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Mental Status Assessment: A. General Appearance the Patient Grooming Was

Mental Status Assessment: A. General Appearance the Patient Grooming Was

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Published by: sandyzgurl on Jan 03, 2010
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01/17/2013

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MENTAL STATUS ASSESSMENT:
A. GENERAL APPEARANCEThe patient grooming was fair after morning care .Most of the time she exhibited appropriate facial expressions andposture during interactions and can maintains good eye contacts.B. MOTOR BEHAVIORThroughout the entire days of duty the patient presentedautomatism. It is defined as repeated purposeless behavior oftenindicative of anxiety such as drumming of fingers, twisting of locksof hair or tapping of foot. No other motor behavior presented.C. SENSORIUM AND COGNITIVESensorium and cognitive consists of the assessment oforientation, concentration and memory. Orientation refers to theclient recognition of person, place, and time. Memory is anorganism’s mental ability to store, retain, and recall informationwhich is divided into recent and remote memory.During the 4 day nurse-patient interaction, the patient orientationand memory are stable. She can retrieve past events and recognizepeople around her, she is also acquainted to time, place, and who sheis.D. PERCEPTIONThe patient manifest presence of delusion wherein she statedthat she undergone abortion and she was a battered wife. She alsoclaim that she was tricked by a tricycle driver to worked as a“labandera” in VSMMC and that’s the reason she was admitted.E. ATTITUDES AND BEHAVIORAttitude is a position of the body or manner of carryingoneself. It is a position of the body appropriate to or expressive ofan action, emotion.The patient exhibited uncooperation and withdrawn social activitiesuntil the termination of her treatment care. It was also observed thatshe was evasive with any type of therapy rendered by the StudentNurses.F. DEFENSE MECHANISMDefense mechanism are psychological strategies brought into playby various entities to cope with reality and to maintain self image.Healthy persons normally use different defenses throughout life. An
 
ego defense mechanism becomes pathological only when its persistentuse leads to maladaptive behavior such that the physical and/or mentalhealth of the individual is adversely affected. The purpose of the EgoDefense Mechanisms is to protect the mind/self/ego fromanxiety,social sanctions or to provide a refuge from a situation with whichone cannot currently cope.“http://en.wikipedia.org/wiki/Defence_mechanism’The patient manifest denial from day 2 to day 3. No otherdefense mechanism observed.G. AFFECTIVE STATE
 
 Affect
refers to the experience of feeling oremotion.
[1] 
Affect is a key part of the process of an organism’s interactionwith stimuli. The word also refers sometimes toaffect display,which is "a facial, vocal, or gestural behavior that serves as anindicator of affect." (APA 2006)
 
Irritability is an excessive response to stimuli. The termis used for both the physiological reaction to stimuli and forthe pathological, abnormal or excessive sensitivity to stimuli.
Affective flattening
is a general category which includesdiminishment of, or absence of, emotional expressiveness.
 
The patient often shows irritability during the nursepatient interaction. Sometimes shows flat affect and ambivalence.H. SPEECHSpeech is the vocalized form of human communication. It isbased upon the syntactic combination of lexicals and names thatare drawn from very large (usually >10,000 different words)vocabularies.During the interaction, the patient does not show anyalteration in her speech pattern. She did not experienceverbigeration, aphasia, punning and other speech relatedproblems.I.THOUGHT PROCESS AND CONTENTThe patient manifested delusion.
 
RELATED LITERATURES
Schizophrenia
is amental disorderthat makes it difficult to tellthe difference between real and unreal experiences, to thinklogically, to have normal emotional responses, and to behave normallyin social situations.
Causes, incidence, and risk factors
Schizophrenia is a complex illness. Even experts in the field are notsure what causes it. Some doctors think that the brain may not be ableto process information correctly.Genetic factors appear to play a role. People who have family memberswith schizophrenia may be more likely to get the disease themselves.Some researchers believe that events in a person's environment maytrigger schizophrenia. For example, problems (infection) duringdevelopment in the mother's womb and at birth may increase the riskfor developing schizophrenia later in life.Psychological and social factors may also affect its development.However, the level of social and family support appears to affect thecourse of illness and may protect against the condition returning.There are 5 types of schizophrenia:
Catatonic
Disorganized
Paranoid
Residual
UndifferentiatedSchizophrenia usually begins before the age of 45, symptoms last for 6months or more, and people start to lose their ability to socializeand work.Schizophrenia is thought to affect about 1% of people worldwide.Schizophrenia appears to occur in equal rates among men and women, butin women it begins later. For this reason, males tend to account formore than half of patients in services with high numbers of youngadults. Although schizophrenia usually begins in young adulthood,there are cases in which the disorder begins later (over 45 years).Childhood-onset schizophrenia begins after the age of 5 and, in mostcases, after normal development. Childhood schizophrenia is rare andcan be difficult to tell apart from other developmental disorders ofchildhood, such asautism.
Symptoms

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