I was very
interested in the section about the MSE, particularly the mini MSE, because I
have often seen the results of this assessment when I work with my patients
through my hospice job. With my
patients, the test is typically done by a social worker in a skilled care
facility. And as was indicated in our
text, the mini MSE is repeated fairly regularly with all the patients. This has been a good way to track any changes
in cognition, which is something that many patients experience as they age and
near the end of their lives.
Additionally,
our hospice has recently switched to electronic charting and assessing. All nurses, social workers, and spiritual
care personnel now do assessments using a tablet similar to an iPad that is
loading with software that takes us through specific questions regarding
anxiety, depression, bereavement risk, and suicide risk for example. Although I am not aware of the questions
being from one of the semi-structured interview assessments listed in our text,
they function in much the same way. A
question will appear on my tablet that I must ask the patient or family and
depending on their answer another particular question will populate the screen.
I am free to ask additional questions as needed, but I must ask each question
that is populated on the screen or the program does not allow me to proceed
with my visit documentation or close out the visit. The same beginning questions must be asked
for each patient as part of a comprehensive assessment tool. At the completion of my assessment, the
software program will flag some individuals as high, medium, or low risk for
certain criteria.
I have
found the assessment software to be very helpful in that it encourages a
thoroughness that is helpful as we design interventions and measure any
progress as a result of our interventions.
When we as clinicians used paper forms for our assessment, we were not
prompted with particular questions or funneled into different sets of questions
depending on the patient’s responses.
Therefore I have found the computer assessment tool to be much more
helpful. I wonder if there is similar
software that clinicians in the mental health or counseling field could use for
some of the assessments listed in our text.
The ease of use and the quick access to past assessments, seem to be a
great advantage.
Reference
Drummond, R. J.
and Jones, K. (2010). Assessment
Procedures for Counselors and Helping Professionals. Upper Saddle River,
New Jersey: Pearson Education, Inc.