Question

In: Nursing

For this concept map, you will be mapping the mental status assessment Subtopics should include: The...

For this concept map, you will be mapping the mental status assessment Subtopics should include: The four main components of a mental status assessment, mini-mental exam, developmental perspectives, pediatrics, and geriatrics. You are not limited to these subtopics, but these subtopics must all be included. Each subtopic should include at least 2-4 supporting characteristics for that subtopic.

Solutions

Expert Solution

​​​​MENTAL STATUS ASSESSMENT

Assessment involves the collection, organisation & analysis of information about the patient's health.

In psychiatric mental health nursing this process is often refferef to as psychological assessment

Sources Of Data

1 Clinical Interview

  Allow the nurse to hear the patient's perspective on the problem

2 History Taking

History Proceeds through :

Identificationof demographic variables

Present Complaints & duration

History of present illness

Past Psychiatric History

Family History

Personal History

Premorbid personality

Attitude to others

Attitude to self

Moral & Religious Standard

Mood

Leisure & Hobbies

Fantasy Life

3 MSE ( MemtaM Status Examination )

It is used to determine whether a patient is experiencing abnormalities in thinking & reasoning ability, feelings or behaviour.

CATEGORIES

A General Appearance & Behaviour ( Dressing, Sensorium, Eye contact, Gesture, Mannerisms)

B. Speech ( Manner, Defects, Content, Flow)

C. Thought ( Delusion )

D Mood & Effect (Expression )

E. Perception ( Illusions & Hallucinations )

F . Cognitive Function ( Attention, intelligence, Orientation, Awareness )

4 Physical ExaminaExamination

Body system review

Neurological status

Laboratory tests

Psychological tests ( Routine Investigation, EEG, Brain Imaging etc )

MINI MENTAL STATUS EXAMINATION

Mini mental status examination is a cognitive test used to screen for the presence of cognitive impairment

USE

Can measure orientation & short term memory, attention & language functioning

COMPONENTS

1 Orientation ( 10 Points )

2 Attention & Calculation ( 5 )

3 Registration ( 3 )

4 Recall ( 3 )

5 Language ( 9 )

SCORING

Total : 30

Normal . : 25 - 30

Mild to moderate . :. 18-24

Substantial Improvement . : 17 & below

PAEDIATRIC ASSESSMENT

COMPONENTS .:

Demographic data

Child complaints

History of present illness

Family History

Personal History

Past history

Current functioning

Physical examination

Treatment history

Mental Status Examination

Summary

GEARIATIC ASSESSMENT

It should include :

Demographic data

Chief complaints

Precipitating factors

History of present illness

Past medical History

Past Psychiatry history

Family History

Personal History

Marital history

Premorbid personality

Community involvement

Social support

Attitude towards aging

Mental Status Examination

Summary

Investigation

Treatment


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