Mental State Assessment

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Mental State Assessment:

Usually evaluated during history taking.
May need to elicit from relatives or caregiver.

Attention
Memory
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.

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