They are appropriate for identifying potential cognitive problems in people who may be worried about whether they have forgetfulness of normal aging or Alzheime… 2  It takes approximately seven minutes to administer… enlarging the figures on the examination form and can also be attached to the original The clinician should state: “I will give you a name and address to remember for a few minutes. Before administering the SLUMS the training video should be viewed and then annually reviewed. You will need a watch with You may also provide a separate sheet with larger examples of the forms listed on Sign and date the form. 4, read the statement as listed on the exam. 19). once the score is recorded in the patient record (specify based on Office Center policy). Do not prompt or give hints. 2. annually) by viewing VA-produced video available online. on any indicated changes. Then, it does score between the range of 0 and 30. the circle, prompt them once to put numbers next to those ticks (12, 3, 6 and 9) for (SLUMS) Examination for detecting mild cognitive impairment and dementia is more sensitive than the Mini-Mental Status Examination (MMSE) - A pilot study. Do lives in gets no credit but you may prompt them once by repeating the question. The answer of Chicago as the state she %PDF-1.3 U�}���˪iQM�;0��v�����}�����f��þE>�j*�j[���ˆ��0��%x�G���ϻ�n�+�S7���������gE�#��*ǡ���o�E��u�l)�B�͸�������D2?���Uف��m���a��w�;/=�u�7���'(C�ug��TU��_]U�q���=�F�uU��7���s�@���h���y័灷{�w. Score the examination as listed at the bottom of the page, circling the level based on the score. SH Tariq, N Tumosa, JT Chibnall, HM Perry III, and JE Morley. When scoring, give full credit for either all 12 numbers or all 12 ticks. It takes a clinician about seven minutes to administer the SLUMS, which supplements the Mini Mental Status Examination by asking patients to perform tasks such as … Scores between 0 -20 indicate dementia. To learn how to score the SLUMS using Colleen's test as an example, watch the SLUMS administration and scoring video here. Administering the St. Louis University Mental Status (SLUMS) during a medical visit. 6. Listen to me say the entire name and address and then repeat it after me.” It is important for the clinician to carefully read the phrase and give emphasis to each item of the phrase. Then proceed with the exam questions. Other descriptors include drowsy, confused, distractible, inattentive and preoccupied. Form status: (varies by office): Mandatory for (e.g., patients with diagnoses or indicators If the patient puts only 4 … In addition to helping physicians determine whether dementia onset may be imminent, the SLU Mental Status Exam. Do not prompt or give hints. Scoring of the SLUMS test. v�=�ʝ�0:��K�dj���l�IM�i��i�py{s�voo?=���/���~��A����K���zwy��R܉Gu�I��g���>\�|����O���'�,���4�o��w���V��( It is designed to identify individuals with mild or early dementia (scores 21-26) through measuring orientation, memory, attention, and executive functions. J am Geriatri Psych (in press). information. Give them one minute to complete the question. x�]�r�Ƒ�����G�!������:*��%9&�l��JQG2W�8$������=����E�� }���i wrw���m�����_܍tU�v�_����=� ��u�N���l��i�����r� uq~��8?�K��w?�͟������ū������o��sbi[��K�e? It assesses different cognitive domains: attention and concentration, executive functions, 15. memory is by asking you some questions.” You may need to reassure patients by telling Functional Activities Questionnaire. 2 3 Questions about this assessment tool? 4 0 obj This tool was created to automate the scoring of the 'Saint Louis University Mental Status (SLUMS) Exam. When scoring, give full credit for either all 12 numbers or … of actual years of school attended. All Participants . It assesses the following: attention and concentration, executive functions, memory, language, visuo-constructional skills, conceptual thinking, calculations, and orientation. E-mail ! When scoring, give full credit It only takes about 7 to 10 extra minutes to give the SLUMS test and it complements the MMSE by asking the individual to perform tasks such as simple math, naming animals, recalling facts, and drawing a clock and placing the hands on the clock. I don’t know if this is true for you as well, but in the past, I sometimes began using a new tool without reading about it. Score the examination as listed at the bottom of the page, circling the level based Primary use / Purpose: The Saint Louis University Mental Status (SLUMS) is an 11-item questionnaire with scores ranging from 0 to 30. It actually uses approximately seven minutes to administer. Practitioners have long relied upon the Mini Mental Status Exam (MMSE) to quickly assess cognitive functioning in older adults. 18. and SLUMS . Be prepared with the items you need to complete the exam. SLUMS Instructions 1. Complete resident demographics at the top of the page. * The 7th Question of the SLUMS Score will refer to this item. �۶u�G@ 2 This examination … At this stage, the test administrator should ask the subject to remember five objects: Apple, Pen, Tie, House and Car, and let the subject know that they will be asked about them later. When scoring, give full credit for either all 12 numbers or all 12 ticks. Several brief and reliable tests are available to screen for Alzheimer's Disease or other dementias. Wherever I went in the campaign, slum area or impoverished village. The Saint Louis University Mental Status exam is an assessment tool for mild cognitive impairment and dementia and was developed in partnership with the Geriatrics Research, Education and Clinical Center at the St. Louis Veterans Administration Medical Center. SLUMS EXAMINATION Questions about this assessment tool? The Functional Activities Questionnaire calculates the extent of … To screen individuals to look for the presence of cognitive deficits, and to identify There are two commonly-used tests in particular that have user requirements that I didn’t know about until recentl… The Saint Louis University Mental Status (SLUMS) Examination for Detecting Mild Cognitive Impairment and Dementia is more sensitive than the Mini-Mental Status Examination (MMSE) - A pilot study. read it to them. The Saint Louis University Mental Status Examination (SLUMS) The SLUMS test was created by ateam from the Saint Louis University in the place of other screening tools previously used to diagnose MCI limited by poor sensitivity. A quick word about user requirements. 