Memory Impairment Screen

(MIS)
Introduction to Memory Impairment
What is Memory Impairment?
Memory impairment refers to the loss of
ability to remember or recall information,
experiences, or events. It can occur due to
various factors such as aging, brain
injuries, neurological disorders, or certain
medical conditions.
Impact on Daily Life
Memory impairment can have a significant
impact on an individual's daily life, affecting
their ability to perform routine tasks,
remember important information, and
maintain independence. It can lead to
difficulties in communication, planning,
problem-solving, and overall cognitive
functioning.
Overview of the Memory Impairment Screen (MIS)
Purpose
The Memory Impairment Screen (MIS) is a cognitive assessment tool used to evaluate memory function and
detect potential memory impairments. It is commonly used in clinical settings to assist in the diagnosis of
conditions such as Alzheimer's disease and other forms of dementia.

Components
The MIS consists of a series of questions and tasks designed to assess various aspects of memory. These
include recall of words, recognition of pictures, and the ability to remember and repeat a series of numbers.
The assessment typically takes around 10-15 minutes to complete.

Scoring System
The MIS uses a scoring system to quantify the level of memory impairment. Each component of the
assessment is assigned a score, and these scores are then combined to provide an overall assessment of memory
function. Higher scores indicate better memory function, while lower scores may suggest the presence of
memory impairment.
Administration of the MIS
Step 1: Introduction
● Begin by introducing yourself to the patient and explaining the purpose of the Memory
Impairment Screen (MIS).
● Assure the patient that the assessment is not a test of intelligence, but rather a tool to
assess memory function.

Step 2: Explanation of the Task

● Provide a clear and concise explanation of the task to the patient.
● Explain that they will be asked a series of questions and given a list of words to
remember.
● Inform the patient that they will be asked to recall the words later in the assessment.

Step 3: Word List Presentation

● Present the patient with a list of 04 words.
● Read each word aloud and allow sufficient time for the patient to process and repeat the word if
necessary.
Step 4: Delayed Recall
● Engage the patient in a different activity or conversation for approximately 5 minutes.
● After the delay, ask the patient to recall the same list of words again.
● Record the number of correctly recalled words.

Step 5 : Immediate Recall

●
● After presenting all 04 words, ask the patient to recall as many words as they can remember.
● Allow upto five attempts.
● Record the number of correctly recalled words.

Step 6: Cued Recall

● If 10 secs have passed and the client is having difficulty remembering the words give them clues.
● Record the number of correctly recognized words.

Step 7: Conclusion

● Thank the patient for their participation and provide any necessary follow-up instructions or referrals.
● Offer support and reassurance to the patient and address any concerns or questions they may have.
Scoring And Interpretation of MIS Results

The maximum score for the MIS is 8.

Scoring:

● Free recall (2pts)

● Cued recall (1pt)

Interpretation:

• 5-8 No cognitive impairment

• ≤ 4 Possible cognitive impairment

Clinical Applications of the MIS
Early Detection
The MIS is a valuable tool for the early detection of memory impairment. It can help identify
individuals who may be at risk for developing cognitive decline or dementia.

Differential Diagnosis
The MIS can assist in the differential diagnosis of memory impairment. By comparing the results of the MIS
with other cognitive tests and medical evaluations, healthcare professionals can determine the underlying
cause of the memory impairment.

Monitoring Progress
The MIS can also be used to monitor the progression of memory impairment over time. By administering the
MIS at regular intervals, healthcare professionals can track changes in cognitive function and adjust
treatment plans accordingly.

Treatment Planning
The results of the MIS can help guide treatment planning for individuals with memory impairment. By
identifying specific areas of cognitive decline, healthcare professionals can develop targeted