The (MMSE) stands for the Mini-Mental Status Exam to quantify for cognitive functioning and screen for cognitive loss. It is the standard for initial screening for Dementia in persons over 65 years of age. Many health disciplines can administer the test, including Psychiatrists, Neurologists, Primary Care Physicians, Internists, Nurses, and other trained professionals.
Before administrating the test, it must be determined if any other factors could be in play, causing poor memory, confusion, and an altered cognitive state other than Dementia. Factors such as diagnosed brain injury, memory loss from ECT, medications, other disease processes, illegal substances, established developmental deficits and low IQ, and psychiatric behavioral states.
America’s Political Discourse in the last few years has included accusations and discussions about the health of our politicians and the capacity to serve. Democrats and Never Trumpers have bantered about invoking the 25th Amendment to remove President Trump for mental deterioration. During the 2016 election, there was concern that candidate Clinton was not healthy enough to do the job. Presently, we have two Democrat candidates left, one with a recent heart attack and the other, consistently having memory lapses and bizarre outbursts.
The terms Senile, Dementia, and Alzheimer’s are often used by laypeople interchangeably. Learn the differences – Dementia involves nerve cells in the brain, which deteriorate and stop working properly. Typically this occurs in older populations but not always just elderly. As we age, we will all lose a step or two, but Dementia patients have earlier and more progressive visible signs of dysfunction. There are many different types of Dementia; Alzheimers, Lewy body dementia, frontotemporal dementia, vascular disorders, and mixed Dementia, or a combination of types.
10 typical early signs of Dementia
- Memory loss
- Difficulty planning or solving problems
- Difficulty doing familiar tasks
- Being confused about time, place, person
- Challenges with verbal and imagery stimuli
- Problems speaking and writing
- Misplacing things
- Very poor judgment and impulsive decision making
- Social withdrawal /demonstratively poor social skills
- A significant change in mood, temperament, and lability.
Vice President Joe Biden has been a gaffe-tastic gift his entire political career. However, during his run for president this time around, he has been extremely and consistently confused, has problems completing sentences, incoherent sentences, total memory loss, over-reactive to stimuli, fabricating stories, aggressive verbal escalations, and most recently threatened a voter. Defenders have claimed his childhood stuttering condition is a possible cause. This defense is offensive and utterly not applicable to symptoms presented.
The Vice President has a significant history of a cerebral vascular incident. In 1988, he suffered a life-threatening burst of brain vessels and underwent neurological surgery to repair an Aneurysm Recently, on the campaign trail a limited medical letter released reveals he also suffers from an irregular heartbeat, Asthma, Allergies High Cholesterol, enlarged prostrate, gastroesophageal reflux, and several localized, non-melanoma skin cancers removed. Joe Biden is 77 years old. The campaign has not released information related to if he is on a blood thinner presently.
Right Wire Report asks the question, should candidates for higher office have to take an MMSE? Should they be required to make it only if they are exhibiting symptoms or at a certain age? Would Vice President Biden get a passing score if he took the test? Would You?
Ready to take the MMSE test?
First, you will need someone to administer the test to the subject – critical point.
To give the examination, seat the individual in a quiet, well-lit room. Ask him/her to listen carefully and to answer each question as accurately as he/she can.
Each section of the test involves a related series of questions or commands. The individual receives one point for each correct answer.
Click here to download the MMSE questionnaire – it is in PDF form so one can print it.
Don’t time the test but score it right away. To score, add the number of correct responses. The individual can receive a maximum score of 30 points.
A score below 20 usually indicates cognitive impairment.
Please share your observations in the comments section below.