Assessment 1 Batomi 2009 Ppt
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The document provides guidance on conducting a comprehensive biopsychosocial assessment in mental health nursing. It outlines the BATOMI framework which examines a patient's behavior, affect, thought, orientation, memory and intellect, and insight. Specific areas to assess include appearance, speech, thought process, delusions, mood, orientation, memory, motivation, intellect and insight. A glossary defines key terms used in mental status examinations.
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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.