...Assessing Mental Status Most of a mental status assessment can be done during an interview. Assess the patient’s appearance, behavior, mood, thought processes and cognitive function, coping mechanisms, and potential for self-destructive behavior. Record your findings. Most of us already do an assessment of mental status everyday, esp. in our jobs. But now we are going to take a little closer observation. Mental Status exam is a FOCUSed exam. Used for screening, assess state of consciousness (expected or unexpected) or to assess whether the patient is experience delirium versus dementia. Past Medical and Family History Any history of * Neurological disorders * Brain surgery * Psychiatric counseling * Mental retardation * Alzheimer disease * Learning disorders Personal and Social History Pertinent data should include: · Emotional status · Life goals, relationship with family members · Intellectual level · Sleeping/eating patterns, weight loss/gain · Anxiety · Use of alcohol or street drugs Age and Condition-Related Variations * Children * Areas relevant to children are speech & language, behavior, performance of self-care activities, personality and behavior patterns and learning difficulties * Older Adults * Ask about any experiences with depression, or changes in mental functions Let’s look at appearance… this can help to indicate emotional and mental status, specifically noting his/her dress and grooming. Some things...
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...Vanessa Leite Forensic Critique #1 Box 100 July 13, 2012 EVALUATION A 1. Was there a mental disease or defect at the time of the crime? If yes, what type? I believe Ms. Y exhibited a deficit during the crime and would attribute that deficit to some kind of developmental and intellectual impairment. The evaluation mentioned review of previous assessments in which Ms. Y was given a diagnosis of Mild Mental Retardation (Code 317). This type of diagnosis includes criteria of an IQ level of 50-55 to 70, an ability to achieve social and vocational skills for minimum self-support, but also may need supervision and guidance. Individuals diagnosed with MMR also tend to show impairment in communication, self-care, social and interpersonal skills, home living, use of community resources, self-direction, academic skills, work, health, leisure, and safety. Ms. Y has a history of being able to obtain work that requires minimal skills but demonstrated an inability in performing simple addition and subtraction as well as being unable to iron a shirt. Also, supplemental information indicates a lack of mental capacity consistent with what is indicated by the current assessment. The need for assistance is more critical for individuals diagnosed with MMR when they experience unusual social or economic stress. These individuals are able to live independently or in supervised settings with proper support. Ms. Y has also shown a lack of understanding of the event in which she wrote a “hot...
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...- was not) used for this evaluation. ___There were no records. SSA Form: __3368 __3373 __454 Co: __________________________________ prog.note/evaluation/_______________________ authored by ________________________ on ____/___/_____. Co: __________________________________ prog.note/evaluation/_______________________ authored by ________________________ on ____/___/_____. Co: __________________________________ prog.note/evaluation/_______________________ authored by ________________________ on ____/___/_____. Co: __________________________________ prog.note/evaluation/_______________________ authored by ________________________ on ____/___/_____. The claimant __reported __denied mental health symptoms of _________________________. endorsed symptoms of depression since ___________________________________. current symptoms occur: __most days __daily __weekly __intermittently _______________ severity is in the __mild __mild to moderate __moderate __moderate to severe...
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...Observing a Mental Status Exam Jennifer Broadwell FPSY 4111: Forensic Interviewing and Investigation Walden University April 2015 Mental Status Examinations are conducted to gain perspective into a person’s cognitive functioning. This information can be important in different situations. The information can be resourceful in a clinical setting, a treatment setting, as well as a criminal investigation setting. When interviewing an individual in reference to a crime it is important to conduct a mental status examination to be able to gauge if the information gained is credible, comprehensive, consistent, and comprehensible. “Mental status tests will examine your appearance, orientation, attention span, memory, language skills, and judgment skills” (Martel, 2012, para. 1). The information gained from the mental status examination can be used to prepare forensic psychologists in working with suspects, witnesses, or victims of crime. Elaine Roffban was a witness to a crime. It is known that she has a diagnosis of dementia. The mental status examination allows insight into just how reliable she would be as a witness to the events. General Appearance: Elaine is an 87 year old overweight Caucasian female whose appearance corresponds with her age and has been diagnosed with dementia. While Elaine’s clothing is clean and properly maintained the style is inappropriate for the season. The clothing is more properly suited for fall or winter. In addition the clothing...
