mental health-mmse for primary care
TRANSCRIPT
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11 5 7 7 7 8
92 13 15 15 163 21 4 23 25
30 35 37 MMSE-Thai 2002 39 (ST-5) 42 45
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4% 65 20% 85 69 71
(..) ..
/ / MMSE
(Cut-off point) (-)
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/ :/ : /
MMSE
Home Project
MMSE
1
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1
( 1 10)
1. 2. 1, 12
3. 4.
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1. cognitive function
(Memory impairment)
2.
3.
4.
/ .. Mini Mental State Examination : MMSE ()
2-20 10 3
1. (1-3 )
2. (2-10 ) 3. (3-12 )
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24
1. 2. 3. 4.
1.
(Cholinesteraseinhibitors)
Donepezil(Aricept)
5 mg 10 mg 4-6
Rivastigmine (Exelon) 1.5 mg 2
2-4 1.5 mg 6 mg 2
Donepezil
Galantammine
(Reminyl)
8 mg
4 16 mg
Donepezil Rivastig-mine
Memantine 5 mg 5mg
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2.
Benzodiazepine Lorazepam
()
1-2 mg
Antidepressant Fluoxetine
Paraxetine()
20-40 mg
Trazodone (Desirel) 25-100 mg
Nortryptyline 10-50 mg
Antipsychotic Haloperidol 0.5-2.0 mg Extrapyramidal sideeffect
Risperidone()
0.5-2 mg
Valproate Carbamazepine()
200-800 mg
Quetiapine (Seroquel) 12.5-100 mg
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3 1.
1.1 1.2 1.3
1.4
1.5 90 BP (diastolic) < 90 mm Hg . 126 mg%
1.6
1.7 /1.8 /
2.
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2
/ ..
1. 2. 3. 4. 5.
1. 70% 2. 30-50% ( 3 : .. )
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3. 10-30% 4. 50%
20-40% 20% 5. 20%
6.
( ) ( ... : )
.
1.
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2.
3.
3 30 ( )
4.
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5.
6.
7.
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8.
/
9.
7% () 38% 55%
1.
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6-8
2.
1.
2.
3.
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3
/ / .. /
1. / 2. () 3. / / 4.
5. 6. 7. /
4 / ..
/
4 1. (Physical dimension) /
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/ /
2. (Psychological dimension)
3. (Social dimension) 4. (Spiritual dimension) (self transcending) 4
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/ 1.
4
15
1) (Breath Awareness)
5-10 5-10
2) (Breath Count) 1 2 3 5 1 1 2 3 4 5 1 2 3 4 5 6 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 10
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3) (Imagery Healing)
5-10 4) (Walking meditation) 5-6 20-30 4
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2. 2 (Endorphin)
4
3. Background
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1. , 2. 70-80 / 3. -
4. 5. 4. 5 4 4
4
5 ( ) 4 (20 ) (12 ) (6 ) (4 )
11,12,1 8,9,10 5,6,7
2,3,4 4
4
()
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4 () 4 ()
5. .. 7 7
1) 2 3 10-20 2) () 10-20 3) 1 10-20 4) 1 10-20 5) 2 ( 10 1-10 ) 5 6) 1 10-20 7)
10-20
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1 13
....... .........
1 10-20
2-3 1 1 10-20
4 2-3
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3-4
4-5
3
3
1. 2. .100
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3. 2-3
()
8-9 1
13 ()
114 4 10170 08 6990 4207 224 . 10200
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2 2541 2548 83
7
( ) ..... .. 44 . ... ( : .....)
20
() 6 1
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Good night (.)
(care giver)
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. .
. , 2554. . . . ,
2552. . .. , 2553.
. . . , 2554. MoCA Validation Project Workshop
Training, 2544. . 6. . .
, 2544.
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MMSE - Thai 2002
4, 9 10 ()1. Orientation for time (5 ) ( 1 )1.1 1.2 1.3 1.4 1.5 2. Orientation for place (5 ) ( 1 )2.1
2.1.1 ....
2.1.2 2.1.3 2.1.4 2.1.5 2.2 2.2.1 2.2.2 /// 2.2.3 /
2.2.4 2.2.5 3. Registration (3 ) () 3 (,........) () (,.......) 3 ()
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* ( 1 1 )
2
4. Attention/ Calculation (5 ) () (,.....) ? 4.1 4.24.1 100 7 () 5 1,2 3 4.24.2 () (, ...) (, ....)
---- (, ......) 5. Recall (3 ) 3 ( 1 1 )
2
6. Naming (2 )
7. Repetition (1 ) (1 ) () () (,......) ()
8. Verbal command (3 ) () ............(, , ) -4 (, , ) 9. Written command (1 ) (, .....) (, .....)
.............
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10. Writing (,) 1
..................................................................................................................................................... ..............
11. Visuoconstruction (1 ) ()
.........................................
(, , ).........................................................................................................................................................................................................................................
(Cut - off point) (cognitive impairment)
(-)
< 14 23( 4, 9, 10)
< 17 30
< 22 30
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ST-5
0 - 3 0 1 2 3
2-4
0 1 2 31
2
3 //
4
5
0 - 4 5 - 7 8 - 9 10 - 15
1.
2.
3.
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2
4. 3-6
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1. 2. 3. 4.
5. 6. 7. 8.
9. 10. 11. 12. 13. 14. 15.
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16. 17.
18.
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