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Mental status assessment in the elderly.

H Kallman1, H J May

  • 1Department of Family Medicine, East Carolina University School of Medicine, Greenville, North Carolina.

Primary Care
|June 1, 1989
PubMed
Summary

Structured mental status testing is crucial for evaluating elderly patients. It helps identify behavioral changes and differentiate dementia, delirium, and depression, improving patient care.

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Area of Science:

  • Geriatric Medicine
  • Neurology
  • Psychiatry

Background:

  • Mental status testing is vital for assessing elderly patients.
  • Changes in behavior can cause family stress but may not indicate cognitive dysfunction.
  • Distinguishing dementia, delirium, and depression is clinically important.

Purpose of the Study:

  • To examine the steps involved in mental status assessment.
  • To review commonly used mental status assessment instruments.
  • To discuss the experience of a multidisciplinary evaluation service in mental status testing.

Main Methods:

  • Structured mental status examination.
  • Review of assessment instruments.
  • Case discussion from a family medicine ambulatory multidisciplinary evaluation service.

Main Results:

  • Structured examinations help identify symptom etiology and behavioral changes.
  • Mental status testing aids in differentiating cognitive changes from dementia, delirium, and depression.
  • Multidisciplinary evaluation services can effectively implement mental status testing.

Conclusions:

  • Mental status testing is an essential component of geriatric evaluation.
  • A structured approach enhances diagnostic accuracy for cognitive changes.
  • Multidisciplinary collaboration improves the application of mental status assessments in primary care.

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