Mini Cog, Mini Mental Status Exam: Time for a Change

mini cog

Mini Cog

Mini Cog and MMSE – Outdated Problems

The Human Brain is our most complex and amazing organ, but most doctors refuse to embrace technology and continue using old, outdated pencil / paper tests like the mini cog or mini mental status examination when evaluating the cognitively impaired.

Technology has changed the way we live, everything about us, but one field refuses to embrace technology and at what cost, it’s past time for a thorough neuropsychological test that can early detect mild cognitive impairment. Use CogniFit Pro.

mini cog and the replacement CogniFit

Mild Cognitive Impairment / Alzheimer’s disease – Who Cares?

When someone gets older and begins to lose their memory and executive function does anyone care? It is a scary thought and avoiding it altogether has seemed to be the popular solution for a long time.

With the amount of funding and research around mild neurocognitive disorder one could assume there would be more advanced products available.

It appears the common cognitive tests like the montreal cognitive assessment, mini cog, and mini mental state examination are considered “good enough” but are not a practical method for neuropsychologists to evaluate the Human Brain for dementia or cognitive impairment.

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The Arms Race to Replace Mini Cog and Mental State Examination mmse

Everyone and their brother are scrambling to build their own psychological assessment resources while well-funded NIH/Govt funded companies are popping up everywhere claiming groundbreaking inventions.

In reality everyone has already made a digital digit symbol task, flanker task, and trails a/b, so no neurotrack, your 15 years late to be claiming new tech especially for mild cognitive impairment. A main hindrance is also that these products are now a commodity, everyone wants to make their own and no one cares to work together.

This field needs leaders, not more followers. Alzheimer’s disease is running rampant with no end in sight, just failure after failure. 100’s of billions of dollars wasted all around the world with basically nothing to show for it.

Dementia screening and severe cognitive impairment testing should be from and center but hardly 7% of the annual wellness visits complete this requirement.

Psychiatrists and psychologists have always had preference when deciding what cognitive tests to administer in different situations when assessing for mild cognitive impairment, and each opinion is valid.

There is no one size fits all approach to this problem, it is important to have a multi angle approach to discovery so you can find where the problem exists in older adults.

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The Best Brain Test Online – CogniFit Pro

CogniFit has the best collection of cognitive tests to detect mild cognitive impairment and we make it simple to work with large teams for research or clinical application. By building the best user experience for B2C and B2B CogniFit understands the test market with 4 million active users and hundreds of millions of people visiting each month.

With over 1 Billion data points we hope to find significance in the data, more researchers are welcome. Data integrity has been our top priority and has driven us to success.

Cognitive impairment can occur from unimaginable variable and further evaluation / research is required to comprehend how our daily living habits are having impact on our cognitive state.

Use CogniFit in your practice to begin gathering that critical long-term data now. Work with your patients over time to see how each domain of cognition might change under different circumstances of your treatment plan.

Use our powerful technology to keep tabs on all the people in your practice and take use of the advanced notifications for big data monitoring for indications of mild cognitive impairment.

CogniFit Pro, Designed for Clinicians

We have a well-developed Cognitive Health Care Plan that you can use to assist you with filling the appropriate paperwork and CPT codes.

Making things enjoyable, easy, and educational is our top priority so don’t hesitate to reach out and let us know how we can help you and your practice improve your care and mild cognitive impairment detection.

Use CogniFit Pro as a screening tool to determine cognitive state and cognitive status while searching for potential neurocognitive disorders.

Our 23 different cognitive domains across a wide selection of tests will give you a very detailed report compared to the mmse score or the mini cog.

Time to Retire the Mini Cog Test and Mini Mental State Examination

The mini cog test has the person draw a clock face to measure cognitive impairment. Can anyone that grew up with a cell phone in their hand even draw a face clock when all they have used is a digital clock? How about the poor global math scores can people subtract 7 from 100?