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...particular to each patient. This assessment is achieved through interviews and assessments between the nurse and the client that “[varies] according to the state of the participants and the context in which the interview takes place” (Carniaux-Moran). It assists a nurse towards a more proficient and thorough diagnoses. For one, it is vital to consider a client’s past and present physical condition in order to determine if any of these medical disorders have an impact on their mental health. For example, patients who present symptoms for some common psychiatric illness such as nervousness, irritability and insomnia, can actually be suffering from underlying medical condition such as hypothyroidism or low lithium levels. In order to overcome the shortcomings of the visual observation of symptoms, nurses often perform a medical workup to rule out organic illnesses and ensure that the client is well enough to undergo psychopharmacologic and psychiatric treatments. This medical workup consists of physical examinations, clinical laboratory tests such as serum and urine tests, vital sign assessments, liver and thyroid function tests, and specialized diagnostic procedures like MRI, EEG and PET scans. All this is to ensure that the patient is suffering from a psychiatric illness, as...
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...Assignment Each student will present a written case study of a selected patient with schizophrenia and provide a critical evaluation of the assessment, treatment and management of the patient utilizing relevant research evidence. The work should include the following areas: 1. A critical analysis of the assessment and diagnostic process 2. A critical analysis of the management/ rehabilitation-medical, nursing and other management 3. Appropriate referencing Methodology A random method was used to select the patient for this study. The patient was chosen from a cohort of patients on a psychiatric ward. The aim was to critique the assessment, treatment and management of a patient medically diagnosed with Schizophrenia. Various sources of information were utilized in the collection of information for this project. A research of this caliber demands that sources of information are peer reviewed current and of scholarly sources. Therefore it was with this in mind that the information was collected using internet medical portals, journal article and appropriate text books with a wide variety of information on the topic of choice. The patient’s docket was also used because it is a primary source of information about the management of the condition. Introduction Schizophrenia is a serious psychiatric disorder characterized by impaired communication with loss of contact with reality and deterioration from previous level of functioning at work, social...
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...manages a patient with paranoid schizophrenia. Stein-Parbury (2009) discuss the importance of providing an environment without distractions for an assessment to occur in, as this enhances the ability of both the patient and nurse to listen and understand. This can assist with patients with paranoid schizophrenia, experiencing perceptual disturbances or delusions. It is also important to provide a space that is private, thus giving the patient a sense of safety in disclosing personal information. Snyderman and Rovner (2009) highlight the importance of using a Mental State Examination (MSE), to assess the patients’ mental state and to aid in diagnosing a patients’ mental illness through identifying a range of sections including thought form, content and mood. It also enables the treating team to formulate a plan individualised to the patients needs. The following areas should be assessed in a mental state examination (MSE). Appearance including the physical characteristics, age, the way in which the patient is appropriately dressed according to weather or environment and how they have attended to their personal hygiene (Shives, 2008). Patients suffering acute periods of illness resulting from their paranoid schizophrenia commonly have poor attention to their self care and grooming, their general appearance is can be identified as dishevelled or...
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...Berkeley Master of Engineering Program Student Handbook 2014-2015 edited 6/17/14 ld 1 Table of Contents MASTER OF ENGINEERING PROGRAM CONTACT INFORMATION ........................................................ 4 FUNG INSTITUTE FACULTY & STAFF .......................................................................................................................... 4 DEPARTMENT STAFF .................................................................................................................................................. 5 ADDITIONAL RESOURCES CONTACT INFORMATION ................................................................................ 6 MASTER OF ENGINEERING HONOR CODE ..................................................................................................... 7 ACADEMIC INTEGRITY................................................................................................................................................ 7 ACADEMIC AFFAIRS ............................................................................................................................................. 10 THE ACADEMIC PROGRAM ....................................................................................................................................... 10 ADVANCEMENT TO CANDIDACY .............................................................................................................................. 10 REGISTRATION...
