Mental Health-MMSE for Primary Care

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    / 2555 1,200

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    /

    /

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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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    2

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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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    9

    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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    10

    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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    11

    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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    15

    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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    18

    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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    22

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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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