Is the Mini Mental Status Examination (MMSE) Associated with Inpatients' Functional Performance?

Introduction: Occupational therapists in acute care settings often complete the Mini Mental Status Examination (MMSE) screening tool to assess inpatients' cognitive state. The scores obtained are often informally linked to a patient's global function either on the ward and/or at the point of dischar...

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Publicado en:Physical & Occupational Therapy in Geriatrics Vol. 32; no. 3; pp. 228 - 241
Autores principales: Brown, Ted, Joliffe, Laura, Fielding, Leesa
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2014
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Is the Mini Mental Status Examination (MMSE) Associated with Inpatients' Functional Performance?
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          Brown, Ted
          Joliffe, Laura
          Fielding, Leesa
        affil: Department of Occupational Therapy, School of Primary Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia
      sug:
        subj:
          Functional Status
          Dementia Physiopathology
          Functional Assessment Methods
          Motor Skills
          Occupational Therapy
          Questionnaires
          Human
          Inpatients
          Australia
          Multicenter Studies
          Spearman's Rank Correlation Coefficient
          Linear Regression
          Purposive Sample
          Convenience Sample
          Aged
          Aged, 80 and Over
          Data Analysis Software
          Male
          Female
          Descriptive Statistics
          Aged: 65+ years
          Aged, 80 & over
          Male
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      ab: Introduction: Occupational therapists in acute care settings often complete the Mini Mental Status Examination (MMSE) screening tool to assess inpatients' cognitive state. The scores obtained are often informally linked to a patient's global function either on the ward and/or at the point of discharge. Therefore, what is the association between inpatients' performance on the MMSE and their functional performance? Purpose: This study investigated the association between the MMSE and the functional performance of inpatients with suspected dementia. Method: A within-subjects quantitative research design was employed whereby a sample of 30 participants suspected of having dementia were recruited from three acute care hospital sites in metropolitan Melbourne, Australia. The MMSE was used to assess participants' cognitive abilities while the Functional Independence Measure (FIM) provided a functional assessment score. Spearman's rho correlations and linear regression analyses were computed. Results: Eleven MMSE items were found to significantly associated with the FIM total score ( Adjusted R2 = 0.405, p < 0.05) and the FIM cognition subscale score ( Adjusted R2 = 0.683, p < 0.01). However, the MMSE items were not associated with the FIM motor subscale score ( Adjusted R2 = .315, p > 0.05). Conclusion: The MMSE scores derived for inpatients with a suspected dementia were significantly associated with the inpatients' total FIM and cognition subscale scores, however, therapists need to be cautious when inferring any generalizations to inpatients' motor task performance.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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