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    Model Raoprt Scala MMSE

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    Diana Arghire
    This report contains information about the patient's mental status. Use of this report requires a complete understanding of the MMSETM and MSRS. This report is confidential and is intended for use by qualified professionals.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Model Raoprt Scala MMSE

    Uploaded by

    Diana Arghire
    291 views8 pages
    This report contains information about the patient's mental status. Use of this report requires a complete understanding of the MMSETM and MSRS. This report is confidential and is intended for use by qualified professionals.

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    Model raoprt scala MMSE

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    This report contains information about the patient's mental status. Use of this report requires a complete understanding of the MMSETM and MSRS. This report is confidential and is intended for use by qualified professionals.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    291 views8 pages

    Model Raoprt Scala MMSE

    Uploaded by

    Diana Arghire
    This report contains information about the patient's mental status. Use of this report requires a complete understanding of the MMSETM and MSRS. This report is confidential and is intended for use by qualified professionals.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 8

    Mental Status Reporting Software Evaluation Report

    Name: ID: Age: Gender: Education: Test Date: Sample A. Client 1234-5678 60 Female 12 07/15/2002

    This report contains information about the patient's mental status. Use of this report requires a complete understanding of the Mini-Mental State Examination (MMSETM), the Mental Status Reporting Software (MSRSTM) Checklist, and mental status evaluations. This report should be used as only one source of information about the patient being evaluated, and no decisions should be based solely on this information. This information should be integrated with other sources of information when making decisions about this person. This report is confidential and is intended for use by qualified professionals who have sufficient knowledge about mental status evaluations in general and knowledge about the MSRS in particular. Do not release this report to those who are not qualified to interpret the results.

    PAR Psychological Assessment Resources, Inc. 16204 N. Florida Avenue Lutz, FL 33549 1.800.331.8378. www.parinc.com
    Copyright 2002 by Psychological Assessment Resources, Inc. All rights reserved. May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources, Inc. Version 1.10.011

    Sample A. Client 1234-5678

    Page 2 07/15/2002

    MMSE Results
    The patient's score on the MMSE is below the cutoff score (23) that has been found to be most effective in identifying dementia in research studies. The possibility of cognitive impairment characteristic of dementia is further supported when her performance is compared to the performance of individuals of similar age and education level from the MMSE normative sample (Folstein, Folstein, & Fanjiang, 2001). The patient had difficulty on the MMSE in the following area(s): Orientation to Time Orientation to Place Comprehension Reading Writing Drawing

    Sample A. Client 1234-5678

    Page 3 07/15/2002

    MSRS Checklist Results


    The patient is right-handed. The patient was alert and responsive. Her orientation, attention, and concentration were impaired. Appearance was consistent with her stated age. Eye contact during the evaluation was good. The patient was dressed appropriately and her grooming appeared to be adequate. Regarding her motor functioning, no apparent abnormalities were observed. No gait disturbances were noted. Some evidence of impaired vision was noted. Some word finding difficulties in her speech were observed. Prosody was normal. No auditory comprehension difficulties were apparent. No apparent disturbances in remote memory were noted, but some impairment in both immediate and recent memory was evident. The patient's intellectual ability was estimated to be average. Executive functioning problems were evidenced by planning and organization deficits. Affect was flat. Her mood was anxious. Information about the patient's interpersonal behavior was not recorded. The patient denied having both suicidal or homicidal ideation. Her thought content was appropriate for the situation. Thought processes were disconnected and/or incoherent. No delusions were conveyed by the patient. She denied experiencing hallucinations. Judgment, reasoning, and insight were poor. The patient was referred by family/friend. Status is voluntary, outpatient. Patient completed intake form with assistance.

    Comments
    Additional information observed about this patient during the evaluation includes the following: None

    Sample A. Client 1234-5678

    Page 4 07/15/2002

    Longitudinal Profile Record


    07/15/2002
    MMSE (Raw) MMSE (T) Consciousness Orientation Attention/ Concentration Appearance 07/30/2001 23 27 Alert x3 n.a.d. Consistent with stated age Good Appropriate Adequate n.a.d. n.a.d. Impaired vision n.a.d. n.a.d. Other n.a.d. n.a.d. n.a.d. Average 07/15/2002 21 9 Alert Impaired Impaired Consistent with stated age Good Appropriate Adequate n.a.d. n.a.d. Impaired vision Word finding difficulties n.a.d. n.a.d. Impaired Impaired n.a.d. Average

    Eye Contact Dress Grooming Motor Functioning Gait Visual Perception Speech Prosody Auditory Comprehension Immediate Memory Recent Memory Remote Memory Estimated Intellectual Ability

    Note. n.a.d. = No apparent disturbances; x3 = oriented to person, place, & time.

    Sample A. Client 1234-5678

    Page 5 07/15/2002

    Longitudinal Profile Record (cont.)


    07/15/2002
    Executive functioning 07/30/2001 n.a.d. 07/15/2002 Planning and organization deficits Flat Anxious

    Affect Mood Interpersonal Behavior Suicidal Ideation Homicidal Ideation Thought Content Thought Processes Delusions Hallucinations Judgment/ Reasoning Insight

    Flat Apathetic Cooperative Absent Absent Appropriate Impact Oriented None None Adequate Adequate

    Absent Absent Appropriate Disconnecte d None None Poor Poor

    Note. n.a.d. = No apparent disturbances; x3 = oriented to person, place, & time.

    Sample A. Client 1234-5678

    Page 6 07/15/2002

    User Item Longitudinal Profile Record


    07/15/2002
    Referral Source 07/30/2001 The patient was self-referred . Status is voluntary, outpatient. Patient completed intake form with assistance. 07/15/2002 The patient was referred by family/frien d. Status is voluntary, outpatient. Patient completed intake form with assistance.

    Status

    Intake form

    Sample A. Client 1234-5678

    Page 7 07/15/2002

    Item Responses
    MMSE Responses
    1. 2. 3. 4. 5. 6. 1 1 1 1 0 1 7. 8. 9. 10. 11. 12. 1 0 1 1 1 1 13. 14. 15. 16. 17. 18. 1 ? ? ? ? ? 19. 20. 21. 22. 23. 24. 3 1 1 1 1 1 25. 26. 27. 28. 29. 30. 31. ? 0 1 1 0 0 0

    Conc 0

    MSRS Responses
    1. 2. 3. 4. 5. 6. 1 1 2 2 1 1 7. 8. 9. 10. 11. 12. 1 1 1 1 6 3 13. 14. 15. 16. 17. 18. 1 1 2 2 1 2 19. 20. 21. 22. 23. 24. 2 5 5 0 2 2 25. 26. 27. 28. 29. 30. 1 7 1 1 3 3

    Hx Left Hand 0

    User-Defined Item Responses


    1. 2. 3. 4. 5. 6. 2 2 2 -

    Reference Folstein, M. F., Folstein, S. E., & Fanjiang, G. (2001). Mini-Mental State

    Sample A. Client 1234-5678

    Page 8 07/15/2002

    Examination: Clinical guide. Odessa, FL: Psychological Assessment Resources.

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