BIMS Calculator
Score the BIMS cognitive screen with repetition, orientation, and recall sections.
What Is the BIMS?
The Brief Interview for Mental Status (BIMS) is a standardized cognitive screen used primarily in nursing homes. It assesses repetition, temporal orientation, and three-word recall in about three minutes. Related tools include the Barthel Index Calculator for activities of daily living.
BIMS Scoring Sections
Repetition scores 0 to 3 words recalled. Orientation scores year (0 to 3), month (0 to 2), and day of week (0 to 1). Recall of sock, blue, and bed each scores 2 for spontaneous recall, 1 for cued recall, or 0 for no recall. The total ranges from 0 to 15.
Score Interpretation
Scores of 13 to 15 suggest intact cognitive response. Scores from 8 to 12 indicate moderate impairment. Scores of 0 to 7 indicate severe cognitive impact. A decline of one to two points between assessments may represent a meaningful change.
Frequently Asked Questions
Can BIMS diagnose dementia?
No. BIMS screens cognitive function but cannot diagnose dementia. Further evaluation is needed when impairment is suspected.
What does a BIMS score of 13 mean?
A score of 13 indicates intact cognitive response on this screen, though mild impairment may not be detected by BIMS alone.
What are the three recall words?
The standard BIMS recall words are sock, blue, and bed. They are introduced during the repetition task and tested again in the recall section.
How is year orientation scored?
Correct year scores 3 points. Answers within two years score 2, within three years score 1, and incorrect answers score 0.
Who can administer BIMS?
BIMS can be administered by trained paraprofessionals or licensed clinicians using the standardized interview script.
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