The document provides guidelines for assessing and evaluating disabilities in India. It describes the following:
1. Authorities in India that are responsible for providing disability certificates according to the Persons with Disabilities Act of 1995.
2. The Indian Disability Evaluation and Assessment Scale (IDEAS) which was developed to measure and quantify disability in mental disorders.
3. How the IDEAS evaluates four areas - self-care, interpersonal activities, communication and understanding, and work - to determine the level of global disability on a scale from 0-100%.
Classification in Psychiatry
The concept, reliability, validity, advantages and disadvantages of different classification systems, controversies in psychiatry classification
Classification in Psychiatry
The concept, reliability, validity, advantages and disadvantages of different classification systems, controversies in psychiatry classification
Insight is one of the crucial components of a mental status examination in Psychiatry. Scarce data is available in the standard textbooks on this concept.
The following presentation was made after going through the myriad of articles and case studies i found online.
Clinical Psychology Case Formulation and Treatment Planning: A PrimerJames Tobin, Ph.D.
The aim of this primer is to support the learning of clinical case conceptualization and treatment planning for graduate students in clinical psychology, other trainees in the mental health professions, and early-career psychologists and mental health workers.
An overview of Disability certification for Autism, Specific learning disorder (SLD), Mental illness, Intellectual disability (Mental Retardation) and multiple disability in India for medical students
Well planned and scheduled vacation trips to cover most of the fun spots in Panama City and Boquete. Panamatravelcorp.com has put together various vacation tour packages in Panama in correspondence to the mood you are in.
This important annual b2b show is canada’s mobile & Wireless trade show, gathering together 100 exhibitors and approximately 2,000 high quality attendees.
Insight is one of the crucial components of a mental status examination in Psychiatry. Scarce data is available in the standard textbooks on this concept.
The following presentation was made after going through the myriad of articles and case studies i found online.
Clinical Psychology Case Formulation and Treatment Planning: A PrimerJames Tobin, Ph.D.
The aim of this primer is to support the learning of clinical case conceptualization and treatment planning for graduate students in clinical psychology, other trainees in the mental health professions, and early-career psychologists and mental health workers.
An overview of Disability certification for Autism, Specific learning disorder (SLD), Mental illness, Intellectual disability (Mental Retardation) and multiple disability in India for medical students
Well planned and scheduled vacation trips to cover most of the fun spots in Panama City and Boquete. Panamatravelcorp.com has put together various vacation tour packages in Panama in correspondence to the mood you are in.
This important annual b2b show is canada’s mobile & Wireless trade show, gathering together 100 exhibitors and approximately 2,000 high quality attendees.
Dr. Abhijit Mitra, Associate Professor and former Head, Dept. of Marine Science, University of Calcutta (INDIA) has been active in the sphere of Oceanography since 1985. He obtained his Ph.D as NET qualified scholar in 1994. Since then he joined Calcutta Port Trust and WWF (World Wide Fund), in various capacities to carry out research programmes on environmental science, biodiversity conservation, climate change and carbon sequestration. Presently Dr. Mitra is serving as the advisor of Oceanography Division of Techno India University, Kolkata. He has to his credit about 388 scientific publications in various National and International journals, and 34 books of postgraduate standards. Dr. Mitra has successfully completed about 16 projects on biodiversity loss in fishery sector, coastal pollution, alternative livelihood, climate change and carbon sequestration. Dr. Mitra also visited as faculty member and invited speakers in several foreign Universities of Singapore, Kenya, Oman and USA. In 2008, Dr. Mitra was invited as visiting fellow at University of Massachusetts at Dartmouth, USA to deliver a series of lecture on Climate Change. Dr. Mitra also successfully guided 29 Ph.D students. Presently his domain of expertise includes environmental science, mangrove ecology, sustainable aquaculture, alternative livelihood, climate change and carbon sequestration.
Dr. Abhijit Mitra, Associate Professor and former Head, Dept. of Marine Science, University of Calcutta (INDIA) has been active in the sphere of Oceanography since 1985. He obtained his Ph.D as NET qualified scholar in 1994. Since then he joined Calcutta Port Trust and WWF (World Wide Fund), in various capacities to carry out research programmes on environmental science, biodiversity conservation, climate change and carbon sequestration. Presently Dr. Mitra is serving as the advisor of Oceanography Division of Techno India University, Kolkata. He has to his credit about 388 scientific publications in various National and International journals, and 34 books of postgraduate standards. Dr. Mitra has successfully completed about 16 projects on biodiversity loss in fishery sector, coastal pollution, alternative livelihood, climate change and carbon sequestration. Dr. Mitra also visited as faculty member and invited speakers in several foreign Universities of Singapore, Kenya, Oman and USA. In 2008, Dr. Mitra was invited as visiting fellow at University of Massachusetts at Dartmouth, USA to deliver a series of lecture on Climate Change. Dr. Mitra also successfully guided 29 Ph.D students. Presently his domain of expertise includes environmental science, mangrove ecology, sustainable aquaculture, alternative livelihood, climate change and carbon sequestration.