1 This assessment tool was developed at the Division of Geriatric Medicine, Saint Louis University School of Medicine in affiliation with the Veterans Association. It was initially developed as a screening tool for detecting mild cognitive impairment in a veteran population, however, it is now used in several other patient populations. You can give the screen in multiple languages, including Polish, Spanish, French, and Chinese. Record the number of years the patient attended school. What this tool does is check the amount of memory they have. Not food although they clearly needed it but DEMOCRACY. the date and the name of the evaluator on the bottom of the page as well (see step such as the Montreal Cognitive Assessment (MoCA), the St. Louis University Mental Status Exam (SLUMS), the Mini-Mental Status Examination (MMSE), or the Allen Cognitive Level Screen (ACLS) are referenced by doctors when making important decisions regarding discharge location. or provide the patient with a separate piece of paper with a larger circle printed changes in cognition over time. make sure they are paying attention the first time you read it to them. /2 Ci)87 0649 08537 . Be sure to time them. We recommend that you put the date and the name of the evaluator on the bottom of the page as well (see step 19). and other qualified health care professionals who have been trained (and retrained Complete resident demographics at the top of the page. The Saint Louis University Mental Status exam is an assessment tool for mild cognitive The MoCA is a quick and easy 10 minute assessment for cognitive dysfunction. On question No. The Saint Louis University Mental Status (SLUMS) exam possesses many potential psychometric advantages, however data on the relationship between scores on the SLUMS and MMSE has yet to be established. SLUMS takes about 7 minutes to administer. This test is meant to complement and not replace the work of trained professionals. 3. for either all 12 numbers or all 12 ticks. SLUMS typically is made up of 11 items, and it does measure the cognitive aspects which include orientation, short-term memory, calculations, the naming of animals, the clock drawing test, and recognition of geometric figures. While they are screening tests that shouldn't substitute for a full diagnostic evaluation, they may be done in the office, the waiting room, or even at home before your appointment. a second hand on it. To get access to the current version, you just need to create a free account which only takes two minutes.After you create your free account, you’ll have full access to all of the … There should be a one second delay between individual items. of cognitive loss). them that this is not a test that they can fail but merely a tool much like a thermometer reviewed. Read the questions aloud clearly and slowly to the examinee. It is not usually necessary Before administering the SLUMS the training video should be viewed and then annually When scoring the correct time, make sure the hour hand is shorter than Redirect the patient’s attention if necessary back to you to answer question No. full credit. On question No. If the patient obtained an SLUMS Examination. spend”) before moving on to part two (“How much do you have left?”). impairment and dementia and was developed in partnership with the Geriatrics Research, VA Saint Louis University Mental Status Examination, Simplified Nutritional Assessment Questionnaire, Q1-Q3: Attention, immediate recall, and orientation, Q4 and Q7: Delayed recall with interference, Q6: Memory: immediate recall with interference (time constraint), Q10: Visual spatial and executive function, Q11: Executive function plus extrapolation. But if you have any concerns, try contacting the authors or publisher. Scoring of the SLUMS Test. or give hints, but do give ample time to the patient to answer the questions. Ask the patient to repeat “May I ask you some questions about your memory?” or “I’d like to see how good your The SLUMS was created by the Director of the Division of Geriatric Medicine at Saint Louis University. SH Tariq, N Tumosa, JT Chibnall, HM Perry III, and JE Morley. Not money, for they gave what little they had to my campaign. 0 5 10 15 20 25 30 35 MMSE SLUMS Score On Test Test . it takes for the patient to repeat them back to you correctly. We recommend that you put The SLUMS exam takes about 7 minutes to administer. Name Age Date of Examination Education and Clinical Center at the St. Louis Veterans Administration Medical Center. 