Assessment 1 Batomi 2009 Ppt

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  • Akathesia – complaints of restlessness accompanied by movements such as fidgeting of the legs, rocking from foot to foot, pacing, inability to sit or stand still.
  • Euthymic – normal mood Constricted – mild reduction in the range and intensity of emotional expression Blunted – an affect type that represents significant reduction in the intensity of emotional expression Flat – an affect type that indicates the absence of signs of emotional expression Inappropriate/incongruent – an affect type in which the expression of emotion does not match the content of what is being said or thought Labile – An affect type that indicates abnormal sudden rapid shifts in emotional expression, unstable emotion Elevated mood – an exaggerated feeling of well-being or euphoria or elation Euthymic mood – normal Dysphoric – Expansive mood – Lack of restraint in expressing one’s feelings, frequently with an overvaluation of one’s significance or importance, irritable, easily annoyed, and provoked to anger.
  • Circumstantiality – tedious unnecessary details. Tangential thinking – digressing from the subject unrelated, oblique and irrelevant topics Thought blocking – sudden cessation mid sentence where the person can not recover what he has said or complete his thoughts Loose associations – jumping from topic to topic Flight of ideas – A nearly continuous flow of accelerated speech with abrupt changes from topic to topic that are usually based on understandable associations, distracting stimuli, or plays on words Perservation – repeating the same response to a variety of questions and topics with inability to change response or topic. Neologisms – words the person makes up, often a condensation of several words Word Salad – incomprehensible mixing of meaningless words and phrases Clang associations – connection between thoughts may be tenuous and person uses rhyming and punning Echolalia – person’s irrelevant parroting of what another person has said
  • Ideas of reference – Incorrect interpretations of casual incidents and external events as having direct reference to oneself. Magical thinking – thinking equates with doing, characterised by lack of realistic relationship between cause and effect Thought insertion – the delusion that one’s thoughts are not one’s own, but rather are inserted into one’s mind Thought broadcasting – the delusion that one’s thoughts are being broadcast out loud so that they can be perceived by others.
  • Assessment 1 Batomi 2009 Ppt

