Beruflich Dokumente
Kultur Dokumente
Examination
First of all, Remember in your mental state exam station to
introduce yourself, then you have to ask all the parts of the
patient profile and then get a chief complaint with brief history of
presenting illness, because during this time you are able to assess
the appearance of the patient, the behavior and the attitude all
the together. You are also able to assess the speech and the
thought form-process, which you have to comment on at the end
of the speech assessment, so in other words assess thought
process with the speech of the patient and you could mention it
just as ( thought process intact at the end of it)
Second of all, regarding the history taking, we are required to
take history of presenting illness, which means you start with the
chief complaint, then analyze it (onset, duration , precipitating and
relieving factor etc..) and when you come to the associated
symptoms only do those related to the chief complaint. Ya3ni if
chief complaint was ekte2ab shadeed, zai ma aja ele abelna ask
associated symptoms related to depression. You should then ask
about
Opposite episodes.
Impact on life. Which includes family, society and function,
by function we mean everything in life not just work or study
but everyday activities.
Substance abuse be2anwa3oh. Smoking , tea, coffee,
nescafe, Alcohol, drugs without prescription.
Suicide, suicide, suicide !!
Last thing drugs and their side effect
Past psychiatric history and family psychiatric
Forget all about past medical and surgical or any family
history or allergies or personal history! Kollo 3al fade
Bel akher eza dal wa2et ask related associated sympyoms,
for example if it was depression ask about mania because it
Gender
" , "
.
Thought:
Here we have to cover two concepts
-Form
Loosening: no connection between one idea and the other.
Flight of thought: there is slight connection between one idea
and the other.
Circumstantialities: the patient speaks a lot BUT at the end he
can reach the point that you want.
Tangintiality: the patient speaks a lot without reaching the point
that you want.
Clang association: the patient connects the words due to
phonetics rather than its actual meaning. My car is red. Ive been in
bed. It hurts my head.
Does the patient know that he is psychologically ill and in need for
treatment?
Full insight; patient 100% believe that he is psychologically ill and
need treatment.
Partial; patient believe that he is psychologically ill BUT he didn't
believe that he will benefit from the treatment or vice versa.
Lack of insight; patient didn't believe that he is psychologically ill
and in need for treatment.
9)
Suicide: either attempt or thought of suicide. How many
times , the way and why or zai ma 7akena abel!
10)
Premorbid assessment: this was given by more than one
doctor with different answers always, we have 8, but Ill put the
five they all said and agreed upon first.
1)
4)
Mood! Predominant mood before sickness
5)
Religion
6)
Anxiety trait. Zai ma sa2alna 3n el trait bel awal.
7)
Abnormal movements.
8)
Past history of admission to hospitals, mental hospitals or
prison?
...
(: The End
:Done by
Mohammed AlHawamdeh
Edited by : Saed Jarrar :P