We have a standard MMSE (Mini Mental State Examination) which we use as a rough bar to judge how someone’s cognition may be changing over a period of time. There are lots of criticisms at the moment but taken with a pinch of salt and in conjunction with other changes and differences – it is a guide of changes. No more and no less. In my view anyhow.
As a matter of course, I’ll update the MMSE that we might have at an interval if there is someone who we think might have a cognitive impairment. I needn’t have had any worries about Mrs P, whom I visited last week.
As a part of the process, I ask her what day of the week it is, and what date it is. She responds. I explain that she’s one day out. She looks at me with some degree of bemusement.
Of course, I had been having one of those days when you are absolutely convinced it’s Wednesday – but actually, as she gently pointed out to me – it was Tuesday. She was right and I was wrong. In fact, she’d scored better than I would have on our MMSE that day!
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