From the Guidelines
A score of 28 out of 30 on the Mini-Mental State Examination (MMSE) indicates normal cognitive function. The MMSE is a 30-point screening tool used to assess cognitive impairment, with scores of 24-30 generally considered within the normal range 1. A score of 28 suggests that the person has intact cognitive abilities with only minor errors on the test. This means the individual likely has no significant problems with:
- Orientation
- Attention
- Memory
- Language
- Visuospatial skills
According to the guidelines for managing Alzheimer's disease, the MMSE is the brief instrument most commonly used to assess cognitive changes in patients with dementia 1. The test has been translated into many languages and can be used in a variety of cultural settings. However, it has limitations, including not being sensitive in detecting mild dementia and having a "floor effect" late in the course of Alzheimer's disease 1.
No specific treatment is needed for someone with this score, as it does not indicate cognitive impairment or dementia. However, if there are specific concerns about memory or thinking skills despite this normal score, more comprehensive neuropsychological testing might be warranted, as the MMSE is just a screening tool and has limitations in detecting subtle cognitive changes or early stages of dementia, particularly in highly educated individuals who may score normally despite early cognitive decline 1.