Mental State Assessment:
Usually evaluated during history taking.
May need to elicit from relatives or caregiver.
Clarity of thought
Orientation as to time and place
Mnemonic – COMO ESTAS (Spanish for ‘How are you?’) :
Cognitive function (eg calculation, concentration, judgement, insight); Overview (eg appearance, attitude, level of consciousness); Memory (eg recent and long term); Orientation (eg place and time); Emotion (eg mood); Speech (eg fluency, comprehension); Thought (eg process, content); Attention (eg recall, abstract thinking); Something else that the practitioner has forgotten that might be important for the patient.