20. Am J Geriatr Psych 14:900-10, 2006. Determine if the patient is alert. to speak loudly but it is necessary to speak slowly. #9: Use the attached larger clock face of the SLUMS exam as necessary to assist those with visual impairments. The Saint Louis University Mental Status (SLUMS) Examination for Detecting Mild Cognitive Impairment and Dementia is more sensitive than the Mini-Mental Status Examination (MMSE) - A pilot study. Do not answer “yes” or “no,” but indicate level The SLUMS consists of 11 items, and measures aspects of cognition that include orientation, short-term memory, calculations, the naming of animals, the clock drawing test, and recognition of geometric figures. Test order counterbalanced to minimize testing bias. If the respondent puts only 4 ticks on the circle, prompt them once to put numbers next to … Social services, reflections/passages program coordinators, licensed nurses, physicians, Be prepared with the items you need to complete the exam. Read question No. seven. Do not prompt The SLUMS (St. Louis University Mental Status exam) is a reasonably good alternative to the MoCA and remains FREE of charge. the patient’s record, place it in a separate identified location or destroy the worksheet ��9���Wg�;���f;�}WO����K�+�z[֞y�h����f���������m˩�tUt0����A����}��s����m�6�o^GŁ�qp�i����m��nĿ�?�v;���z(��)�]׃� Early detection of dementia may lead to treatment th… form. The SLUMS test consists of 11 item questionnaire, and measures aspects of cognition which include short-term memory, the clock drawing test, orientation, calculations, the naming of animals, attention, and recognition of geometric figures. associates, bachelor’s, master’s or doctorate degree, note the degree achieved instead On question #9, either draw a large circle on the back of the examination form or provide the patient with a separate piece of paper with a larger circle printed on it and attach it to the original examination form. at the 11. Introduction: The Saint Louis University Mental Status (SLUMS) examination is a popular screening scale for cognitive impairment in North America but has not been studied in Chinese populations. stream 5 You have $100 and you go to the store and buy a dozen apples for $3 and a tricycle for $20. patient asks you to repeat the question you may do so once. Alert indicates that the individual is fully awake and able to focus. 9, either draw a large circle on the back of the examination form The answer of Chicago as the state she lives in gets no credit but you may prompt them once by repeating the question. CLINICIAN’S SIGNATURE DATE TIME HigH ScHooL EdUcation LESS tHan HigH ScHooL EdUcation 27-30 Normal 25-30 Comparison of Top and Bottom Quartiles of This sheet should be created by question No. Please put … If the patient puts only four ticks on On question #9, either draw a large circle on the back of the examination form or provide the patient with a separate piece of paper with a larger circle printed on it and attach it to the original examination form. I’ve made a careful effort to be sure that citations are included with each PDF. Administration should be conducted privately and in the examinee’s primary language. that takes temperature. The SLUMS was conducted as a result of the patient failing the Mini-Cog assessment. I am going to give you a series of nuinbers and I would like you to give them to me backwards. the minute hand and that the minute hand points at the 10 and the hour hand points seven; 648 is pronounced six, four, eight; 8537 is pronounced eight, five, three, Repeat them as many times as 19. To the best of my knowledge it is fine to use these tools as long as you don’t modify the tool itself. on the score. The Saint Louis University Mental Status Examination (SLUMS) is a brief oral/written exam given to people that are suspected to have dementia or Alzheimers Disease. For example, if I say 42, you would say 24. A comprehensive examination with clinicians often include things like a review of medical history, physical examinations, laboratory tests, standard cognitive function tests (SLUMS is often one of them). On question No. Not work, although they surely wanted it but DEMOCRACY. 8, state each number by its individual name. This is a clock face. Montreal Cognitive Assessment (MoCA) Administration and Scoring Instructions The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening inst rument for mild cognitive dysfunction. Education for SLUMs Training on how to administer the SLUMs is available in these short videos: << /Length 5 0 R /Filter /FlateDecode >> Upon completion of the form, record the score in the patient’s record and comment Depending upon office protocols, either put the sheet in 10 for those with vision impairment. 9. They came to me with one cry, DEMOCRACY. each of the five objects (apple, pen, tie, house, car) that you recite to make sure Administration should be conducted privately and in the examinee’s primary language. of alertness. Obtain an answer for the first part of the question (“How much did you The exam serves as a tool to indicate whether a doctor should consider further testing to diagnose dementia. 0 2 4 6 8 10 12 Difference Scores (MMSE Bottom 25% Top 25% -SLUMS) Educational Attainment . that the patient heard and understood what you said. ��� 11 as written, and provide ample time to answer each question. On question  No. not repeat the story but do make sure they are paying attention the first time you SLUMS is made up of 11 tasks, which can give up to 30 points [14, 15]. AM J Geriatr Psychiatry 14:900-10, 2006. %��������� If the 5, make sure the patient is focused on you prior to reciting the The diagnostic accuracy of the SLUMS test, assessed using the coefficient of correlation with other tests, showed it to have a very strong relationship with the STMS (r = 0.816; p < 0.0001), TYM (r = 0.883; p < 0.0001) and MMSE (r = 0.66; p < 0.0001) test. 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