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1、TheMentalStatusExamination(MSE)MentalStatusMentalstatusisthetotalexpressionofaperson’semotionalresponses,mood,cognitivefunction,andpersonalityItiscloselylinkedtotheindividual’sexecutivefunctioning,i.e.motivation,initiative,goalformation,planningandperforming,self-monitoring
2、,andintegrationoffeedbackQuickNeurologyReviewFrontallobeSpeechformation(Brocaarea)Emotions/affectDriveAwarenessofselfShort-termmemoryGoal-orientedbehaviorQuickNeurologyReviewParietallobeSensoryperceptionSpatialsenseandnavigationQuickNeurologyReviewTemporallobePerceptionandi
3、nterpretationofsoundsWernicke’sareaIntegrationofbehavior,emotion,andpersonalityLong-termmemoryQuickNeurologyReviewLimbicsystemSurvivalbehaviors(mating,aggression,fear,affection)Reactionstoemotions,andexpressionofaffectismediatedbyconnectionsofthelimbicsystemandthefrontallob
4、eDementiaDementiaisaclinicalsyndrome,characterizedbydeterioratingcognition,behavior,andfunctionalindependenceItisusuallyrelatedtoobviousstructuraldiseaseofthebrain(mostcommonlyatrophy)Dementiaaffects3-11%ofadultsolderthan65MnemonicforcausesofdementiaD:drugsandtoxinsE:endocr
5、ineM:metabolicandmechanicalE:epilepsyN:nutritionalandnervoussystemT:tumorandtraumaI:infectionA:arterialDeliriumDeliriumisdifferentthandementiaItisanacuteconfusionalstateaccompaniedbyadisorderofperceptionSymptomsincludealterationsinmentalstatus(disorientation),attentionspan,
6、sleeppatterns,andaffectSuddenandfluctuatingUsuallyreversibleMentalStatusExaminationTheMSEisonecomponentofanexamandmaybeviewedasthepsychologicalequivalentofthephysicalexamItisanimportantcomponenttoaneurologicalevaluationFactorsaffectingtheMSECultureandeducationalbackgroundof
7、thepatientWhatisabnormalforapersonwithhighintellectualabilitymaybenormalforapersonoflesseducationPatientswithESLmayhavedifficultywithsomecomponentsoftheexamMajorComponentsoftheMSEAppearanceMotorSpeechAffect&moodThoughtContentThoughtProcessPerceptionIntellectInsightAppearanc
8、eAgeGenderRaceBodybuildPostureEyecontactDressGroomingMannerAttentivenesstoexaminer