These tests cannot be an accurate measure of cognitive impairment in a global population because they are made for a generation that is no longer among us. Our great grandparents have passed on and so should these tests.

The mini mental state examination asks what todays date is. This information is not hard wired anymore as all it takes to know this is a quick look at your mobile device. So does this still qualify as a criterion for assessing cognitive impairment, obviously not.

The Future of Testing for Cognitive Impairment

Technology will improve our capabilities for dementia detection and psychiatric research will groups like the American Geriatrics Society, the Alzheimer’s Association, and the international journal community be susceptible to these changes or are they bound by their funding?

Clinical neurosciences rely on neuropsychological test performance to indicate cognitive impairment to further analyze and test for severe cognitive impairment, Parkinson’s disease dementia, Lewy bodies dementia, ischemic vascular dementia, Alzheimer’s disease, acute stroke, other dementias and other neurological disorders.

Positive in Diversity and Inclusion – Alzheimers dis

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One positive direction the field is branching into is gathering multiethnic sample data while testing for mild cognitive impairment and dementia.

Population based sample data is critical for understanding how the pathologies differentiate across the globe. Understanding how education level, geolocation, and diversity play a role in data helps us differentiate dementia and discover errors produced in the past research of older adults / dementia.

There is strong predictive value in the socio-economic status indicators for research and we cannot rely on mmse scores, mini cog test data and other outdated measures like the chi square test. (dementia)

Systematic review of the meta analysis shows a more practical method is required to help clinical neurosciences understand actual changes in cognitive function and search for mild cognitive impairment, Alzheimer’s disease, ischemic vascular dementia, and other problems in older adults. A simple recall test, mmse scored from the mini mental state examination is an outdated archaic screening tool subset that older adults never really enjoyed.

Care for Grandparents

Older adults that might have cognitive impairment report cognitive tests like the mini cog to be boring and not fun. Incidence of Alzheimer’s disease and cognitive impairment are on the rise and as decent humans it is our duty to care for an aging population. It is time to work together to replace the common cognitive tests that so poorly measure cognitive impairment and usher in a bright new future for brain health. (dementia)

Mini Cog and Older Patients

Receiver operating characteristic meta analysis on the maximum score does not bode well for the future of the Mini-Cog or the mini mental status examination mmse. High ceiling effects make this test a burden for neuropsychological test performance interface. Cognitive decline detection is not possible using the mini cog or mini mental state examination. (dementia)

A Time for Collaboration in the Health Care Settings

mini cog and mmse are bad
mmse and mini cog

Major neurocognitive disorder will continue to be a problem that only effective collaboration will address. Discovering new ways to differentiate dementia, identify mental disorders, and ultimately detect dementia early is the mission we live by.

Geriatric psychiatry has come a long way in the past 20 years but is very stubborn to practical suggestions. Disease progression interventions and treatment medications continue to fail, people still experience functional decline no matter how much amyloid is removed from the brain. Other dementias, acute stroke, lewy bodies, ischemic vascular dementia, Alzheimer’s disease could use better than montreal cognitive assessment, mini mental status examination, mini cog,

Primary care and clinical practice are about to be overrun by the baby boomer generation as they approach an age that is common for dementia to occur. We need to work together by simplifying detection with tests that have good sensitivity for catching cognitive deficits as soon as they appear.

Mini Cog and Mini Mental State Examination, Clock Drawing Test

The mini-cog test is an abbreviated version of the original dementia screening test the one and only Mini Mental Status Exam. While we measure cognitive changes over time it appears that an older generation is stuck in the opinion that if something is well research it becomes immortal regardless of advances in technology.