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...1. Definition/Description: Anxiety is a response to a real or imagined danger. Mild anxiety is a common experience and usually requires no treatment. People actually experience anxiety everyday, and in case of mild anxiety, it can be the motivation for achievement, and results in a better outcome. However, moderate to severe anxiety is a symptom of psychiatric disorders such as a phobia, panic disorder, obsessive-compulsive disorder (OCD), and post traumatic stress disorder (PTSD). Chronic and severe anxiety are treated with antianxiety drugs, also called anxiolytics or minor tranquilizers. Anxiety is a feeling of apprehension, fear, or worry. It can occur without a cause and may not be based on a real-life situation. Symptoms of anxiety vary with the form of anxiety disorder. Common anxiety disorders include panic disorder, generalized anxiety disorder, phobic disorder, OCD, and PTSD. Treatment of anxiety depends on the cause. Short-term anxiety attacks can be treated at home with interventions such as talking with a supportive person, meditating, taking a warm bath, resting in a quiet place, or performing deep-breathing exercises. Life style modification, such as balanced diet, regular exercise, and adequate sleep can be helpful to overcome anxiety. If the cause is physical, such as a tumor called a phechormocytoma, surgical removal of the tumor can resolve the symptom of anxiety. Hyperthyroidism can be the cause of anxiety, and the...
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...INFLUENCE OF TEST ANXIETY AND SELF EFFICACY ON MATHEMATICS PERFORMANCE OF SECONDARY SCHOOL STUDENTS IN KANDUYI DIVISION OF BUNGOMA DISTRICT By Simiyu, Marango G. Moses E55/5150/2003 A THESIS SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF EDUCATION IN THE SCHOOL OF EDUCATION OF KENYATTA UNIVERSITY. OCTOBER, 2010. DECLARATION “This thesis is my original work and has not been presented for a degree in any other University.” Signature _______________ Date Name: Simiyu, Marango G. Moses________ E55/5150/2003 Supervisors: “we confirm that the work reported in this thesis was carried out by the candidate under our supervision as university supervisors. Supervisors: Signature: 1 _______________ Date____________ Prof. Fredrick Moses Okatcha Educational Psychology Department 2 _________________ Prof. Haniel N. Gatumu Educational Psychology Department Date____________ ii DEDICATION To my dear wife Maria and our children, Maureen, Valerie, Bramuel and Gideon. Your support, love and understanding remain a strong inspiration to move on. iii ACKNOWLEDGEMENT Am indebted to acknowledge the invaluable support accorded to me during the period of study by my supervisors Prof. F.M Okatcha and Prof.H.N Gatumu of Kenyatta University. I would also like to appreciate the assistance of Dr. Kwena, Dr.Mweru and Dr.Mugambi of Educational Psychology department for their constructive criticism of this work. I thank Dr. John Wesonga and Mrs...
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...Reference: http://www.rcgp.org.uk/default.aspx?page=4134 Medical Abbreviations (Radiography Relevant items highlighted in yellow) |Abbreviation |Translation |Further Information | |0 |Not Present OR No abnormality |Also in superscript e.g. ……..o | |+/- |Uncertain/equivocal | | |+ |Present or Noted | | |++ |Present Significantly | | |+++ |Present in Excess | | |= |Equivalent to | | |3 |OK or satisfactory | | |A |Ankle Jerk/Reflex |Hitting the ankle with a patella hammer to | | | |test reflexes | |AAA |Abdominal Aortic Aneurysm |Swelling of the main artery in the abdomen | |AAL |Anterior Axillary Line |Imaginary...