    1. 1. Assessment in Mental Health Nursing <ul><li>At the completion of these sessions students will: </li></ul><ul><li>Identify information required to conduct a </li></ul><ul><li>comprehensive biopsychosocial assessment </li></ul><ul><li>Understand a mental status examination </li></ul><ul><li>Explain risk assessment </li></ul><ul><li>Gain knowledge of procedures required to complete </li></ul><ul><li>a physical assessment </li></ul>
    2. 2. BATOMI <ul><li>Behaviour </li></ul><ul><li>Affect </li></ul><ul><li>Thought </li></ul><ul><li>Orientation </li></ul><ul><li>Memory/Motivation </li></ul><ul><li>Intellectual functioning </li></ul><ul><li>Insight </li></ul>
    3. 3. B - Behaviour <ul><li>Eye contact </li></ul><ul><li>Body Language </li></ul><ul><li>Personal Space </li></ul><ul><li>Motor Activity e.g. tremors, tics, lip smacking, akathisia </li></ul><ul><li>Goal directed e.g. purposeful, bizarre, repetitive, ritualistic, Compulsive tidying and cleaning </li></ul><ul><li>Gait </li></ul><ul><li>Gestures/ Mannerisms </li></ul>
    4. 4. A – Appearance <ul><li>Scars, Tattoos, skin texture e.g. acne </li></ul><ul><li>Distinctive hairstyle or hair colour </li></ul><ul><li>Clothes – style, appropriateness, </li></ul><ul><li>Grooming – cleanliness e.g. offensive smelling, neatness e.g. Dishevelled </li></ul><ul><li>Height, weight, body shape </li></ul><ul><li>Mobility </li></ul><ul><li>Estimate of how old person looks compared to their chronological age </li></ul>
    5. 5. Affect & Mood <ul><li>Affect – the observable behaviour that represents the expression of an emotion e.g. constricted, blunted, flat, inappropriate/incongruent and labile </li></ul><ul><li>Mood – a subjective feeling of emotion that colours the perception of the world e.g. depression, anger, anxiety, dysphoric, elevated, euthymic, expansive and irritable </li></ul>
    6. 6. T - Thought <ul><li>How does the person talk? </li></ul><ul><li>Speech – </li></ul><ul><ul><ul><li>Tone of voice e.g. monotone </li></ul></ul></ul><ul><ul><ul><li>Flow and rate of speech e.g. rapid, slow, staccato </li></ul></ul></ul><ul><ul><ul><li>Volume e.g. softly spoken </li></ul></ul></ul><ul><ul><ul><li>Clarity e.g. pressured </li></ul></ul></ul><ul><ul><ul><li>Defects e.g. stammering, stuttering </li></ul></ul></ul>
    7. 7. T - Thought <ul><li>Thought Process – </li></ul><ul><li>Retardation versus racing thoughts </li></ul><ul><li>Goal directedness e.g. circumstantiality, tangential thinking, thought blocking, loose associations/flight of ideas, perservation, disorganised. </li></ul><ul><li>Neologisms </li></ul><ul><li>Word Salad </li></ul><ul><li>Clang associations </li></ul><ul><li>Echolalia </li></ul>
    8. 8. T - Thought <ul><li>Delusions – A false belief </li></ul><ul><ul><ul><li>Grandiose </li></ul></ul></ul><ul><ul><ul><li>Paranoid </li></ul></ul></ul><ul><ul><ul><li>Persecutory </li></ul></ul></ul><ul><ul><ul><li>Somatic </li></ul></ul></ul><ul><ul><ul><li>Nihilistic </li></ul></ul></ul><ul><ul><ul><li>Religious </li></ul></ul></ul><ul><ul><ul><li>Bizarre </li></ul></ul></ul><ul><ul><ul><li>Poverty </li></ul></ul></ul><ul><ul><ul><li>Systematised </li></ul></ul></ul>
    9. 9. T -Thought <ul><li>Thought insertion </li></ul><ul><li>Thought withdrawal </li></ul><ul><li>Thought broadcasting </li></ul><ul><li>Magical thinking </li></ul><ul><li>Ideas of reference </li></ul><ul><li>Ideas of influence </li></ul><ul><li>Illusions </li></ul><ul><li>Hallucinations </li></ul><ul><ul><ul><li>Auditory </li></ul></ul></ul><ul><ul><ul><li>Visual </li></ul></ul></ul><ul><ul><ul><li>Tactile </li></ul></ul></ul><ul><ul><ul><li>Olfactory </li></ul></ul></ul><ul><ul><ul><li>Gustatory </li></ul></ul></ul>
    10. 10. T - Thought <ul><li>Suicidal Ideation </li></ul><ul><li>Homicidal Ideation </li></ul>
    11. 11. O - Orientation <ul><li>Time </li></ul><ul><li>Place </li></ul><ul><li>Person </li></ul>
    12. 12. M – Memory & Motivation <ul><li>Memory </li></ul><ul><li>Immediate </li></ul><ul><li>Short term </li></ul><ul><li>Long term </li></ul>
    13. 13. M – Memory & Motivation <ul><li>Motivation </li></ul><ul><li>Positive </li></ul><ul><li>Negative </li></ul><ul><li>Passive </li></ul><ul><li>Ambivalent </li></ul><ul><li>Decision making abilities </li></ul><ul><li>Future plans </li></ul>
    14. 14. I – Intellect & Insight <ul><li>Intellect </li></ul><ul><li>Concentration </li></ul><ul><li>Attention </li></ul><ul><li>General Knowledge </li></ul><ul><li>Simple calculations </li></ul><ul><li>Abstract/concrete thinking </li></ul><ul><li>Ability to think things through </li></ul><ul><li>Comprehension </li></ul>
    15. 15. I - Intellect & Insight <ul><li>Insight </li></ul><ul><li>Self awareness </li></ul><ul><li>Understanding of current symptoms </li></ul>
    16. 16. Glossary of Terms <ul><li>Akathesia – complaints of restlessness accompanied by movements such as fidgeting of the legs, rocking from foot to foot, pacing, inability to sit or stand still. </li></ul><ul><li>Blunted Affect – an affect type that represents significant reduction in the intensity of emotional expression </li></ul><ul><li>Circumstantiality – tedious unnecessary details. </li></ul><ul><li>Clang associations – connection between thoughts may be tenuous and person uses rhyming and punning </li></ul><ul><li>Constricted Affect – mild reduction in the range and intensity of emotional expression </li></ul><ul><li>Dysphoric mood – distressed, unhappy </li></ul><ul><li>Echolalia – person’s irrelevant parroting of what another person has said </li></ul><ul><li>Elevated mood – an exaggerated feeling of well-being or euphoria or elation </li></ul><ul><li>Euthymic mood – normal mood </li></ul><ul><li>Euphoric mood – exaggerated feeling of well-being </li></ul><ul><li>Expansive mood – Lack of restraint in expressing one’s feelings, frequently with an overvaluation of one’s significance or importance, irritable, easily annoyed, and provoked to anger. </li></ul><ul><li>Flat Affect – an affect type that indicates the absence of signs of emotional expression </li></ul><ul><li>Flight of ideas – A nearly continuous flow of accelerated speech with abrupt changes from topic to topic that are usually based on understandable associations, distracting stimuli, or plays on words </li></ul>
    17. 17. Glossary of Terms (Continued) <ul><li>Inappropriate/incongruent Affect – an affect type in which the expression of emotion does not match the content of what is being said or thought </li></ul><ul><li>Ideas of reference – Incorrect interpretations of casual incidents and external events as having direct reference to oneself. </li></ul><ul><li>Labile Affect – An affect type that indicates abnormal sudden rapid shifts in emotional expression, unstable emotion </li></ul><ul><li>Loose associations – jumping from topic to topic </li></ul><ul><li>Magical thinking – thinking equates with doing, characterised by lack of realistic relationship between cause and effect </li></ul><ul><li>Neologisms – words the person makes up, often a condensation of several words </li></ul><ul><li>Perservation – repeating the same response to a variety of questions and topics with inability to change response or topic. </li></ul><ul><li>Tangential thinking – digressing from the subject unrelated, oblique and irrelevant topics </li></ul><ul><li>Thought blocking – sudden cessation mid sentence where the person can not recover what he has said or complete his thoughts </li></ul><ul><li>Thought broadcasting – the delusion that one’s thoughts are being broadcast out loud so that they can be perceived by others. </li></ul><ul><li>Thought insertion – the delusion that one’s thoughts are not one’s own, but rather are inserted into one’s mind </li></ul><ul><li>Word Salad – incomprehensible mixing of meaningless words and phrases </li></ul>

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