253 mental health assessment notes PDF

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Mental STatus - ABCT Appearance - posture (slumped?) , body movement (involuntary?), gait (limp?), eye contact, dress (appropriate?), grooming (well kept?), hygiene Behavior - LOC (lethargy, obtunded - more difficult to arouse, stupor - have to shake or call name for response, coma - no response), facial expression (grimace?), affect, mood, speach Cognitive functions - orientation (alert x 1,2,3,4?), concentration (focusing ability?), memory (recent, remote), ability to learn new information (4 word recall), abstract reasoning (ability to compare and contrast objects), judgement, visual, pereptional, constructional ability Thought processes - thought content, perceptions, suicidal ideations Glasgow coma scale - scores range from 3-15 (15 is best) Look at: Eye opening - best response = 4; spontaneously open eyes ; 0 if you have to touch patient for response Verbal ability- best = 5; back and forth communication; 0 for no communication Motor ability - best = 6; can obey commands, walk around room; 0 - no movement If score less than or equal to 7 = Less than or equal to 10 = emergency situation...