In: Nursing
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.
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