Integrating the cognitive mental status examination into the medical interview
Goldberg, R.J.; Faust, D.; Novack, D.
Southern Medical Journal 85(5): 491-497
1992
ISSN/ISBN: 0038-4348 PMID: 1585201 Document Number: 388648
The frequency of cognitive deficits in medical patients makes the cognitive mental status evaluation an important component of the medical interview. This paper helps delineate the clinical situations in which formal cognitive mental status questioning is indicated. We address the critical issues involving the doctor-patient interaction in order to facilitate the evaluation of mental status without alienating the patient or introducing artificial and unnecessary questions. We review more specifically the areas of attention, memory, language, constructional ability, and higher cognitive functions. Finally, we address issues of referral for further evaluation.