise of attendants.

Some with formal brain disorders, especially dysphasia, isolated amnesia or frontal lobe defect may be classified as suffering from dementia. It does not provide information on areas of impairment. It is incapable where there is dysphasia, deafness, depression, disturbed consciousness, native language difficulties and severe illness when the person cannot cooperate.

Other mental state tests are available and may be equally suitable for assessment. The clinician should use the test with they are most comfortable and familiar.

North East Valley Division General Practice, Victoria, Australia, Disclaimer 
Level 1, Pathology Building, Repatriation Campus, A&RMC, Heidelberg West VIC 3081. .. map
Phone: 03 9496 4333, Fax: 03 9496 4349,  Email: nevdgp@nevdgp.org.au, 
Please note: NEVDGP does not provide an on-line consultation