Professional Documents
Culture Documents
Why do we do them?
1
Behavior Speech
Mood Affect
Thought Process:
Thought Process
examples
• Describes the rate of thoughts, how • Circumstantial: provide
they flow and are connected. unnecessary detail but
• Normal: tight, logical and linear, eventually get to the point
coherent and goal directed
• Tangential: Move from thought
• Abnormal: associations are not
to thought that relate in some
clear, organized, coherent. Examples
include circumstantial, tangential, way but never get to the point
loose, flight of ideas, word salad, • Loose: Illogical shifting
clanging, thought blocking. between unrelated topics
2
Thought Content
Thought Content:
examples
• Preoccupations: Suicidal or • Hallucinations: False sensory
homicidal ideation (SI or HI), perceptions. Can be auditory (AH),
perseverations, obsessions or
compulsions visual (VH), tactile or olfactory
• Illusions: Misinterpretations of • Derealization: Feelings the outer
environment environment feels unreal
• Ideas of Reference (IOR): • Depersonalization: Sensation of
Misinterpretation of incidents and
events in the outside world having unreality concerning oneself or parts
direct personal reference to the of oneself
patient
Cognition
• Delusions: Fixed, false beliefs firmly held in • Level of consciousness
spite of contradictory evidence
• Control: outside forces are controlling actions • Attention and concentration:
• Erotomanic: a person, usually of higher status, is
in love with the patient the ability to focus, sustain and
• Grandiose: inflated sense of self-worth, power or appropriately shift mental
wealth
• Somatic: patient has a physical defect attention
• Reference: unrelated events apply to them
• Persecutory: others are trying to cause harm
• Memory: immediate, short and
long term
• Abstraction: proverb
interpretation
3
Folstein Mini-Mental
Insight/Judgment
State Exam
• 30 item screening tool • Insight: awareness of one’s own
• Useful for documenting serial illness and/or situation
cognitive changes an cognitive • Judgment: the ability to
impairment anticipate the consequences of
• Document not only the total one’s behavior and make
score but what items were decisions to safeguard your well
missed on the MMSE being and that of others
Summary