# Guideline

## Mini-Mental State Examination (MMSE)

Authors: Dr. D. William Molloy and Dr. Roger Clarnette

## 3.0 Specific Scoring Guidelines

### 3.1 Scoring the Figures

The subject must draw two 5-sided figures intersected by a 4-sided figure. Back to Picture of MMSE calculator

### 3.2 Scoring WORLD backwards

This task accounts for 17% of the total score. It’s essential to score it reliably. There are many different ways and "systems" for scoring world backwards. Originally, Dr. Folstein advised that the score is "the number of letters in the correct order". We suggest the following method because it is so simple and foolproof. Score ORDER not SEQUENCE. Simply write down the correct response: DLROW. Now place the last five letters the subject said below. Now draw lines between the same letters on the response given and DLROW. These lines MAY NOT CROSS. The person’s score is the maximum number of lines that can be drawn, without crossing any.

There are many different ways to score this task, but we have found this method to be simple, reliable and easy to apply. Back to "world" of MMSE calculator

### 3.3 Scoring of Serial Sevens:

Say: Subtract 7 from 100 and keep subtracting 7 from whats left.

Once subject starts - do not interrupt - allow him/her to proceed until five subtractions have been made. If subject stops before five subtractions have been made, repeat the original instruction keep subtracting seven from what s left. (maximum 3 times)

### 1.0 Introduction

### 2.0 General Guidelines

### 3.0 Specific Scoring Guidelines

### 4.0 Total Scores

### 5.0 Diagnostic Algorithm

### 6.0 The Alzheimer’s Journey

### 7.0 Using the Pattern of Deficits to Distinguish between the Different Dementias

### 8.0 Care plan for Alzheimer’s disease (and other dementias)