Identify an assessment/diagnosis instrument: Mini-Mental State Examination (MMSE)
Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice: Mini‐mental state examination (MMSE) for the detection of Alzheimer’s disease and other dementias in people with mild cognitive impairment (MCI)
Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment disorder: The Mini-Mental State Examination (MMSE) is a 30-question cognitive function test that assesses attention and alignment, consciousness, registration, recollection, computation, dialect, and the capacity to obtain a complicated polygon. The MMSE has several benefits for assessing dementia, including quick management, the accessibility of numerous linguistic interpretations, and high stages of acquiescence as a screening tool among medical practitioners and scientists. The overall score determines the existence of cognitive impairment (Smailagic et al., 2015). Its main appropriateness is its pervasive utilization and the large body of scientific evidence that backs it up.
Describe whether or not the instrument can be used to measure patient response to therapy/ treatment or if it is strictly for assessment and diagnosis: The MMSE assesses cognitive impairment and the client’s progress after an intervention. It can be used to evaluate whether or not a client is on the mend. When used solely or in conjunction with more extensive tools, this test allows for the assessment of cognitive features and the monitoring for dementia situations. The MMSE has been used in medical setups to diagnose cognitive deficits, track dementia progression, and oversee therapeutic response (LourençoI & Veras, 2006).
Discuss the psychometrics/ scoring of the instrument, including reliability and validity: The MMSE has an optimum rating of 30. When the score is 25 or greater, it is classified as normal. If the score is less than 25, the outcome is typically regarded as abnormal (indicating possible cognitive issues). The following types of impairment exist:
weak dementia— an MMSE rating of 21 to 24
moderate dementia — an MMSE rating of 10 to 20
severe dementia — MMSE rating less than 10
Discuss any limitations associated with the use of the instrument: The MMSE has a significant drawback in that it cannot be applied to uninformed participants because two of its items require interpretation and composing. Another drawback is the incorporation of a task that necessitates the use of pen and paper.
References
Nadja Smailagic, Sarah Cullum, Xavier Bonfill Cosp, Olga L Pedraza, Antri Giannakou, Ingrid Arevalo‐Rodriguez, Marta Roqué i Figuls, Erick Sanchez‐Perez, & Agustín Ciapponi. (2015). Mini‐mental state examination (MMSE) for the detection of Alzheimer’s disease and other dementias in people with mild cognitive impairment (MCI). PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464748/
Roberto A LourençoI, & Renato P Veras. (2006). Mini-Mental State Examination: psychometric characteristics in elderly outpatients. SciELO – Public Health. https://scielosp.org/pdf/rsp/2006.v40n4/712-719/en
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