ORARL, 5-3-5-3-9
1. Orientation:
- Time (5 points – 1 for each correct): What is the: (year) (season) (date) (day) (month)?
- Place (5 points – 1 for each correct): Where are we: (state) (county) (town) (hospital) (floor)?
2. Registration: Name three objects, ask patient to repeat (3 points – 1 for each on first repetition; allow upto 6 trials)
3. Attention/Calculation: Serial 7 substraction Or Spell “WORLD” backward (5 points – 1 point for each in correct order)
- 93, 86, 79, 72, 65…….
- D-L-R-O-W
4. Recall: Ask the patient to rename the three objects stated earlier (3 points – 1 point for each)
5. Language: 9 points
Language: 2, 3 DRaW
2 (2 points – 1 point for each) – Name 2 objects (pen and watch)
3 (3 points – 1 point for each) – Follow 3 step commands (“Take this paper from my hand, fold it in half, and drop it on the floor.”)
1 point each:
Drawing – Copy a design (Copying 2 intersecting pentagons – all 10 angles must be present and two must intersect)
Reading – Read this statement and do exactly what it says (“Close your eyes”)
Repeating (Allow only 1 trial) – Repeat the phrase “No ifs, and or, buts”
Writing – Write a sentence (must contain subject, verb and must make sense; correct grammar and punctuation is not necessary)
Interpretation
- 24-30: Normal range
- 18-23: Mild cognitive impairment
- 0-17: Severe cognitive impairment