Curso de teclado (COMPLETO) - Aprenda a Tocar TecladoCleber Lucas
Conheça o Melhor Curso Para Aprender a Tocar Teclado na Sua Casa: Acesse:
http://www.curso-funciona.com/academia-das-teclas-musica-sem-limites/
Você pode aprender a tocar teclado no conforto de sua casa e ainda assistir as aulas várias vezes, o curso Academia Das Teclas com certeza irá ajudar você.
Every IT company needs a Customer Support Executive. Many graduates initially play the role of a CSE in one or the other way however very few are aware of the actual responsibilities of a CSE. Know about the role of a Customer Support Executive in an IT company in this session.
GERENCIA Y ADMINISTRACION DE SALUD, SISTEMA DE SALUD DE LOS ESTADOS UNIDOS.Jorge Amarante
“Un sistema de salud es la suma de todas las organizaciones, instituciones y recursos cuyo objetivo principal consiste en mejorar la salud.”
En el siguiente ensayo se hablara del sistema de salud de estados unidos de américa abarcando su organización, los problemas que presenta, los recursos que tiene, su distribución y su comparación con los sistemas de salud de otros países desarrollados.
El objetivo de este ensayo es explicar cómo funciona el sistema de salud de estados unidos para lograr entender de forma sintetizada y correcta todo lo relacionado con este.
El sistema de salud de los estados unidos es uno de los sistemas de salud más avanzado, sofisticado, funcional que existe.
Comparándolo con el sistema de otras potencias este suele resaltar en muchos aspectos pero esto no lo exonera de tener sus bajas como el hecho de ser uno de los sistemas más caros del mundo a tal punto que muchas personas quedan sumidas en la pobreza por pagar por algunos servicios a pesar de tener seguro.
Otro de sus fuertes es que son el país que más invierte en investigaciones médicas aportando bienes y descubrimientos para la raza humana entera.
Introduction to health & illness book of FON bsc nursing NS crown
This is PDF of 1st unit (intro to health & illness) of Fundamental Of Nursing book of 1st year of Bsc nursing/GNM/ANM .
It's very easy to read and understand the fundamentals of nursing .
Sabrina Donina: Aligning Assessment Data to Enhance Quality Of Life Outcomes ...Beitissie1
In her lecture, Ms. Sabrina Donina describes a study which examines a method intended to define ways to improve the quality of life of people with intellectual disabilities who live away from home, with the collaboration of the residents, their families and their therapists.
Maladjustment is the common term used to describe an inability to maintain a stable relationship or adjust to changing environments.
Maladjustment is the inability by individuals, family, groups, community or society to be in sync with other individuals, family, group, community or society on differences and conflict with socio-political and economic reasons or ideologies.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
1. IDEAS
• INDIAN DISABILITY EVALUATION AND
ASSESSMENT SCALE
• Persons with Disabilities (Equal opportunities,
Protection of rights and Full participation) Act
1(PWD ACT) under Ministry of Social Justice
&Empowerment, Govt. of India in 1995
2. Renewed guidelines for evaluation of following disabilities and
procedure for certification was notified vide no. ‘The Gazette
of India, Extra ordinary Part-II Section 1, Dated 13, June 2001’.
1. Visual Impairment
2. Locomotor / Orthopedic Disability
3. Speech and Hearing Disability
4. Mental Retardation
5. Multiple Disabilities
3. • As per the Act, authorities to give a disability
certificate will be a medical board duly
constituted by the central and state
government. The medical board should
consist of at least three members, out of
which one shall be a specialist in the
concerned disability subject.
• Validity- 5years (for temporary disabilities and
those under the age 18) other wise
permanent.
• The minimum degree of disability should be
40% in order to be eligible for any
4. Mental retardation
• To be assessed by Psychiatrist/Clinical
Psychologist/pediatrician
• Degree of Mental IQ
• Impairment
• Border line 70-79 25%
• Mild 50-69 59%
• Moderate 35-49 75%
• Severe 20-34 90%
• Profound Less than 20 100%
5. Mental illness
• Mental illness has been recognized as one of the
disabilities under Section 2 (i) of the Persons with
Disabilities (Equal Opportunities, Protection of
Rights and Full Participation) Act, 1995. “Mental
illness” has been defined under Section 2(q) of
the said Act as any mental disorder other than
mental retardation.
• Assessment of Permanent Physical Impairment in
Mental Illness based on Indian Disability
Evaluation and Assessment Scale (IDEAS)
• A scale for measuring and quantifying disability
in mental disorders, developed by the
6. IDEAS
• I. Self Care: Includes taking care of body hygiene,
grooming, health including bathing, toileting,
dressing eating taking care of one’s health.
• II. Interpersonal Activities (Social Relationships):
Includes initiating and maintaining interactions
with others in contextual and social appropriate
manner.
• III. Communication and Understanding: Includes
communication and conversation with others by
producing and comprehending
spoken/written/nonverbal messages.