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...Derek is admitted to the emergency department critically unwell. Consider the presenting symptoms as outlined in the social history, video clips and medical records and address the following; a) Provide and interpretation of Derek’s ABGs. Derek’s blood gases are as follows PaO2 80mm/Hg PaCO2 52mm/Hg PH 7.25 HCO3 30 The results show that Derek has respiratory acidosis. According to Porth and Matfin, (2009) respiratory acidosis is a condition was an acid imbalance occurs in the body. During gas exchange, the exchange of gas is impaired and results in excess carbon dioxide (CO2) being absorbed into the blood stream, initiating the formation of an acid, making the blood more acidic (Porth & Matfin, 2009). The PH drops as there is little ventilation of the alveolar, and compensation results in the production of hydro carbon dioxide (HCO2) (Farrell & Dempsey 2005). Respiratory acidosis may be caused by injury to the respiratory centres, diseases of the lungs, blockage of the airway and respiratory disorders (Porth & Matfin, 2009). b.) Provide two possible reasons for the ABG’s based on Derek’s history and presentation. The cause for Respiratory acidosis in Derek could have been caused by a respiratory disorder such as COPD which he has been diagnosed with since 1997, and was asked to cease smoking but up to date he has continued to smoke 20-30 cigarettes per day. Porth and Matfin, (2009) explain that conditions of the respiratory system may cause...
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...government through the Department of Education (DepEd) takes charge of the educational programs, projects, goals and objectives of the country's educational system particularly the elementary and secondary. Department of Education (DepEd) designs educational innovations to keep abreast with the needs of the changing times. We all know and aware that our government is doing their best to improve the plight of our educational system and that is why big allocations of budget is given to the DepEd yearly. National Achievement Test is an examination annually conducted by the Department of Education ( DepEd) to public and private elementary and secondary schools in the Philippines to measure the knowledge of the pupil in five areas, in which HEKASI is included. The annual NAT examination results is one of their materials in assessing the effectiveness of education of the elementary and high school students. The objectives of this examination is to assess the level of competencies in the core subjects and HEKSI/Araling Panlipunan and still be used to determine what the students know, understand and can do at their level. The results are intended to guide the Department of Education in its efforts towards the improvement of the quality of education...
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...and refers to himself as a “womaniser”. Mental State Examination ( MSE) – During Interview Appearance He was a healthy gentleman and well-groomed with good personal hygiene. MT was in casually dressed in a T-shirt and shorts with a cap. He was noted to have left sided torticollis of the neck. Behaviour He was well settled and cooperative throughout the interview. He displayed appropriate eye contact with downcast posture. He was polite and respectful with no psychomotor retardation and agitation noted. Mood and Affect He appears euthymic with no irritablity. He does not seem to appear depressed. His affect was slightly blunt. Speech The speech was in reasonable rate but became louder as his level of irritation was increased. Thought process and...
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...specified syllabus / course-description, a set of references, taught by some teacher(s) / course- instructor(s) to a specific class (group of students) during a specific academic-semester / semester. “Course Instructor" means, the teacher or the Course Instructor of a Course. "Curriculum" means the set of Course-Structure and Course-Contents. "DAA" means, the Dean of Academic Affairs. “DAAB” means Departmental Academic Appeals Board. “DEC/PEC” means Dissertation Evaluation Committee / Project Evaluation committee. “Department” means a group in the University devoted to a specific discipline also called a School. Department and School are used interchangeably. "DSA" means, Dean Student Affairs. “ESE” means End-Semester Examination “EYE” means End-Year Examination. "Faculty Advisor/Class Counsellor” means, the Faculty Advisor or the Panel of Faculty Advisors, in a Parent Department, for a group (admission-batch) of students. Also known as Class Counsellor. “Grade Card” means the detailed performance record in a semester/ programme. "He" means both genders “he” and “she”; similarly "his" and/or "him" includes "her" as well, in all the cases. "HOD" means, the Head of the Department. “MLC”...
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