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  • 1. DSM IV TR and nursing diagnosis
  • 2. What is the DSM-IV TR?
    • The diagnostic and statistical manual of mental disorders.
    • Used to diagnose mental disorder
    • Created by Healthcare professionals containing categories of diagnoses with symptoms for each, to aid in diagnosis and treatment.
  • 3. Comparison with nursing diagnoses
    • DSM -IV-TR - disease focused
    • Nursing focused on treatment of human responses
      • Actual or potential
      • Individual
      • Family
      • Community
  • 4. Multiaxial System
    • Axis I
    • Clinical Disorders Other Conditions that May Be A Focus of Clinical Attention. Conditions that do not meet precise diagnostic criteria are designated "NOS" [Not Otherwise Specified]
  • 5. Multiaxial System
    • Axis II
    • Personality Disorders
    • Mental Retardation
  • 6. Multiaxial System
    • AXIS III
    • General Medical Conditions
  • 7. Multiaxial System
    • Axis IV
    • Psychosocial and Environmental Problems
  • 8. Multiaxial System
    • Axis V
    • Global Assessment of Functioning
    • codes indicate level of functioning
      • Range 0 – 100
      • Low score indicates poorer functioning
      • High score indicates superior functioning or no symptoms
  • 9. Culture and DSM-IV-TR
    • Clinical variations for each disorder
    • Culture-bound syndromes