7. SCORING
• 0- NO disability (none, absent, negligible)
• 1- MILD disability (slight, low)
• 2- MODERATE disability (medium, fair)
• 3- SEVERE disability (high, extreme)
• 4- PROFOUND disability (total, cannot do)
• TOTAL SCORE -Add scores of the 4 items and obtain a total score
• Additional Weightage for Duration of illness (DOI):
• < 2 years: score to be added is 1
• 2-5 years: add 2
• 6-10 years: add 3
• > 10 years: add 4
8. • GLOBAL DISABILITY
• Total Disability score + DOI score = Global
Disability score
• Percentages:
• 0 No Disability =0%
• 1-6 Mild Disability =<40%
• 7-13 Moderate Disability = 40-70%
• 14-19 Severe Disability =71-99%
• 20 Profound Disability =100 %
9. Help guide
• I. SELF CARE: This should be regarded as activity
guided by social norms and conventions. The
broad areas covered are
• a. Maintenance of personal hygiene and physical
health.
• b. Eating habits
• c. Maintenance of personal belongings and living
space
• a. Does he look after himself. wash his clothes
regularly, take a bath and brush his teeth?
• b. DOES he have regular meals?
• c. Does he take food of right quality and
10. • 0= No disability
• Patient's level and pattern of self-care are normal, within
the social cultural and economic context.
• 1= Mild
• Mild deterioration in self-care and appearance (not
bathing. shaving, changing clothes for the occasion as
expected). Does not have adverse consequences such as
hazards to his health. No embarrassment to family.
• 2= Moderate
• Lack of concern for self-care should be clearly established
such as mild deterioration of physical health, obesity,
tooth decay &, body odors.
• 3= Severe
• Decline in self-care should be marked in all areas. Patient
wearing torn clothes would only wash if made to .
Evidence of serious hazards to physical health.
(Malnutrition. infection. patient unacceptable in public).
• 4= Profound
11. Inter personal activities
• a. What is his behaviour with others?
• b. Is he polite?
• c. Does he respond to questions!
• d. Is he able to regulate verbal and physical
aggression?
• e. Is he able to act independently in social inter
• actions?
• f. How does he behave with strangers?
• g. Is he able to maintain friendship?
• h. Does he show physical expression of
12. • 0= No
• Patient gets along reasonably well with people,
personal relationships No friction in inter-personal
relationships.
• 1= Mild
• Some friction on isolated occasions. Patient known to
be nervous or irritable but generally tolerated by
others.
• 2= Moderate
• Factual evidence that pattern of response to people is
unhealthy. May be seen or more than few occasions.
Could isolate himself from others and avoid company.
• 3= Severe
• Behaviour in social situations is undesirable and
generalized. Causes serious problems in daily living/or
work. Patient is socially ostracized.
• 4= Profound
13. • III. Communication and Understanding
• Understanding spoken messages as well as
written and non-verbal messages and ability to
reduce messages in order to communicate with
others.
• 1. Questions
• a. Does he avoid talking to people?
• b. When people come home what does he do?
• c. Does he ever visit others?
• d. Is he able to start, maintain and end a
conversation?
• e. Does he understand body language and
14. • 0 = No disability
• Patient mixes, talks and generally interacts with people
as much as can be expected in his socio-cultural
context. No evidence of avoiding people.
• 1= Mild
• Patient described as uncommunicative or solitary in
social situations. Signs of social anxiety might be
reported.
• 2= Moderate
• A very narrow range of social contacts, evidence of
active avoidance of people on some occasions and
interference with performance of social rules causes
concern to family.
• 3= Severe
• Evidence of more generalized, active avoidance of
contact with people (leave the room when visitors
arrive and would not answer the door or phone).
15. • IV. Work
• This includes employment, housework and
educational performance. Score only one
category in case of an overlap.
• Employment:
• Guiding Questions
• a. Is he employed/unemployed?
• b. If employed, does he go to work regularly?
• c. Does he like his job and coping well with it?
• d. Can you rely on him financially?
• e. If unemployed, does he make efforts to find
16. • 0= No disability.
• Patient goes to work regularly and his output and
quality of work performance are within acceptable
levels for the job.
• 1= Mild
• Noticeable decline in patient's ability to work, to
cope with it and meet the demands of work. May
threaten to quit.
• 2= Moderate
• Declining work performance, frequent absences,
lack of concern about all this. Financial difficulties
foreseen.
• 3= Severe
• Marked decline in work performance, disruptive at
work, unwilling to adhere to disciplines of work.
17. • In similar ways, housewives should be rated on
the amount, regularity and efficiency in which
tasks in the following areas are completed.
Consider the amount of help required
completing these. Acquiring daily necessities,
making, storing and serving of food, cleaning
the house, working with those helping with
domestic duties such as maids, cooks etc.,
looking after possessions and valuable in the
house.
• Students - Assess a score on performance in
school/college, regularity, discipline, interest in
future