BRIEF INTERVIEW FOR MENTAL STATUS (BIMS)

BRIEF INTERVIEW FORMENTAL STATUS (BIMS)1234 NAME LastFirstMiddleAttending PhysicianRoom/BedRecord : INTERVIEW the resident using the guidance for BIMS INTERVIEW found in the MDS RAI User s Manual(Appendix D). Conduct the INTERVIEW in a private setting. Be sure the resident can hear you. Residents with hearingimpairments should be interviewed using their usual communication INTERVIEW FOR MENTAL STATUS (BIMS)ASSESSMENTA ssessment Reference Date (ARD) (if applicable) INTERVIEW DateRepetition of Three WordsNumber of words repeated after first Able to report correct by > 5 years or no by 2-5 by 1 resident: I am going to say three words for you to remember.

BRIEF INTERVIEW FOR MENTAL STATUS (BIMS) 1 234 NAME–Last First Middle Attending Physician Record No. Room/Bed DIRECTIONS: Interview the resident using the guidance for BIMS interview found in the MDS 3.0 RAI User’s Manual (Appendix D). Conduct the interview in a private setting.

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