Disruptive technology like the Cognitive Assessment Battery produced by CogniFit shows that there are better, more comprehensive ways to analyze the brain and begin learning about changes over time across a wide array of cognitive function. Drawing a clock when you are 70 and losing your mind is borderline negligent and disrespectful to a brain that has given us so much. Alzheimer’s disease and dementia is winning the fight… (clock drawing test cdt MMSE -> Mini Cog)

Memory Screening for Cognitive Impairment

For a brief screening tool use the MemTrax Memory Test as it has the ability to monitor and track data over time for early detection of a cognitive problem, soon to be integrated into the memory segment of CogniFit. The MMSE test was developed almost 100 years ago and is still used by hard-nosed scientists that refuse to accept change, the mini mental state exam is the opposite of a comprehensive review and is generally only given to older adults, observing and evaluating cognitive changes over time is the only way we can learn about our neurological development.

Neurocognitive disorders are widespread, and many problems contribute to cognitive decline, not only Alzheimer’s disease and dementia, but concussion, depression, amnestic disorder, alcohol abuse, Huntington’s, Parkinson’s, and many other adverse drug / medications.

Gathering baseline data before people experience these detrimental ailments is important to understanding just how much change in cognitive status has actually occurred, we need more systematic review on the meta analysis. Keywords for further review on errors produced include: Recall test, mini mental state, american geriatrics society, population based sample, education level, geriatric psychiatry, alzheimer’s disease, mini mental state examination, primary care, other dmentias, international journal.

Alzheimer’s disease is finally getting the attention it deserves but will it be enough? Diagnosing dementia is one thing but what about effective care planning and management for dementia patients, is there other tests that might indicate signs sooner?

Mini Cog and Mini Mental State Examination: Heels Dug In

Practical suggestions of change to the creators and supporters provide clear evidence of a conflict of interest as they protect their investment ideas. It becomes obvious that the main goal is revenue and profit when primary care and the psychiatric research communities call for improvement fall on deaf ears. Further systematic review on such recall tests will inevitably consume more of the peoples hard earned tax dollars to show that it is indeed effective when it clearly is not.

If 2,000 researchers published in the top tier medical journals to jump off a bridge, would you?

But the science supports it!

To recap share your thoughts on the montreal cognitive assessment, mini mental state examination also known as the mental state examination mmse, mini cog, and mmse scores.

More to come, stay tuned! Mini Cog, recall test, lewy bodies, other dementias, dementia, international journal, alzheimers disease, geriatric psychiatry, mini mental state examination.

What are your thoughts on the montreal cognitive assessment, mini mental state examination also known as the mental state examination mmse, mini cog, and mmse scores?

They are all outdated tools in diagnosing dementia and other neurological disorders. The mini mental state examination is not a good tool for assessing cognitive decline over time, and the mini cog is not a good tool for assessing changes in cognitive function over time. The recall test is not as effective as it could be in terms of diagnosing dementia. I think that it is important to have more systematic review on the entire test field in order to determine each one’s effectiveness, in my opinion. (CA)

Dementia – Our Worst Nightmare

Dementia is a neurological disorder that affects memory, thinking, and behavior. It is caused by a variety of diseases and injuries that damage the brain, including Alzheimer’s disease, stroke, and head injury. Dementia symptoms vary depending on the type of dementia a person has. However, common symptoms include memory loss, trouble speaking or understanding speech, difficulty with coordination and balance, and changes in mood or behavior. There is no known cure for dementia, but there are treatments available that can help manage the symptoms. Early diagnosis and treatment are important for people with dementia.

Dementia can develop in people of any age, but it is most common in older adults. The majority of cases occur in people over the age of 65. However, dementia can also affect younger adults and even children. Dementia is a progressive disease, which means that it gets worse over time. In its early stages, dementia may cause only mild symptoms. However, as the disease progresses, the symptoms become more severe and can eventually lead to death.

The Mini-Mental State Examination (MMSE) is a brief 30-point questionnaire that is used to screen for cognitive impairment. It is not intended to diagnose dementia or any other specific cognitive disorder. The MMSE includes questions about orientation, attention, recall, language, and visuospatial ability. A person’s score on the MMSE can range from 0 to 30, with higher scores indicating better cognitive function.

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